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y6161 W1�) FadNf b revs,,,••--- <br /> ...`\03 ClR ryb endAad obnar'Qe"n'W n <br /> \� �p662613A(61121 tlpv6n,br <br /> 1- u,e23Nmt21 L• °M�,�,..,K on w,.Wd",d a°'a... <br /> -Im <br /> 1 <br /> � + <br /> " itNT RECEIPT r <br /> + 1 / / + I i A i 1 1 ♦ , <br /> ' ��� •- IIIIIIIIIIIIillllllllllll <br /> Receipt # 023562 <br /> Receipt Date: 09/06/19 3:12pm <br /> ' WS - Stockton, CA <br /> c. - 1000 South Aurora St <br /> r Stockton, CA 95206 <br /> lot`s';'' <br /> Purchased From: CPOIDP <br /> $ <br /> JOSE LUIS MACIAS <br /> 129 S WILSON WAY (License/ID No: N5241507) <br /> R, <br /> f. s> STOCKTON, CA 95205 <br /> Veh p TK 7Y49658 I.D. # 7Y49658 <br /> Ticket# Ship Dt Commodity Price UM Frt Ext Total Amt <br /> i THEZNT 09/06/19 N1 HMSA --- -------- <br /> --------- <br /> 1 05.00 <br /> ------- <br /> 00 NT 0.00 190.05 <br /> VehN: TK 7Y49658 Weights: 125808 8960t 3620n <br /> - <br /> --------------------------- <br /> L upplier CP01DP Totals (Pounds); 125809 69601t 3620n <br /> TOTAL AMOUNT PAID TO SUPPLIER (ATM): <br /> ¢ � 1190.05 <br /> ' Cashier Signature <br /> i <br /> --7Tessice lulueta} <br /> Customer Signature <br /> Y-- <br /> HOLO HARMLESS AGREEMENT g�rllq wAl moemn ly an,�hold l ei o fa We <br /> tlnv,r agra,Io be re,Poneible for tlempe to vetlicle tlw n <br /> .t ilii,:.l„ I fie. »s aril ld'JdIIN,.Y <br /> r nc o.,.. 9unln,ru <br />