Laserfiche WebLink
CSG SK-SSL-BOX-23 Raymond Gomez 07/05/17 12:09 PAGE 1 <br /> Safety-Kleen Systems, Inc. <br /> 2600 N Central Expy, Suite 200 <br /> Richardson, TX 75080 <br /> CORPORATE: 800-669-5"740 <br /> 24 HR EMERGENCY: 600-468-1760 (Safety-Kieen) <br /> 2095451011 <br /> REFERENCE NOR. <br /> CUSTOMER# LK00044 Lkq 73712141-1702453577 <br /> 2041 Navy Or SRVC WEEK: 2017-27 <br /> Attn Jerry SRVC DATE; 07/05/17 <br /> Stockton CA 95206-1142 <br /> PHONE 209-464-1111 <br /> BILL TO CUSTOMER# BILL TO ADDRESS: <br /> LK00044 Lkq <br /> 2041 Navy Or <br /> Attn Jerry <br /> Stockton CA 95206-1142 <br /> PHONE 209-4641111 <br /> PURCHASE ORDER# TAH EXEMPT# <br /> PRODUCT/SERVICES <br /> SERVICE/ TOTAL <br /> PRODUCT QTY UNIT PRICE TAX CHARGE <br /> 90837 MODEL 90 w/2387 6 6365 1.000 365.7400 32.92 398.66 <br /> S/N 118982 TAG T000900OXS902095'71 CLEAN 2.50 SPENT 0.000 <br /> SERVICE TERM 12 WEEK SCANNED YES <br /> 100001 FEE, FUEL SURCHARGE 1.000 10.5000 0.95 11.45 <br /> ------------- <br /> TOTAL SERVICE/PRODUCTS 376.2400 33.87 410.11 <br /> TOTAL CHARGE 410.11 <br /> CREDITS 0.00 <br /> --------------- <br /> TOTAL DUE 410.11 <br /> UNPAID aALANCE THIS RECEIPT 410.11 <br /> Machine clean and goad condition? Yes <br /> Lamp Assembly Condition Yes <br /> Decals in place and legible? Yes <br /> Fusible link installed? Yes <br /> Emergency closing of lid unobstructed? Yes <br /> Machine properly grounded? Yes <br /> Local Phone No. Sticker Affixed to Machine Yes <br /> Spent solvent meets acceptance criteria? Yes <br /> GENERATOR STATUS <br /> 0-220 Its/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 (ii) no material change has occurred <br /> either in the characteristics of the waste/material or in the process <br /> generating the waste/material, and (iii) the above referenced <br /> Generator Status is correct. Customer agrees to pay the above charges <br /> and to be Bound by the terms and conditions (1) set forth in (a) the <br /> General Terms and Conditions provided separately to Customer or (b) <br /> any SK agreement signets by Customer and SK, and �2) incorporated <br /> herein by reference. Unless otherwise indicated in the payment <br /> received section, SK is authorized to charge Customer's account for <br /> this transaction. If Customer fails to make payment when due, an <br /> amount equal to the lesser of ;iy 1.5t per month (186 per annum) or <br /> (ii) the maximum amount allowed by law, will be added to all unpaid <br />