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    Da0059416729

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    deskmaster90
    Gentle man

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    Da0059416729

    Uploaded by

    deskmaster90
    22 views2 pages
    Gentle man

    Original Title

    1260513_DA0059416729

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    Gentle man

    Copyright:

    © All Rights Reserved
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    Download as pdf or txt
    22 views2 pages

    Da0059416729

    Uploaded by

    deskmaster90
    Gentle man

    Copyright:

    © All Rights Reserved
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    O R I G I N A L

    I N V O I C E

    SHIP TO: 1260514 PLEASE REMIT TO:


    D. P. CURTIS TRUCKING, INC. MICHELIN NORTH AMERICA, INC
    1450 SOUTH HWY 118 12398 COLLECTIONS CENTER DR
    RICHFIELD UT 84701 CHICAGO IL 60693-0398
    US
    FOR CUSTOMER SERVICE CALL :
    1-800-382-2456

    INVOICED TO: 1260513 D A T E: 06/14/24 PAGE: 0001


    D. P. CURTIS TRUCKING, INC.
    1450 SOUTH HWY 118
    RICHFIELD UT 84701 INVOICE NUMBER
    DA0059416729

    640390 U66 06/13/24 DR0562002

    N/A.. 1ST 15TH PROX. NO CASH D01337183 06/13/24

    2 255/70R22.5 RCTRLS LRH VG G 52587 Y 476.00 B 71.54- 404.46 18.99 846.90


    001
    2 TIRE CHANGE - ON VEHICLE S1125 N 55.00 55.00 110.00
    002
    2 VALVE STEM (ALUMINUM W/CAP) S0838 N 12.95 12.95 25.90
    003
    2 VALVE CAP (FLOW THROUGH) S0807 N 3.25 3.25 6.50
    004
    2 MED TRUCK SCRAP DISPOSAL S0641 N 15.00 15.00 30.00
    005

    UTAH WASTE TIRE RECYCL F6307 2.00

    UTAH STATE TAX .04850 C5411 47.61

    BOX ELDER COUNTY TAX .01500 F6710 14.72


    TAX AUTH UT 84337

    BONUS TOTAL 808.92

    NO BONUS TOTAL 236.73

    FET TOTAL 37.98

    2 TOTAL TIRES INVOICE TOTAL DUE JUL 15 1,083.63

    * * * * * * * P R O G R A M L E G E N D * * * * * * *
    B - DISCOUNT

    ***DEALER ACCT #: 1490914 JACK'S TIRE & OIL


    *** 2176 W 1000 N STE B
    *** TREMONTON, UT 84337
    *** (800) 722-4616
    TIRES PICKED UP FROM DEALER
    MICHELIN APPROVAL #: BIB NET
    FLEET LOCATION #: N/A..
    VEHICLE/UNIT #: 101BT
    VEHICLE YEAR/MAKE/MODEL: N/A. .
    LICENSE #/STATE: N/A..
    VIN #: N/A..
    ODOMETER READING: N/A..
    CONTRACT #: N/A..
    O R I G I N A L
    I N V O I C E

    SHIP TO: 1260514 PLEASE REMIT TO:


    D. P. CURTIS TRUCKING, INC. MICHELIN NORTH AMERICA, INC
    1450 SOUTH HWY 118 12398 COLLECTIONS CENTER DR
    RICHFIELD UT 84701 CHICAGO IL 60693-0398
    US
    FOR CUSTOMER SERVICE CALL :
    1-800-382-2456

    INVOICED TO: 1260513 D A T E: 06/14/24 PAGE: 0002


    D. P. CURTIS TRUCKING, INC.
    1450 SOUTH HWY 118
    RICHFIELD UT 84701 INVOICE NUMBER
    DA0059416729

    640390 U66 06/13/24 DR0562002

    N/A.. 1ST 15TH PROX. NO CASH D01337183 06/13/24

    RECEIVED BY: J.C.


    DOCUMENT CREATED BY POINT OF SALE CLAIMS

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