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1 <br /> FILE <br /> II •�. <br /> (R MIT M: ® PO Box 910530 a Denver,CO 80291-0530 <br /> INVOICE D�TE CUST.NO, I ORDER NO.I PAGEINVOICE NO. <br /> riuEs&SERVICE 03/31/1 307817148515 1 J 855-45404 <br /> GCR 774346 STOCKT C855TTC <br /> 4336 POCK LANE, SUITE 200 License:NOPLATE C 0 P Y <br /> STOCKTON, CA 95206 <br /> (209)983-9495 Taff id! PLANO TX 7502 0 <br /> SOLD <br /> TO BRIDGESTONE/BPNDAG NAT AC SHIP <br /> To 772065 ATLANTIC AVIATION <br /> SOUTH CENTRAL 6652 PINECREST DR STE 300 <br /> NASHVILLE, TN 37214 PLANO, TX 75024 <br /> PURCHASE ORDER N0. SALES PERSON PHONE I SHIP VIA <br /> J Delivery Receipt# 448955 <br /> __0554—.T 1 41, 9 I nFl l 1JFR I <br /> ITEM NO. DESCRIPT oN QTY.ORDERED QTY.SHIPPED F.E.T. PRICE I NET EXTENSIC <br /> J <br /> TRSM YY 183300 TRUCK SERV CALL. ENERGENCY AFTER HW <br /> TRVV81 YY1848N. TRUCK SERV VALVE STEM STEEL 1 1 <br /> TD YY197100 SCRAP DISPOSAL CHARGE 1 1 <br /> ( FLEET LOCATION CODE ) : 613300 <br /> *( ODOMETER READING > t NOODOM <br /> * CREDIT RELEASE NUMBER : <br /> *( FLEET AUTHORIZATION NUMBER ) : 5+4936 <br /> *( <br /> P.O. NUMBER ) : 0554—J1 <br /> ( UNIT # SERVICED ) : 0554—J1 <br /> ( DRIVER NAME ) : MICHAEL FRANCIS <br /> *( LICENSE PLATE/STATE ) : NOPLATE <br /> *( WHEEL POSITIONS) ) : LRO <br /> TPID# 1099876-01 (TDS#) <br /> CHK' D BY: DELVI D BY: <br /> Total Units: 3 <br /> Cuter at�Q(� �o perform the above written services to their vehicle. <br /> SEE OR ON A NT 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,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 Truth.In Lending requirements of the Federal Govemment and are for the customer's benefit and protection. <br /> PAY FROM THIS INVOICE <br /> PO# <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 compone <br /> Credit Release# _Ret'd to Customer _Ret'd for Warranty require immediate attention. <br /> Phone- <br /> Customer/Fleet Acct# Tire Replacement Reason rr��� A wheel assembly has been installed. Industry <br /> Customer/Fleet Loc# U 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 assembl: <br /> Make Odometer DOT On Tiro- 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 />