Laserfiche WebLink
FILE <br /> E47r <br /> CEMIT TO:, > PO�Box0530•Denver,CO 80291'-0530 <br /> INVOICE DATE I CUST.NO. ORDER NO. PAGE INVOICE NO. <br /> TIRES&SERVICE i —37664 <br /> GCR 350325 STOCKT C855TTC <br /> 4336 POCK LANE, SUITE 200 <br /> STOCKTON, CA 95206 <br /> (209)983-9495 Tax Id: Stockton CA 95206 US <br /> SOLD CIRCLE TRANSPORT INC SHIP CIRCLE TRANSPORT INC <br /> TO 315 FIFTH STREET 7O 315 FIFTH STREET <br /> PERU, IL 61354-2859 PERU, IL 61354-2859 <br /> PURCHASE ORDER NO. SALES PERSON PHONE SHIP VIA C n g <br /> 470 4099 209-983-0299 DELIVER <br /> ITEM NO. DESCRIPTION OTY.ORDERED QTY,SHTPED F.E.T. PRICE NET EXTENSION <br /> *TRL# 470 RRI COLD & WORN7 <br /> 388FTRS BD 11R22.5 FCR TRAILER STOCK 1 1 0.00 134.81 234.81 <br /> 388 CS 11R22.5 RDL CASING-GRADE A 1 1 0.00 110.00 110.00 <br /> HRTKE EMERGENCY REG HOURS SERVICE CALL 1.00 1.00 93.00 93.00 <br /> TD SCRAP DISPOSAL CHARGE 1 1 12.00 12.00 <br /> TPID# 1099876-0 (TDS#) <br /> CHK'D BY: DELV'D B(: <br /> otal Unz s: 4 <br /> Charge: 372.92 SubT t Parts: 256.81 <br /> SubT t Labor: 93.00 <br /> C Vt.a r a nz pa o perform the above written services to their vehicle. <br /> SEE INFORMATION STATEMENT OF REVERSE SIDE REGARDING CONSUMER CREDIT CONTRACT AND SECURITY AGREEMENT <br /> X PRINT NAVE/AUTHORIZED SIGNATURE <br /> NOTE: In order to save all FINANCE CHARGES,the customer must pay,in fulf,the entire unpaid balance by the 10th of the following Inv Total 372.92 <br /> MO FINANCE CHARGES are computed on amounts 30 days or more past due at the PERIODIC RATE of 1.5%PER MONTH <br /> (MINIMUM CHARGE OF$1.00)which Is an ANNUAL PERCENTAGE RATE OF 18%.The above credit terms have been set out <br /> in accord with the -in-Lending requirements of the Federal Government and are for the customers benefit and protection. <br /> PAY FROM THIS INVOICE <br /> PO# r Your wheel Com orients have been inspected <br /> Date Delivered: Disposition of Take Off Tires: O P P <br /> Fleet Authorization# _Ret'd w/Driver _Ret'd w/Dealer and it has been determined your wheel components <br /> Credit Release# —Ret'd to Customer —Ret'd for Warranty require immediate attention. <br /> Phone: <br /> Customer/Fleet Acct# Tire Replacement Reason O A wheel assembly has been installed. Industry <br /> Customer/Fleet Loc# guidelines require that the torque level of the <br /> wheel nuts be rechecked between 50 and 100 <br /> Vehicle Information: For ERS Information Only: miles of operation and retorqued as necessary. <br /> Hubometer ERS Work Order# Failure to do so may result in loss of this assembly, <br /> Make Odometer DOT On Tires I acknowledge receipt of wheel assembly info. <br /> Model Color DOT Off Tires <br /> Vehicle# Lic#/State <br /> Trailer# Chassis# Driver Roll Time (Signature) <br /> Tire/Wheel Pos: <br /> Container# SeflalNIN# <br /> (Name Printed) <br /> FILE <br />