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CSG SK-SSL-BOX-23 Ra)lnond Gomez 0710SI18 11:49 'PAGE 1 <br /> Safety-K7een Systems, Inc . <br /> 2600 N Central Espy, Suite 200 <br /> Richardson, TK 75080 <br /> CORPORATE: 800-669-5740 <br /> 24 HR EMERGENCY: 800-468-1760 (Safety-Klee") <br /> 2095453011 <br /> CUSTOMER# CA47958 Cat-Trans Shop 10- Lodi CwsREFERENCE NBP, <br /> 845 E Pine St 77125458-1802948497 <br /> Lodi CA OS240-3108 SRVC WEEK: 2018.27 <br /> PHONE 209•333-6953 SRVC DATE: 07/05/18 <br /> BILL TO CUSTOMEfl# RILL TO ADDRESS: <br /> CA97789 Caltrans CWs <br /> Po Rax 1632 <br /> Stockton CA 95201-3038 <br /> PURCHASE ORDER# PHONE 209-948-7815 <br /> SERVICE/ PRODUCT/SERVICES TAX EXEMPT# <br /> PRODUCT TOTAL <br /> 40713004/ QTY UNIT PRICE TAX CHARGE <br /> 875460 CNO-NON HAZARDOUS SOLID S 1.000 140.0000 0,00 140.00 <br /> SERVICE TERM 12 WEEK <br /> # CONTS: I TSDF: HL MANIFEST#: 11856236fl ORM CO: US SHIP# 225846945 <br /> 3383 CNTO: 180627257853S CAL FOR 04F.. 100 PROF# 40713004 SHOOT 7370310 <br /> SERVICE TERM 12 WEEN 2.009 0.0000 0,00 0.Q0 <br /> 83383 DRUM,SS WASTE O.F. 1-000 45.0000 0.00 45,00 <br /> SERVICE TERM 12 WEEN <br /> #CONTS: 1 'SOT: TPO MANIFEST#: 006542084SK NOM C0: US SHIP# 225705148 <br /> CNT#: 180609926392 QTY: 100 P PROF# 156033 <br /> -_ $003369 DRUM, 55 GL BLACK STEEL 0 1.000- O.ODOU o00T 78]2676 <br /> SERVICE TERM 12 WEEK 0.00 <br /> CAUSE CODE VoidHeaderAndLina -SERVICE NOT NEEDED <br /> 100001 FEE, FUEL SURCHARGE 1.000 <br /> 3230 TAX HANDLING N/C DRUM DROP 30 2.000 0U'A000 _ 00 a0 0.00 <br /> __________ 0.00 <br /> TDTAL SERVICE/PRODUCTS - <br /> 185.0004 0:00 185.00 <br /> TOTAL CHARGE 185.00 <br /> CREDITS 0.00 <br /> _______________ <br /> TOTAL DUE 185.00 <br /> UNPAID BALANCE THIS RECEIPT 185.00 <br /> GENERATOR STATUS <br /> 220-2200 lbs/month <br /> Customer certifies that (i) the above-named materials are properly <br /> classified, Packaged, marked and labeled, and are in Proper condition <br /> for transportation according to the applicable regulations of the <br /> Department of Transportation <br /> either in the characteristicsoccurred(ii) no. material change has occurred <br /> of the waste/material or in the process <br /> generating the Waste/material, and (iii) the above referenced <br /> Generator Status 'a correct, customer agrees to pay the shove charges <br /> K" <br /> d to be bound by the terms and conditions (1) set forth in <� the <br /> General Terms and Conditions Provided separately to Custamer or (b) <br /> any SK.agreement signed by Customer and SK, and <br /> ( <br /> hurt'" by reference. Unless otherwise indicated iincorporated <br /> n the payment <br /> received section, SN is authorized to charge Customers account {or <br /> this transaction. IF Customer fails to make Payment When due, an <br /> amount equal to the lesser of (i) 1.596 per month (18% per annum) m <br /> the maximum Amount allowed by law, mill be added to all unpaid <br /> amounts outstanding. Customer certifies that tn. ----- <br />