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ISCLAIMER <br /> >not made, and does not hereby make any representation or <br /> of California condition,quality,description,durability,or suitability for any <br /> such unit in any respect or in connecuur ,,,,,aose and use of this sale.Purchaser acknowledges and agrees <br /> ''e• that the property was selected by purchaser and that the purchaser is satisfied that the property is suitable for purchaser's <br /> "P <br /> ?' purpose.Purchaser further agrees that Holt of California's liability,if any,for breach of any express or implied warranty shall <br /> .O. BOX X, Sacramento, CA 95813 be limited to the cost of said personal property and purchaser further waives any right, if any, to lost profits, or any <br /> Poll Free Message Phone (877) 379-6620 consequential damages of any type. <br /> All parts returned for credit must be accompanied by a copy of the Holt of California parts packing slip or invoice.No returns <br /> without authorization.All authorized returns are subject to a handling charge. <br /> SOLD TO <br /> JACOBSON WAREHOUSE SHIP TO <br /> COMPANY INC <br /> 2020 N MAC ARTHER DR <br /> J TRACY CA 95376 <br /> INVOICE NUMBER INVOICE DATE CUSTOMER NO. CUSTOMER PURCHASE ORDER NUMBER STORE DIV SALESMAN TERMS PAGE' <br /> SWO80139607 10-09-07 0116699 130116 08 L 765 2 1 <br /> PSO/WO NO. DOC. DATE PC LC MC SHIP VIA INVOICE'SEQ. NO: <br /> 0805877 08-21-07 1P 10 10 3814825 <br /> EL SERIAL NUMBER " EQUIPMENT NUMBER METER READING MACH.ID NO. <br /> McAB C60OSLP AT83FO2448 1751. 0 LN07-57 <br /> QUANTITY ITEM 'N/R DESCRIPTION UNIT PRICE EXTENSION <br /> REPAIR TIRE <br /> COMPLAINT: R&R TIRES <br /> CAUSE: CHUNKED OUT <br /> CORRECTION: R&R TIRES (2) 21X8X15 AND, "<(2) ' <br /> 16X6X101/2 NO ZC PO# 130116 <br /> 2 2I8427 TIRE S 125.84 251. 68 <br /> 2 2I9286 TIRE S 209. 78 419.56 <br /> TOTAL PARTS SEG. 01 671 .24 <br /> 4 . 00 R & R TIRE 40 . 00 <br /> 4 . 00 TIRE DISPOSAL 24 . 00 <br /> 30 . 00 TIRE PRESS 75 . 00 <br /> a, <br /> TOTAL MISC CHGS SEG. 01 139. 00 <br /> SEGME* 01 TOTAL 810 .24 T <br /> ----------------------------------------------------------------- <br /> --------------- <br /> ><:> >> ISC <br /> 10. 07 T <br /> .ALE :; <br /> 7 <br /> .. A'f€ 1/4, :; <br /> o. 49.39 T <br /> : :;....:...::. I 6QAQi�TN<::ZTY TAX <br /> :. :. ....... .., 3 .41 T <br /> . 00 T <br /> PAY THIS <br /> AMOUNT ' CONT r D <br /> TERMS OF PAYMENT: NET 10 for all equipment purchases and rental transactions; NET 10th AMOUNT <br /> PROX. for all parts purchases and service transactions. A FINANCE CHARGE OF 1.5% per month CREDIT , <br /> will be applied to all past due invoices. <br /> In the event the account becomes delinquent, the customer will pay all costs of collection <br /> including reasonable accrued attorney fees and court costs incurred by Holt of California in <br /> collecting any indebtedness of customer to Holt of California. <br /> FORM NO.T 12201 B(6/94) CUSTOMER ORIGINAL <br />