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FILE <br /> INC <br /> RSM jQ; PO Bpx 910530..a'DenvRr,C6 80291-0536 <br /> INVOICE DATE I UFT.NO. I ORDER NO.I PAGE INVOICE NO. <br /> TIRES&SERVICE 048451 55659 1 1 1 1155-51473 <br /> GCR 774346 STOCKT C855TTC <br /> 4336 POCK LANE, SUITE 200 COPY <br /> STOCKTON, CA 95206 <br /> (209)983-9495 Tax Id: Stockton CA 95206 US <br /> SOLD CIRCLE TRANSPORT INC SNIP CIRCLE TRANSPORT INC <br /> TO 315 FIFTH STREET TO YARD <br /> PERU, IL 61354-2859 STOCKTON, CA 95206 <br /> PURCHASE ORDER NO. SALES PERSON PHONE SHIP VIA <br /> a.r g t-- <br /> 4099 <br /> 4099 209-983-82 DELIVER <br /> ITEM NO. DESCRIPTION QTY,ORDERED CITY.SHIPPED F.E.T, PRICE NET EXTENSION <br /> *TRL# 445 RFO [WORN 0/323 <br /> 422FTRS SD 111124.5 FCR TRAILER STOCK 1 1 0.00 140.39 140.39 <br /> 422CSA CS 11R24.5 RDL CASING-GRADE A 1 1 0.00 120.00 120.00 <br /> TRSC03 TRUCK SERV CALL EMERGENCY REG HOUR5 1.00 1.00 97.00 97.00 <br /> TRVV01 TRUCK SERV VALVE STEM STEEL 1 1 7.00 7.00 <br /> AL V2P INFLATE THRU CAP (ALLIGATOR) 1 1 1.50 1.50 <br /> TD SCRAP DISPOSAL CHARGE 1 1 12.012.00 <br /> TPID# 1099876-0 (TDS#) <br /> CHK'D BY: DELV'D <br /> otal Units: 6 <br /> Charge: 403. 18 Sub t Parts: 280.89 <br /> Sub+t Labor: 97.00 <br /> Couoma a Drees perform the above written services to their voids, <br /> SEE INFORMATION STATEMENT OF REVERSE SIDE REGARDING CONSUMER CREDIT CONTRACT AND SECURITY AGREEMENT <br /> X <br /> PRINT NAME/AUTHORIM SIGNATURE <br /> NOTE in order to save all FINANCE CHARGES,the eunomer must Pay,In fun,the entlre unpaid balance by the I t of the fond ing <br /> mInv Total 4@.7i. 18 <br /> ' ontfi.FINANCE CHARGES are computed err amount:30 days or mon port due at the PERIODIC RATE of 1.5%PER MONTH <br /> (MINIMUM CHARGE OF$1.00)which is an ANNUAL PERCENTAGE RATE OF IM The abtwe credrt team have been set out <br /> In accord with the Tmrth lnd.wrding negilrernents of the Federal Government and aro for"customer's beraik and p.otemon. <br /> PAY FROM THIS INVOICE <br /> PO# <br /> Date Delivered: Disposition of Take Off rues: 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 9 Tire Replacement Reason A wheel assembly has been installed. Industry <br /> Customer/Fleet Loc# 0 <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 (Signature <br /> Tire/Wheel Pos: <br /> Container# 5erialAAN# <br /> me PrintecO <br /> FILE <br />