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FILE <br /> (�E*rr4io: * -P'O,Bo'x',9io5' <br /> 30•Denser,CO 80291.mo <br /> jffrMff INVOICE DATE I COST.NO. ORDER NO. PAGE INVOICE NO. <br /> TIRES&SERVICE 10131111 194845 55214 1 855-51474 <br /> SCR 774346 STOCKT C855TTC <br /> 4336 POCK LANE, SUITE 200 CQF'Y <br /> STOCKTON, CA 95206 <br /> (209)983-9495 Tax Id: Stockton CA 95206 US <br /> 5CLD 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 /> Ct�ar,g� <br /> 4099 209-983-82 DELIVER <br /> REM NO. DESCRIPTION QTY.ORDERED QTY.SHIPPED F.E.T. PRICE NET EXTENSION <br /> *TRL# 685 RFO ISIDEWALL DAMAGE] <br /> 354FTRS BD LP 22.5 FCR TRAILER STOCK 1 1 0.00 129.88 129.88 <br /> 354CSA CS LP 22.5 RDL CASING-GRADE A 1 1 0. 00 110.00 110.00 <br /> TRSCO3 TRUCK SERV CALL EMERGENCY REG HOUR 1.00 1.00 97.00 97,00 <br /> TRVV01 TRUCK SERV VALVE STEM STEEL 1 1 7.1210 7.00 <br /> AL V28 INFLATE THRU CAP (ALLIGATOR) 1 1 1.50 1.50 <br /> TD SCRAP DISPOSAL CHARGE 1 1 12.00 12.00 <br /> TPID# 1099876-0 (TDS#) <br /> CHKI D BY: DELVI D <br /> otal Units: 5 <br /> Charge: 380.82 Sub t Parts: 260.38 <br /> Sub t Labor: 97.00 <br /> omer. the above written se Acea to their vehIck. sales lax; 23.44 <br /> SEE INFORMATLON STATEMENT OF REVERSE SIDE REGARDING CONSUMER CREDIT CONTRACT AND SECURITY AGREEMENT <br /> X <br /> PRIM NAME/AUTHORIZED SIGNATLIkE <br /> NOTE: In order to save all FINANCE CIiARGES,the customer must pay,In fuL,the entire unpaid balance by the 10th of the foGowing <br /> month.FINANCE CHARGES are compned on amounts 30 days or move pari due at the PERIODIC RATE of 1.5%PER MONTH Inv Total 380.82 <br /> "INIMUM 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 TnAh-M-Leridng requirements of the Fedval Ga mment and are for the wstomefr berw(It and PAAadw. <br /> PAY FROM THIS INVOICE <br /> PO# <br /> Date Delivered: Disposition of Take Off Tires: Your wheel components have been inspected <br /> Fleet Authorization# _ReYd w/Driver RoYd w/Dealer and it has been determined your wheal components <br /> Credit Release# ,_Reed to Customer —Reed for Warranty require immediate attention. <br /> Phone: <br /> Customer/Fleet Acct# Tire Replacement Reason A wheel assembly has been installed.Industry <br /> Customer/Fleet Loc A 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 1 acknowledge receipt of wheel assembly Info. <br /> Model Color DOT Off Tires <br /> Vehicle# Lialstate <br /> Trailer# Chassis# Driver Roll Time <br /> Tire/Whaal Pos: (Signature) <br /> Container# Serial/VIN# <br /> (Name Printed) <br /> FILE <br />