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�a Modesto Bottled Water Inc r <br /> F'O Box 1613 <br /> r r Modesto CA 95357 Arcounl <br /> (209)527 6764 <br /> Charge Code � <br /> f ' 37686 <br /> Service Address Date <br /> �_, ,, nA � � r�3 JJ <br /> rl�O I Prone No <br /> � Route No <br /> I�l[� ei �cX /moi✓ �r,- � / 1 ?� frG1 � r4� _I7 c# c✓/[> <br /> Zip—. __7 Equipment 77 <br /> C_4 / <br /> Busing Addressy t- r y ? 't'N j�� Senal No / ! 1 <br /> _�l �r1 pU Rental S 40 -U Per <br /> 7_Ip Reference <br /> Horne Office Phone _ Ref Phone # <br /> Owner/Employer Phone <br /> i <br /> Horne/Empbyer Address p,n 1 <br /> S S# BusFriess/Dnver's LFc No ; <br /> . frlA)CABIIwSAtES '%; COD �: Q Y ttNITPRICE,' ANIgIlIQyx <br /> 0/"' <br /> 1 <br /> TAXABLE SALES <br /> 3 <br /> Cups 42R 450 Styro j <br /> i I <br /> BOTTLE DEPOSITS z' S <br /> Bottles <br /> m Hand Returned Sales Tax <br /> TOTAL TLI <br /> EQUIP NO ISE-F) (RJi <br /> Recowd -7l CheCk / Cash L I j <br /> on&Count <br /> i <br /> ACrEFTANCE FquFpment Lease <br /> L am the CLnof t mjzed by the C ysfo r Agrr ement Pccepted Frutol <br /> h, accept 10,rrs/�oL this a eg3e and AccepLtd r odesto BOttfe4 Water Inc <br /> tlnvE rc°ceFv ryttie vc "Icd I �'" <br /> ' ! i <br /> BY "• l By - ! <br /> I <br /> f ltk ___ _ a, <br /> -- DeIC In5L311ed <br /> Flril r`F.ln� <br /> .....r UIf ICE WIII if <br /> + • CC151DMIR YI.LL!]W /1000IUMIIV(,rY7A � <br /> �< nansar ron 3 <br /> 1 <br />