Laserfiche WebLink
i <br /> FILE <br /> i! <br /> `. REMIT TO: P> PO Box 910530• Denver,CO 80291-053 <br /> INVOICE DATE <br /> TIRES&SERVICE CUST.NO. ORDER NO. PAGE 1 11123/1 F� 307817 55289 1 855— 2074 NO. <br /> ^2074 <br /> GCR 774346 STOCKY C855TTC <br /> 4336 POCK LANE, SUITE 200 License:NOPLATE COPY <br /> STOCKTON, CA 95206 Mileage: 39, 461 <br /> (209)983-9495 T T rt- qt A I IR <br /> SOLD SHIP <br /> ( To BRIDGESTONE/BANDAG NAT AC TO ATLANTIC AVIATION FBD INC <br /> SOUTH CENTRAL AIRPORT <br /> NASHVILLE, TN 37214 STOCKTON, CA 95206 <br /> PURCHASE ORDER NO. SALES PERSON PHONE SHIP VIA <br /> Delivery Receipt# 644931 <br /> STKJ5 4099 DELIVER <br /> ITEM NO. DESCRIPTION QTY.ORDERED QTY.SHIPPED F.E.T. PRICE NET ERTEN <br /> 244329 BS 315/80R22.5/20 M860A SEVERE SVC 2 2 <br /> ( FLEET LOCATION CODE ) : 613300 <br /> < ODOMETER READING ) : 39461 <br /> >E( FLEET AUTHORIZATION NUMBER ) : 313322 <br /> *< P.O. NUMBER ) : STKJ5 <br /> *( UNIT # SERVICED ) : J5 <br /> *( DRIVER NAME ) : RICARDO <br /> *( LICENSE PLATE/STATE ) : NOPLATE <br /> *( WHEEL POSITIONS) ) : RF LF <br /> TRSM YY185400 TRUCK SERV CALL. ENER6ENCY RES HOUR)' 1.2`. 1.2` <br /> TRV05 YY185M TRUCK SERV VALVE STEM ALLININUM E 2 <br /> TD YY197180 SCRAP DISRQSAL CHARGE c 2 <br /> Total Weight: 324.00 Total Units: 7 <br /> Cu r aNbt j4xW perform the above written services to their vehicle. <br /> SEE I FORMATIO ATE 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 pest 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 Government and are for the customer's banefrt 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 compo <br /> Credit Release# __-_Ret'd to Customer _Ret'd for Warranty require immediate attention. <br /> Phone- <br /> Customer/Fleet Acct# Tire Replacement Reason r_� <br /> Customer/Fleet Loc# I� 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 asserr <br /> Make Odometer DOT On Tires I acknowledge receipt of wheel assembly info. <br /> Model Color DOT Off Tire <br /> Vehicle# Lic#/State <br /> Trailer# Chassis 4 Driver Roll,Tima <br /> Tire/Wheel Pos- (Signature) <br /> Container# SerialNIN# <br /> (Name Printed) <br /> FILE <br />