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Stmt, hic. u U U M <br /> A liquid waste disposal camp CUSTOMER <br /> P.O. Box 2279 _ (530)753-1829 I P.O. d-n <br /> Davis,CA 96617 <br /> DATE <br /> CHARG@ C� /� ® � DAY OF C'r1 <br /> TO / WEEK- <br /> ADDRESS <br /> EEK_ADDRESS Or,:JDORIGIN <br /> DESTINATION T� <br /> DESCRIPTION QTY/HRS RATE CHARGES <br /> 'a Q._ ncn--� t" 5001 •Zz [-/C U <br /> Y <br /> C CA Q'> <br /> DEPARTURE A.M. <br /> TIME P.M. EQUIPMENT <br /> RETURN A.M. <br /> TIME P.M. <br /> TOTAL HRS <br /> TIME OUT <br /> NET HOURS <br /> DRIVER THIS TOTAL WILL STAND AS CORRECT UNLESS NOTIFIED OF CORRECTION <br /> WITHIN FIVE DAYS. SALES TAX <br /> TERMS:NET 30 DAYS. ECU ME GREES T FINANCE CHARGE OF <br /> TRUCK NO. TRAILERS 2%PERMONTH,WHI ISA N RATE 4% ON PAST DUE ACCOUNTS. TOTAL <br /> TO <br /> SIGNED BY X TO <br /> (�6 <br /> hiStrat, hic o <br /> 00883 <br /> A liquid waste disposal company CUSTOMER <br /> P.O.Box 2279 (530)753-1829 1 P.O. <br /> Davis,GA 96617; <br /> DATE <br /> CHARGE ���2 DAY OFI <br /> TO WEEK <br /> ADDRESS �La'_'`-tiiy V ORIGIN ItZb4 <br /> }� t �./y <br /> DESTINATION ` ' o " <br /> DESCRIPTION OTY/HRS RATE CHARGES <br /> I <br /> t-{-f-%c a o r-+ta 3 <br /> cs2 - dew I <br /> DEPARTURE A.M. <br /> TIME P.M. EQUIPMENT <br /> RETURN A.M. <br /> TIME P.M. <br /> TOTAL HRS <br /> TIME OUT <br /> NET HOURS <br /> DRIVER THIS TOTAL WILL STAND AS CORRECT UNLESS NOTIFIED OF CORRECTION SALES TAX <br /> WITHIN FIVE DAYS. <br /> TERMS:NET 30 DAYS.T CUSTOMS RE PAY A FINANCE CHARGE OF <br /> TRUCK NO. TRAILERS 2%PER MONTH,WHIC AN ANNU ATE 24% ON SccgUNTS. TOTAL <br /> TO <br /> SIGNED BY X COLLECT g0t) <br />