|
y;l x ,• Marleeaedo aslYalw Ndwr ISR M
<br /> P
<br /> 1r
<br /> 61M
<br /> ,r-- IIg1FLp
<br /> .YRIIIDgf
<br /> 1on
<br /> e[y Kleen Systems, Inc. A -
<br /> 1 •.w.r....n,.......,. mj.. ,Y' TAn 1'T.
<br /> Vd6t SKS'
<br /> IRBNSwxilA:,asur Biln au.,.. w•, .., ,n.. uc ne••.w<•en• '•.Y
<br /> 'ur S,lvx It IWI.M sl neo.t ``rvi ri•�a�.�iu.
<br /> PRODUCT/SERVICES
<br /> SHIPPING DOCUMENT s .w CA 95133
<br /> ,x ixL Lw,:n9 9x L,axnx< t . n.eo.•• a 1.60(s.N,•y
<br /> I
<br /> n ... n.mw -- ---
<br /> F �°
<br /> mea. .�w.,.,
<br /> <,5 OaKr/GnLxB:nt Mlaxlern,
<br /> ^ r tsfil ....
<br /> E1iNre1n0 KxY 61991
<br /> �,9*Kw 3tu.xem G tOs-)IW r.nrmw 6mrr rwun w^GM r IG1
<br /> ROIIoneba9tlw� 4xuLsi41 u5tn.x 1u.ULOOe19t9 2 4`x1eA1M5516�t nw .. �
<br /> r:001If9lel5x5 Snirr t30lsatli
<br /> w
<br /> awlrlsi laxs w:W I/fLe wrn w`,:",i'.,".n o,r"n ,nn°
<br /> M^rs lxe wM6anw �N.w510XiG x600We130f srfaty
<br /> 6�0 so o sBUW a—
<br /> 'Na,
<br /> G 9S3fi1 �rww.
<br /> nvarn.n�wnxran r
<br /> �, en��n IneNSigelte t IxSr ngNL iM-505.IOel Her m°°, wr ----
<br /> yp'solWww!hat 15 M,wvx,r,M(1rx.0 u,x:m(Bvx sr,w,n0 n6x W<6xu< n*mucn
<br /> net Gss,ma,B, Bal
<br /> oBypeRdWaannMn (:6u ea/9x�x'�n","w�w:`dl�°: Gs> Plt ` -------
<br /> k.wm 9b^i lLeriML x.�:L.has xR.t "' 131 Tie '•"""
<br /> In flam 9bllwlani c.•..•°.<+rnw.^.s..<{6uwLss6 s L<W,.wGs Air.<ao rx.o..+6w,. r w.w 6uurzx m,s nrcrnr DR14-A4 CSG: yy
<br /> EYne bms p:inlersu wwti1-rte-�a1s-ewe - `adrtl�itional LYa9¢n r for confenerator�i ol•
<br /> Nthl
<br /> cocas. 1 erwe..^„nxr a::.^.aerora of.n6rn.?n boMlT.
<br /> mber. tK�iir r�.' n0
<br /> dw
<br /> nuex0M0otsl9>
<br /> numbe b fcNeaniOK 5A`usu Ia
<br /> m6wy4bery rea 0-220 lb/ h xb�e:
<br /> 1w Bhipm6nlo Ir••irrr
<br /> ...•„xr,,... II
<br /> \ wn.
<br /> Wow*& ��� .._... °• Oarmw IIrewin
<br /> i
<br /> I
<br /> CSG Sk-SSL ROX-23 \
<br /> Reymond Gomel °"84'T267r 12:18 PAGE 1
<br /> -gafety-Kleen Systems, Inc.
<br /> Generales - 2600 N Central Expy,Suite zoo 'a9eE1 o1 ,es 3a:.
<br /> Richardson,TX 75080
<br /> tit q r fi
<br /> '.AL00 GORPaI
<br /> 181 aTE:coo-669-s76o }Zttcy�x.... \ I,E IZFg5 s Is
<br /> 26EMERGENCY:800 168-1760(Safety-Kleen) ntg \
<br /> d\d✓vmss 2095/510/1
<br /> /f\� 1-11ER# OR141840'Reilly 6256] REFERENCE NOR.
<br /> 142 1641 E Harding way SAVC WEEK:8201SS66
<br /> ST
<br /> Stockton CA 95205-1106 SWC GATE: 06/26/19
<br /> PHON
<br /> 972-555-1247 4
<br /> g
<br /> xlli i0[U570NERi BILL N ADDRESS: m I , - _.
<br /> OID217 O'Relll,Auto Parts fin+
<br /> 1 231 5 Patterson AN a
<br /> At..Iohm Bounds
<br /> Springfield MO 65802-2210 y �( j =i ?--..F{-?° -£:.?E• £"ci_R-•�R
<br /> PHONE 972-265-2485ifs
<br /> PURCHASE
<br /> PURCHASE ORDER/ TAX EXEMPTS ISE } as- •?Qg:f: :£1'R£�ei r£,:s'r£3
<br /> PRODUCT/SERVICES
<br /> SERVICE r ?3�qx iiE.Ex6oa1
<br /> / TOTAL [2 ^• SiSis a?, i: E 1
<br /> N PRODUCT QTY UNIT PRICE TAX CHARGE 1 f< S? aR
<br /> 1 3383 ORLIM.55 GAL FOR O.F. 1.000
<br /> SERVICE TERM 26 WEEK D
<br /> 60559605/ '
<br /> s7s660 CNO-NON xA2AtOgC:SOLID 5 1.000 m
<br /> SERVICE TERM 26 WEEK
<br /> 0 CONTS: 1 TSDF: 51 MANIFEST#: 006951741SKS FORM CO: US SHIPS 228806716
<br /> CNT#: 190620081823 QTY: 100 WT/VOL P PROF#6055%05 SKOOT 7361257 y
<br /> 8003369 DRUM, SS GL BLACK STEEL 0 1.600
<br /> SERVICE 7EAN 26 MEEK S
<br /> 83313 ORIM,SS WASTE 1,000
<br /> SLTMCE TERM D.F.D. WEEK
<br /> 0 COMTS: 1 TSOF: TPO MANIFEST#: 006961620SKS FORM N: US SHIP#228806720
<br /> CNTE- 190620081836 QTY: 250 Wr/VOL P PROF#156033 510707 7872676
<br /> 100065 E-Manifest Fee 1.000 "R
<br /> 3230 TAX HANDLING N/C DRUM DROP 30 1.000
<br /> 100001 FEE, FUEL SURCHARGE 1 Ogg
<br /> NOTAL SERVI[E/TNLOOIICTS
<br /> i
<br /> 70TAL CHARGE
<br /> CREDITS j
<br /> _______________
<br /> TOTAL DUE
<br /> BALANCE THIS RECEIPT f
<br /> act
<br /> I adl
<br /> (i) the above-named materials are properly
<br /> anted and lahel ed, and a in proper condition -—
<br /> ding to the applicable regulations of the `
<br /> ten r;;l m.,.._.____.
<br />
|