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INVOICE <br /> ZONE CUSTOMER CUSTOMER SERVICE NUMBER <br /> Unitek NUMBER TELEPHONE NUMBER WEEK <br /> Solvent Services, IFIM IVE-Q 3L;`f3?9,0 [0 I, <br /> MAY 1 2071 <br /> T£:3"100411:1 SERVICE ZONE MGR. CUSTOMER PAYMENT <br /> Recycling Facility Mail Payment to DATE NUMBER PURCHASE ORDER TERMS <br /> 91-125 Kaomi Loop Unitek Solvent Services,Inc. - <br /> /��� !1�n <br /> Kapolei,HI 96707 P.O.Box 700370 `{t (� <br /> EPA ID HID982443715 Kapolei,HI 96709 MAY <br /> S 2021 — 9 2021 <br /> Phone:(808)682-8284 H 1 <br /> Fax:(808)673-3241 iinn <br /> B6 O <br /> I ��i� �t , Nl b N4i�inCiit� °lC� <br /> t:xx(--.s 3Nnic:ri.I:l•L:I.C.n F:'r:iC.:e Ur a.•L ch.cranti.•Ly N- 110unt <br /> i{){){) f•ICti'k.c:�r c rc:::#.c:'rr`#yl:i r7:i. Off I Fdfn 3..*"X) EK*.c:h <br /> 50011. (.31-1 F'ifn 5,.75 lEac-1) <br /> I:zj.m ;x,.95 iE-ac::l•i <br /> 500"") F'{:1<:s<.:sen-iw.-yr- Ch R-un £:3.£:35 E."Ar,.) <br /> 0()04 (:3•t•f Ft::i.n► 23.75 1:::{xc:1.7 <br /> 5{)06 T r•c.cc:le:i3::ct!<.:s,, £3„';.:':;`.i- :1. '.y i:3n 1:'ti.fll •" <br /> 50(1$3 1.11) #...T 'T r't.tc::# r.':I.E�«;`.i :1 ,,;:i.':(.{i'.,;`.i 1 Off* Imo:a.m 15,<75 I:::ter:h <br /> 50(.)£:3115 14D LT Tr•t.cc::k: On k:i.fn 29-50 #:txc:h <br /> 1`.1009 Duplex Cliff 1:6.fn 47..75 E aC:hl (?5, 50 <br /> 5{)091. 3:)tcl:)lex Off Rifll Fc:rsafl) F*jA.:l.c?CI 1355.(X) E.ac::h <br /> 5{){)9 3.)t.rfl.ex Can Fti1(11 F'CM<afn F';#.l.:Lt�c:R x:'.2`5.(X) E.ac::h <br /> a{):L;:i �';a:ss:s :';a;:i:fl...T. ..fri:.� k Ir l}r,c}:1. (:3 d".f.) ....£:3i-r ',, `0 1::<ac:M '7 z <br /> 5015E' R':a sGs ';i•.afL_.T. ..i.rl:�,,� Wheel (34"'a) .... Can :1.;.5'.0) N::<•xc:ht <br /> "t:: I tia.c::l a_tFf ;3>sr ua.c::C? th111 c) r £:39.00 c�<xch <br /> 5{)99 1111inimun I..'har•cie 1.F?0.00 <br /> RW 0W 04 ?,V ` QV"11 Zt I < 25- <br /> CONTRACT SECTION SUB-TOTAL INVOICE AMOUNT <br /> TERMS ARE NET 30 DAYS FROM SERVICE DATE-PAST DUE ACCOUNTS ARE TAX @ ? �:# G: % . A52 <br /> SUBJECT TO A FINANCE CHARGE OF 11.5% PER MONTH (18% PER ANNUM). <br /> IN THE EVENT OF DELINQUENCY,CUSTOMER HEREBY AGREES TO REIMBURSE <br /> FEES. INVOICE <br /> FOR ALL REASONABLE COLLECTION COSTS INCLUDING ATTORNEY'S INVOICE TOTAL 15 22 li:�:] <br /> I FULLY UNDERSTAND THE INFORMATION PRINTED ON THIS INVOICE <br /> AND I HEREBY INDEMNIFY UNITEK AGAINST ANY LOSS OR CLAIM PAYMENT RECEIVED SECTION <br /> ARISING FROM THE USE OF ITS PRODUCTS AND/OR SERVICES. <br /> I ACKNOWLEDGE RECEIPT OF THE PRODUCTS AND/OR SERVICES DESCRIBED ❑ CASH TOTAL RECEIVED APPLY PAYMENT TO: <br /> IN THIS INVOICE. ALSO, UNLESS RECEIPT OF PAYMENT BY THE UNITEK CHECK NUMBER ❑ TODAY'S PRODUCTS AND SERVICES <br /> REPRESENTATIVE IS EVIDENCED ON THIS INVOICE, I HEREBY ACKNOWLEDGE ❑ PREVIOUS BALANCE AS FOLLOWS <br /> THAT PAYMENT FOR THESE PRODUCTS AND/OR SERVICES HAS NOT YET BEEN <br /> MADE EVEN IFTHF TEJIMS WERE SUP O ED TO B C.O.D. f� <br /> INV.# AMOUNT$ <br /> PRINT NAME: INV.# RMONED <br /> CUSTOMER SIGNATURE INV.# -AMOUN I $- <br /> REVISED 01/2020 <br /> ORIGINAL yj <br />