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FILE <br /> 'R r`T :' PO 80 910530 Denver CO.,$0291-0530 <br /> INV03CE DATE CUST.NO. ORDER NO. PAGE INVOICE NO. <br /> TIRES&SERVICE <br /> 08/09/14 194845 33204 1 855-30843 <br /> GCR 350325 STOCKT C855TTC <br /> 4336 POCK LANE, SUITE 200 <br /> San STOCKTON, CA 95206 SHIP <br /> TO (209)983_9495 TTax Id: Stockton CA 95206 US <br /> CIRCLE TRANSPORT INC CIRCLE TRANS <br /> 315 FIFTH STREET STKN YARD <br /> PURCHASE M. SALES PERSON PHONE SHIP VIA <br /> ITEM NO. DESCRIPTION QTY.ORDERED CITY.SHIPPED F.E.TG a r`t NET EXTENSION <br /> 4099 209-983-8298 DELIVER <br /> 422FTRS BD 11R24.5 FCR TRAILER STOCK 2 2 0-012 140. 1 280.28 <br /> 422 CS 11R24.5 RDL CASING-GRADE A 2 2 0.00 115.0 230.00 <br /> VSTK SV VALVE STEM - TRUCK 2 2 7.0 14.00 <br /> TD SCRAP DISPOSAL CHARGE 2 2 8.0 16.00 <br /> HRTKE EMERGENCY REG HOURS SERVICE CALL 1.21.25 93.0 116.25 <br /> *DOLLY CG-1 LRI,LRO L-37584T/VA OF <br /> *TIRES AGED/OZONE SEPO <br /> TPID# 1099876-01 (TDS#) <br /> CHK'D BY: DELV'D <br /> Cu er authorfxos cam F�,�c{,,rrrt the above written services to their vehicle. <br /> SE�ffION STAT REVERSE SIDE REGARDING CONSUMER CREDIT CONTRACT AND SECURITY AGREEMENT SubTot Parts: 540.28 <br /> SubTot Labor: 116.25 <br /> XNet 10th Prox Sales Tax: 48.63 <br /> 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 are computed on amounts 30 days or more past due at the PERIODIC RATE of 1.5%PER MONTH <br /> (MINIMUM CHARGE OF 51.00)which is an ANNUAL PERCENTAGE RATE OF 18%.The above credit terms have been set out <br /> in accord with the Trt.th-In-Lending requirements of the Federal Government and are for the customers benefit and protection. <br /> PAY FROM THIS INVOICE <br /> P011 <br /> Date Delivered: Disposition of Take Off Tires: 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 /> Mode{ Calor DOT Off Tires <br /> Vehicle# Lic#/State <br /> Trailer# Chassis ItDriver Roll Time <br /> Tire/Wheel Pos: (Signature) <br /> Container# SerialNIN# <br /> (Name Printed) <br /> FILE <br />