Laserfiche WebLink
RECEIVED ( INVOICE <br /> MAY 2 0 2021 ZONE CUSTOMER CUSTOMER SERVICE NUMBER <br /> U n itek NUMBER TELEPHONE NUMBER ' WEEK <br /> (V Solvent Services, Inc. Nq -�� G � <br /> (815{){A-6 SERVICE ZONE MGR. CUSTOMER PAYMENT <br /> Recycling Facility Mail Payment to DATE NUMBER =PURCHASE ORDER TERMS <br /> j <br /> 91-125 96 Loop Unitek Solvent Services,Inc. <br /> Kapolei,HI HI 96707 P.O.Box 700370 <br /> EPA ID HID982443715 Kapolei,HI 96709 JUN <br /> n <br /> Phone:(808)682-8284 JUN — 8 2021 <br /> Fax:(808)673-3241 <br /> B fb j$_jjV-A LVV4LO� � G �� r�// 1 <br /> T f rJ\t VA 01 1 tP� °a l �im Y" � q(p7' <br /> De_sic:ir:i.l:;t.a.(ari PI-J.ce Urd.•t. (:ll.ta• ti.ty kmcx.nt: <br /> ,,{){)C) Off Rim :r,."'5)0 I.t c:h <br /> 15001 0n Fd.rn 5.7,"5 ch <br /> F'ia s.:>(:.rute:r (:)f f F :i.rn �', E::au::h 1 3 -7-7,'3S <br /> 5003 F'w:i1-sc5ri(:ter' (:)r) Rim #:)«#:3;`.i I:::tac::h; <br /> i1-u.c::F-./k:;us. #i,.,25...12. Off R:i.nr 2,1,75 1...ac.a•; <br /> 500v, T'rt.tc:l.lk)!.t::�„ #3.. t;i....:1.:t,, Ch Rim "'Yl..50 I:K ac-h <br /> 5r,){)#:3 141) I..:i' "t'Ir!.!c:l-.[:1. � ,":i/:L T,.,:i/:1.4'., :�7 Off fd.111 1.5.j5 E&Ach; <br /> 5W8115 1-11) I._f' TI`t.tCk (J.6,,5,/11,,,5l:I9.,5) ('.)Il Rim 'AN. "0 EK'ach <br /> `i{)(); XX.!1:;lex (:)•f f Rim 47.7.5 Each <br /> ,:i{X)":1. :()t.!l:)lex Off Rim F"'ozmn F`i:l.:l c?d :1.3.5.00 Eiac:h <br /> 5{){)92 I)u,l:):l(-�X (:)rt 1:6.01 1.2 9. 50 lE ac:h <br /> 5{)09".15 Duplex 0I.-I R.i.fn F(J ant F:i.l l.c:!!:1 *:':5,{{ I:ach <br /> ;:i{):I..S F'<•:1:::is 2-.`i;�.i/l..:T' ..(Tr•I�/4 WhF•;e 1. t;:4"+) ....C.yf•f �I...a{) F�<ar.h �� ��� e <br /> 5{):1.;5•' Pasi.: :;:'..i:}il..:l. Tri­./4 Wheel (*,*5)4"+) .... On 13.00 E'.a.:hf <br /> ;5{)' `i� Mirt:i fliu n Ch<ar•cle E,20.00e each <br /> X630' 301 �Tv XDcA<4 09 <br /> (gU.Q/YS�ZF� <br /> 14 2q, 12- ��P7E9,c�v <br /> CONTRACT SECTION SUB-TOTAL INVOICE AMOUNT i�0 / <br /> TERMS ARE NET 30 DAYS FROM SERVICE DATE. PAST DUE ACCOUNTS ARE TAX @ o � <br /> SUBJECT TO A FINANCE CHARGE OF 1.5% PER MONTH (18% PER ANNUM). <br /> IN THE EVENT OF DELINQUENCY,CUSTOMER HEREBY AGREES TO REIMBURSE <br /> UNITEK FOR ALL REASONABLE COLLECTION COSTS INCLUDING ATTORNEY'S <br /> UNITINVOICE TOTAL <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 /> 1 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 IF THF ! S RE UP OS D TO BE C O.D. <br /> ((��,, ((jjl�� INV. AMOUNT$ <br /> PRINT NAME: I u INV.# k1f�0UNT$ <br /> CUSTOMER SIGNATURE X INV.# POSTED AMUNT$ <br /> REVISED 01/2020 <br /> ORIGINAL <br />