Laserfiche WebLink
CSG SK-SSL-BOX-23 Raymond Gomez 09/20/19 15:34 PAGE 1 <br /> Safety-Kleen Systems, Inc. <br /> 2600 N Central Expy, Suite 200 <br /> Richardson, TX 75080 <br /> CORPORATE: 800-669-5740 <br /> 24 HR EMERGENCY: 800-468-1760 (Safety-Kleen) <br /> 2095451011 <br /> REFERENCE NBR. <br /> CUSTOMER# OR14472 O'Reilly # 3020 81160739-1904994376 <br /> 309 W Dr Martin Luther Ki SRVC WEEK: 2019-38 <br /> Stockton CA 95206-1705 SRVC DATE: 09/20/19 <br /> PHONE 972-555-1459 <br /> BILL TO CUSTOMER# BILL TO ADDRESS: <br /> OR10217 O'Reilly Auto Parts <br /> 233 S Patterson Ave <br /> Attn John Bounds <br /> Springfield MO 65802-2210 <br /> PHONE 972-265-2485 <br /> PURCHASE ORDER# TAX EXEMPT# <br /> PRODUCT/SERVICES <br /> SERVICE/ TOTAL <br /> PRODUCT QTY UNIT PRICE TAX CHARGE <br /> 40559605/ <br /> 875460 CNO-NON HAZARDOUS SOLID 5 1.000 <br /> SERVICE TERM 24 WEEK <br /> # CONTS: 1 TSDF: SJ MANIFEST#: 007180586SKS FORM CD: US SHIP# 229527739 <br /> CNT#: 190918847565 QTY: 150 WT/VOL P PROF# 40559605 SKDOT 7361257 <br /> 8003369 DRUM, 55 GL BLACK STEEL 0 1.000 <br /> SERVICE TERM 24 WEEK <br /> 100001 FEE, FUEL SURCHARGE 1.000 <br /> 100065 E-Manifest Fee 2.000 <br /> ----------------------------------------- <br /> TOTAL SERVICE/PRODUCTS <br /> TOTAL CHARGE <br /> CREDITS <br /> --------------- <br /> TOTAL DUE <br /> --------------- <br /> UNPAID BALANCE THIS RECEIPT <br /> GENERATOR STATUS <br /> 0-220 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 (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 signed 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 (i) 1.5% per month (18% per annum) or <br /> O R14472_SS_81160739 324 <br />