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^ FILE <br /> Ir CREMITTO: ® PO Box 910530•Denver,CO 80291-0530 <br /> h <br /> 6 N INVOICE DATE CUST.NO. ORDER NO. PAGE INVOICE NO. <br /> TIRES&SERVICE 6-� <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 TO 315 FIFTH STREET <br /> PERU, IL 61354-2859 PERU, IL 61354-2859 <br /> PURCHASE ORDER NO. SALES PERSON PHONE SHIP VIA Ch g e <br /> 465 4099 209-983-829B DELIVER <br /> ITEM NO. DESCRIPTION QTY,ORDERED QTY.SHIPPED F.E.T. PRICE NET EXTENSION <br /> RN] <br /> 422FTRS BD 11R24.5 FGR TRAILER STOCK 2 2 0.00 141.94 283.88 <br /> 422 CS 11R24.5 RDL CASING—GRADE A 2 2 0.00 110.00 220.00 <br /> HRTKE EMERGENCY REG HOURS SERVICE CALL 1.00 1.00 93.00 93.00 <br /> VSTK SV VALVE STEM — TRUCK 2 2 7.23 14.46 <br /> AL V21B INFLATE THRU CAP (ALLIGATOR) 2 2 1.50 3.00 <br /> TD SCRAP DISPOSAL CHARGE 2 2 12.00 24.00 <br /> *LIC# 4CS9665/CA <br /> TPID# 1099876-0 (TDS#) <br /> CNK'D BY• DELV'D BY: <br /> Dial Uni s: 11 <br /> Charge: 687.42 SubT t Parts: 545.34 <br /> SubT t Labor: 93.00 <br /> Net 10th Prnx RAIP6 TAX- 49-08 <br /> Customer authorizes company to pedomt the above written services to their vehicla. <br /> SEE INFORMATION STATEMENT OF REVERSE SIDE REGARDING CONSUMER CREDIT CONTRACT AND SECURITY AGREEMENT <br /> X <br /> PRINT NAME/AUTHORIZED SIGNATURE <br /> NOTE: In order to save all FINANCE CHARGES,the customer must pay,in full,tha entire unpaid ba;mce by the 10th of the following Inv Total . 687.42 <br /> month.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 Truth-In-lending requirements of the Federal Govemment and are for the customer's benefit and protection, <br /> PAY FROM THIS INNO!CE <br /> PO# <br /> Date Delivered: Disposition of Take Off Tires: O Your wheel components have been inspected <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 <br /> Customer/Fleet Loc# � A wheel assembly has been installed. Industry <br /> 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 <br /> Tire/Wheel Pos: (Signature) <br /> Container# SerialMN# <br /> (Name Printed) <br /> FILE <br />