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---------------------------------------------- e <br />DETAILS <br />---------------------------------------------- <br />Itm Description Qty Price Subtotal <br />1014A 55C NON-HAZ ENERGY R 1 437.00 437.00 CHARGE <br />Interval: 12 Week <br />Ws Nbr:409515-2-1014 TIRE <br />Container Type:DF C55G) <br />Container QItIIy:1 Units Per Container:55 GAL <br />nlll Illllu III IIIIIIIIIIIII IIIIIIIIII ul <br />1000010008000014462099 <br />174 ENERGY SURCHARGE 1 13.86 13.86 CHARGE <br />196 MANIFEST FEE 1 15.00 15.00 CHARGE <br />Net Invoice: $ 465.86 <br />Tax: $ 0.00 <br />Total Imoice: $465.86 <br />m..A.a. .nd`iapvl Yd :M. r m c..r caMrtla, er i..n: a.J.- u:mr.. !o ".J. I.,- <br />u.nr pl. <br />M.v1.i lana or ! n Ow.vl..nl o<Trmwm (.11m.. 1 .Ica wYt W. Ilaf «I11w <br />>a. eoa. w ..w rw•. Mv. Mw .�..e .....n .w .• «rta cl <br />fwlllumnb' .) al <br />.vl.a! <br />so M..In wrll lY. IMI IM ckWr Nrvlc.s w,Y .vr favud .nd INt Mla Hvv IC...M <br />1F. 1.1m cclrf eIl Inrmr�m emla .sd 1 lFla mwlav dw' Mr.I lydMainm\.11an �`«lauelr <br />M«Il...-0r«!.1 cl Nn. IAA .ne M uiG.ua•e a Mim2 thsYln Inv eM vn«Lta !a <br />wfald.Melts l 11 k-ilnv. k.�dww.M r�wm"-Iw ibl.d —d.01. aoYY �t <br />CUSTOMER SIGNATURE <br />