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I) 9 <br /> ` <br /> nited 625 DISPLAY WAY Page : <br /> Rentals SACRAMENTO. CA 95838 =sACRAmEVTo, <br /> 916-922-9895 LS <br /> 9 <br /> CA 9 5 8 3 4 <br /> Job Site: <br /> ARCORENTALRETURN <br /> 2933 65TH ST <br /> SACRAMENTO, CA 95800 <br /> C#: 916-928-1090 J##, 916-828..1090 <br /> Invoice #. . 33.71440-0{}l <br /> Invoice date 6/04/99 <br /> Customer: 9467 Date out. . . . 6/03/99 <br /> EMCON Date in. , . . . 9:12 AM <br /> 6/04/99 2:06 FM <br /> PO BOX 349014 Job Lac. . . . 2933 65TH ST, SACRAM <br /> SACRAMENTO, CA 95834-0901 Job No. . . . . . 5 - EMCON - EMCON - <br /> P.O. #. . . . . . 9200143 <br /> Ordered By. . DWAYNE WOFFORF <br /> Written by URS16MW <br /> Terms. , . . Net 30 Da s <br /> Qty Equipment # <br /> Min Day Week 4 Week <br /> 1 WATER TANK TRAILER 500 GALLON 80 . 00 Amount <br /> 198209US Make. XXXXXXXXXX Model : 500 GAL <br /> 900 . 00 127. 50 <br /> SALES ITEMS : # 000195 <br /> QtY Item number <br /> 1 EPA Unit Price <br /> EPA FEE KA . 750 <br /> . 7S <br /> Sub-total : 128 .25 <br /> Tax: 9 . 94 <br /> Total: 138 . 19 <br /> OPTIONAL DA IA[3E WAIVER Upon accepting the opljonal dam <br /> f re walver the Custo <br /> stw►rerAecspts ( / DameAa Waiver fn return Unwed aggress m werva certainmer agrees <br /> ims torte pay a charge equal xo 12%of the rental charges on <br /> DAAIA&1;'AIVF,R/S NOT INSI/R,ay�I Cuslomer remains liable far all da tel damage to such covered E r Equipment Customer wants covered by the <br /> customer J)"C'fes f Page including Cus[p,t[er a negligence or for <br /> mages listed under Accidental,O d el;M nccuting during normal <br /> EUulpment tariff smaga Werver pransrons In the Terms and <br /> use ACCIDE AL <br /> READ BEFORE SlGAWVM United hereby lesser to Customer Y Equipment rid Cond�u°no on back <br /> In tags rental peagreement eda i then ng the Terms and Condmoris set forth cove <br /> the reverse side wNch the undersigned has read and unders[anda REMINDERS (11 Rates do not include fuel or[feNS <br /> Optional Damage Waver Charge is 12%of the totaE remaF charge fw covatretl E Equipment <br /> in the Terme and Conditions an rhe reverse sitle}end Customer <br /> agreement e[r REMIhereby(1)Ratepts all,o not in lud GOND/7/0NS listed <br /> Costs Including supersedes all etas.pu[chasa order;or terms and condrti n (3) Customer pays far all Uma the <br /> llding fate Charges Details of the above as Orly ions nod in any Of Customer a agreements Cr forms nus,Is out hictudi yr 12] <br /> BEHALF OF CUSTOMER 11)AGREES well as other obligations andteaponstbrhbes ere contained in the TERM I ]Cusxomer assumes all r �Sundays and Holidays, (4)This rental <br /> D WORKING ORDER AND TO ALL OF THE TERMS AND CONDITIONS D 5 AND OQIYDfTIONS and rs responsible for all damages and other <br /> (3]IS FULLY FAMILIAR WITH ITS OPERATION pryp USE THE REVERSE SIDE OF THIS RENTAL AGREEMENT ON REVERSE THE INDIVIDUAL SIGNING BELOW AS OR <br /> AOKNOWLEDGES RECEIPT OF THE EQUIPMENT IN <br /> X <br /> CUSTOMER SIGNATURE DATE <br /> NAME PRINTED <br /> A LARGER FONT COPY OF THE TERMS AND CONDITIONS IS AVAILABLEUPON E ]VERET BY <br /> DATE <br />