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FILE <br /> ti <br /> 9t 'REMIT:TO Pb Box.91053Q-,Denvef,C0,60291-0530 <br /> // Y. <br /> INVOICE DATE CUST.NO. ORDER NO. ?AGE INVOICE NO. <br /> TIRES& SERVICE 06/24/1 19484 41272 1 1 855-38446 <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 /> I <br /> SOLD CIRCLE TRANSPORT INC SHIP CIRCLE TRANSPORT <br /> TO 315 FIFTH STREET TO <br /> PERU, IL 61354-2859 <br /> PURCHASE ORDER NO. SALES PERSON PHONE SHIP VIA <br /> C n =A t--9 Q <br /> 4099 209-983-82 8 DELIVER <br /> ITEM NO. DESCRIPTION QTY.ORDERED QTY.SHIPPED F.E.T. PRICE NET EXTENSION <br /> 422FTRC BD 11824.5 FCR TRAILER 1 1 0.012 141.9Z 141.94 <br /> 180000140 BD 140 SECTION WITH RETREADING 1 1 32.24 32.24 <br /> 422 CS 11R24.5 RDL CASING-GRADE A 1 1 0.012 110-012 110.00 <br /> *TRL# 7A LI-0 <br /> HRTKE EMERGENCY REG HOURS SERVICE CALL 1.010 1.0 93-012 93.00 <br /> VSTK SV VALVE STEM - TRUCK 2 2 7.22 14.46 <br /> TD SCRAP DISPOSAL CHARGE 2 2 12.0 24.00 <br /> *TRL# 7A LRI LRO [BRAKE SKID] <br /> *LIC# 525-269/ILLINOIS <br /> **RETREAD ON CUSTOMER OWNED CASING - RETREAD*'* <br /> Item Number Material Tax Labor Tax <br /> 422FTRC 106.46 9.58 35.48 0.00 <br /> Total Units: 8 <br /> Charge: 441.48 Sub of Parts 322.64 <br /> Sub of Labor 93.00 <br /> CuNeb auf th c.Ppi0xo perform the above written services to thelr vehicle. Sales Tax: 25.04 <br /> SEE INFORMATION STATEMENT OF REVERSE SIDE REGARDING CONSUMER CREDIT CONTRACT AND SECURITY AGREEMENT <br /> X PRINT NAME/AUTHORIZED SIGNATURE <br /> NOTE: In order to save all FINANCE CHARGES,the customer must pay,In full,the entire unpaid balance by the 10th of the following <br /> ' month.FINANCE CHARGES aro computed on amounts 30 days or more past due at the PERIODIC RATE of 1.5%PER MONTH Inv Total . 441.48 <br /> (MINIMUM CHARGE OF$7.00)which is an ANNUAL PERCENTAGE RATE OF 18%.The above credit terms have been set out <br /> in accord with the TruthJn-Lending requirements of the Federal Government and are for the customer's benefit and protection. <br /> PAY FROM THIS INVOICE <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 F--jA 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# LicWState i <br /> Trailer# Chassis# Driver Roll Time <br /> (Signature) <br /> Tire/Wheel Pos: <br /> Container# SerialMN# (Name Printed) <br /> FILE <br />