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Co. / �—G G L Date - P-®-/ <br />Address /V D <br />City /15 �R f -%l State -Zip <br />Phone Contact <br />RECYCLE SERVICE WITH THE ANTIFREEZE DOCTOR <br />Filter, purify, blend, adjust freeze point and PH levels <br />Add necessary antifreeze to make the blend a -344 50/50 mix <br />Fortify blend with antifreeze corrosion protection chemicals <br />—:�­J— Total Gallons in Drum After Service <br />Less Gallons in Drum Before Service®� <br />Equal Total Gallons Serviced x $ <br />Add '" '� Gallons Customers Antifreeze <br />Add Gallons Recyclers Antifreeze x <br />Add OZ. Formulated Antifreeze Fortifier <br />Combined with Special PH Balancing Chemicals <br />And corrosi rotectlon Chemicals x <br />x $ <br />r x $ <br />SALES TAX $ <br />INVOICE TOTAL <br />Cost Per 3 0 J uggested <br />Gallon = $ List Price = $ <br />All product is sold on a C.O.D. basis unless prior agreements have been made and . Manufacturers raw' <br />prices, specifications and availability are subject to change without notice. Our products are a$ by • Any <br />become <br />alteration or from above specifications involving extra costs will be exWed only upon vrcittan Order& and will <br />an extra Charge over and above cine estimate. AI agreements <br />contingent upon strikes, accidents or delays beyond our mrd. <br />Owner to Carry fire`. theft and other necessary insurance. -_ <br />ACCEPTANCE. The above prices, specifications and conditions are satisfactory and are hereby ptad 4bu aro <br />authorized <br />to ship as specified. Payment will be made as outlined above. <br />Date o <br />Signature X f 4 <br />J.B.DANIEL <br />RNUFREEZETM <br />„f� DOCTOR <br />' �' <br />ANTIFREEZE RECYCLING <br />4521 Windermere Court <br />raj <br />a <br />Salida, CA 95368 <br />i <br />(209) 545-KOOL (5665) <br />F�reto<TM a <br />Fax: (209) 545-5976 <br />Co. / �—G G L Date - P-®-/ <br />Address /V D <br />City /15 �R f -%l State -Zip <br />Phone Contact <br />RECYCLE SERVICE WITH THE ANTIFREEZE DOCTOR <br />Filter, purify, blend, adjust freeze point and PH levels <br />Add necessary antifreeze to make the blend a -344 50/50 mix <br />Fortify blend with antifreeze corrosion protection chemicals <br />—:�­J— Total Gallons in Drum After Service <br />Less Gallons in Drum Before Service®� <br />Equal Total Gallons Serviced x $ <br />Add '" '� Gallons Customers Antifreeze <br />Add Gallons Recyclers Antifreeze x <br />Add OZ. Formulated Antifreeze Fortifier <br />Combined with Special PH Balancing Chemicals <br />And corrosi rotectlon Chemicals x <br />x $ <br />r x $ <br />SALES TAX $ <br />INVOICE TOTAL <br />Cost Per 3 0 J uggested <br />Gallon = $ List Price = $ <br />All product is sold on a C.O.D. basis unless prior agreements have been made and . Manufacturers raw' <br />prices, specifications and availability are subject to change without notice. Our products are a$ by • Any <br />become <br />alteration or from above specifications involving extra costs will be exWed only upon vrcittan Order& and will <br />an extra Charge over and above cine estimate. AI agreements <br />contingent upon strikes, accidents or delays beyond our mrd. <br />Owner to Carry fire`. theft and other necessary insurance. -_ <br />ACCEPTANCE. The above prices, specifications and conditions are satisfactory and are hereby ptad 4bu aro <br />authorized <br />to ship as specified. Payment will be made as outlined above. <br />Date o <br />Signature X f 4 <br />