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` FILE <br /> CJFJF <br /> C.REM <br /> � ��RPO Box 910530•Denver,CO 80291-05301 <br /> 6 J <br /> TIRES&SERVICE I INVOICE 4-E OUST.NO, I ORDER NO. I PAGE <br /> INVOICE NO. <br /> i <br /> SCR 774346 STOCKT C855TTC 04/20/1 3078171493191 1 855-45913 <br /> 4336 POCK LANE, SUITE 200 <br /> STOCKTON, CA 95^206 L.T;)x Td- qfnzktan_Z.Q__r4_-,2pr,License:NOPLATE COPY <br /> (209)983-9495 ' <br /> IIS <br /> SOLD <br /> TO BRIDGESTONE/BANDAG NAT AC SHIP <br /> SOUTH CENTRAL TO ATLANTIC AVIATION F'BO INC <br /> NASHVILLE, TN 372214 STOCKTON AIRPORT <br /> STOCKTON, CA 95206 <br /> PURCHASE ORDER NO. SALES PERSON I PHONE I SHIP VIA <br /> MTRF40gG T1F1 T UFR <br /> f I Delivery Receipt# 454680 <br /> 1 <br /> ITEM NO. DESCRIPTION QTY.ORDERED QTY.SHIPPED F.E.T. I PRICE <br /> NET EXTEN510 <br /> 22443229 BS 315/80R22.5/20 M86-OA SEVERE SVC 1 1 <br /> *< FLEET LOCATION CODE ) : 613300 <br /> < ODOMETER' READING ) : NOODOM <br /> �f <br /> *( FLEET AUTHORIZATION NUMBER ) : 022282 <br /> t <br /> P.O. NUMBER ) : MIKE <br /> *( UNIT # SERVICED ) : NOUNIT <br /> ( DRIVER NAME ) : MIKE <br /> *( LICENSE PLATE/STATE ) : NOPLATE <br /> *( WHEEL POSITIONS) ) : LRO <br /> TRSC03 YY185480 TRUCK SERV CALL EMERGENCY REG HOURg 1.@ 1.001 <br /> TD YY1971N SCRAP DISPOSAL CHARGE 1. I <br /> TPID# 1099876—OL (TDS#) <br /> CHKtD BY: DELV'D BY: <br /> Total Weight: 16222.00 Total Units: 3 <br /> Cuter a4 t( c�to perform the above written services to their vehicle. <br /> SE I ORMA 10 5 A E 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 /> 01"i 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$1.00)which is an ANNUAL PERCENTAGE RATE OF 18%.The above credit terms have been set out <br /> in accord with the Truth•ri-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 Reed w/Dealer and it has been determined your wheel compone <br /> Credit Release# _Reed to Customer —Reed 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 assembl <br /> Make Odometer DOT On Tire- I acknowledge receipt of wheel assembly info. <br /> Model Color DOT Off Tire- <br /> Vehicle# Lic#/State <br /> Trailer# Chassis# Driver Roll Time <br /> Tire/Wheel Pos: (Signature) <br /> Container# SerialNIN# <br /> (Name Printed) <br /> FILE <br />