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CSG SK-SSL-BOX-23 <br /> Raymond Gomez 05/22/19 09:06 PAGE 1 <br /> Safety-Kleen Systems , Inc . <br /> 2600 N Central Expy, Suite 200 <br /> Richardson, TX 75080 <br /> CORPORATE: 800-669-5740 <br /> 24 HR EMERGENCY: 800-468-1760 (Safety-Kleen) <br /> 2095451011 <br /> REFERENCI NOR. <br /> 80116441 <br /> CUSTOMERS FI27451 FirstStudent 20312 SRVC WEEK: 2019-21 <br /> 2005 N <br /> Stockton CA 95206-1142 SRVC DATE: 05/22/19 <br /> PHONE 513-419-3315 <br /> BILL TO CUSTOMERN BILL TO ADDRESS: <br /> FI2183Z FirstGroup America, Inc. <br /> 600 Vine St, Ste. 1400 <br /> Cincinnati ON 45202-2400 <br /> PHONE 513-419-3315 TAX EXEMPTI <br /> PURCHASE ORDER• <br /> PRODUCT/SERVICES 1DTAL <br /> e <br /> QTY UNIT PRICE TAX CHARGE <br /> UCT 1.000 <br /> DRUM,5�WAST:EOJ <br /> .ERVIWEEK 1.000 <br /> 3383 DRU , <br /> SERVICE TERM 12 WEEK <br /> 3230 TAX HANDLING N/C DRUM DROP 30 1.000 ---- <br /> TOTAL SERVICE/PRODUCTS <br /> TOTAL CHARGE <br /> CREDITS <br /> --------------- <br /> TOTAL DUE <br /> UNPAID BALANCE THIS RECEIPT <br /> GENfr —^R STATUS <br /> 0-2 :/month <br /> Customer certifies that (i) the above-named materials are properly <br /> C' <br /> packaged, marked and labeled, and are in proper condition <br /> for transportation according to the applicable regulations of the <br /> Department of Transportation (ii) no material change has occurred <br /> either in the characteristics of the waste/material or in the process <br /> generating the waste/material, and (iii) the above referenced <br /> r agrees to pay the above charges <br /> venerator Status is correct. Custome <br />