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I 1 'I � AN IND�`c.�ENOEMT FRANCHISEE OF TERPER1I IMOCRE PETROLEUM a TIiORPE PETRO" LEUM m MAILING:P.O.BOX 1107,STOCKTON,CA 95201 PHONE(209)465-3421 _ l THE COMMERCIAL FUELING SYSTEM STOCKTON PLANT TRACY/SANTA PLANT L.ODi PLANT V �,` A 1001, W.CHARTER WAY 5491 W."F"STREET 351 N.BECKMAN RD. DELIVERY INVOICE STOCKTON,CA 95206 BANTA,CA 95304 LODI,CA 95240 (209)465-3421 (209)835-2750 (800)736-3421 0 6 TO SOLD AM TO y�o. �, 5 [DRIVERIWHSE TEITIME PM STREET ADDRESSCIN LIVER TO &STATE -- P.O. Q Charge ❑Cash ❑Credit Card RECEIPT/CHECK# NUMBER SUPPLIER SUPPLY BILL OF LADING QUANTITY UNIT DINT NUMBER PRODUCT DELIVERED PRICE AMOUNT POINT UNLEADED GASOLINE GASOLINE,3,UN 1203,PG II MID-GRADE GASOLINE GASOLINE,3,UN 1203,PG II UNLEADED PREMIUM GASOLINE GASOLINE,3,UN 1203,PG II CARE DIESEL 42 DIESEL FUEL,3,NA 1993,PG III I I THIS DIESEL FUEL DOES NOT CONTAIN VISIBLE EVIDENCE OF DYE. I CARR DIESEL#2(RED DYED) DIESEL FUEL,3,NA 1993,PG III i I THIS PRODUCT IS DYED DIESEL FUEL.NON-TAXABLE USE ONLY. PENALTY FOR TAXABLE USE. KEROSENE KEROSENE,3,NA 1223,PG III PRODUCT CODES OTHER PRODUCTS QTY. PKG. UNIT PRICE AMOUNT I I I I I I - I I I I I I I I I I I _ I I I QUANT" CA.MOTOR OIL ASSESSMENT FRE CA.OIL RECYCLING GHEE I I I FEDERAL EXCISE TAX I STATE SALES TAX I STATE USE FUEL TAX PREPAID TAX(SG KHE 78-005208)GASCUNE PREPAID TAX(SG K ?E 78-005208)DIESEL DRUM';ECYCLIiiG SURC',i ARGE DRUM RETURN I The purchase prics!s due and payable _ shown ender the-fears OT Invci ai a L rniesscif �unuaare and 3L'OIECT`O Nle_ n,.r:c --j a"nancs char - ^ ge app iy ir.,ra ?rl TIC,ate r a iI?anC3 charge fated *'[a 1 is=ml heraln IS Cl `1,aarge I'Or the -_.edl .a!a Oi r �.: _. - .. . ._. .. -L•Ch 7urCl'lH C �J1E cald cvei .n.:. .aihef?I?a( -,arry. char,7c 3 _ . . .CCIi':JhCf.JG h 2-:ic"f : :Ll = 4:!?2.. _ _c e - _. he _. � i I