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Mission Uniform Service <br />7520 Reese Rd <br />Sacramento, CA 95828-3707 <br />Invoice #:507933613 <br />Page: <br />Customer #: <br />1 of 1 <br />261704 <br />8/3/2018Date: <br />Purchase Order #: <br />Payment is Due:September 10th <br />Delivery Plant: <br />Delivery Days: <br />4801 D <br />....F.. <br />Delivery Stop:Rt 22 - 90 <br />BELKORP AGRICULTURE-STOCKTON <br />1120 W Charter Way <br />Stockton, CA 952061107 <br />Deliver To <br />Customer Invoice <br />PH 916-423-3179 <br />Remit To: <br />Line Emp Item Identity Invty Qty Amount Adj <br />Qty <br />Adj Amount <br />1 Wastecan-Oily-14 Gal 2 250.00 * <br />Subtotal $250.00 Adj <br />Subtotal <br />Sales Tax $22.50 *Adj Tax <br />Prebill Total $272.50 Adj Total <br />Adjust Amount $ <br />Amount Due $ <br />Remarks: <br />NA #5302IJB $1.00 EMB 534B $1.00 PREP $2.00 <br />Received 8/3/2018 7:52:31 AM: <br />Signed: