safety-kleen. INVOICE Page 1 of 2
SAFETY-KLEEN SYSTEMS, INC
MAKE GREEN WORK 42 Longwater Dr.
Norwell, MA 02061 Billing Account # Service Account # Invoice # Invoice Date DUNS NO: 05-397-6551 LA2749 LA2749 94741447 06/15/24
REDID NO. 39-6090919
RECEIVED
Billing Address Service Address Branch Location Terms
LAKE ELSINORE CITY OF JUN IS 20 LAKE ELSINORE CITY OF HIGHLAND, CA SVC Net 30 Days 130 SOUTH MAIN STREET 521 NORTH LANGSTAFF STREET
LAKE ELSINORE CA 92530: LAKE ELSINORE CA 92530 For Questions Call: Service Date 909-862-8300 06/13/24
PO Number Department # Department Tax Status/#
fy-2400331
QUANTITY PART# TERM SERIAL/PROFILE # UNIT PRICE UOM SALES TAX TOTAL 1 100030 24 $338.0000 EA $29.58 $367.58
RECOVERY FEE
100065 24 $27.0000 EA $0.00 $27.00
E-Manifest Fee
8003369 $113.0000 EA $29.66 $368.66
DRUM OPEN HEAD 55GL - BLACK - RECON
3 875320 12 2732124 $756.0000 DR $0.00 $2,268.00
SLGS FOR ING 55GL
Asphalt emulsion w/ diesel fuel
SUBTOTAL $2,972.00
TOTAL TAX $59.24
CURRENT AMOUNT DUE $3,031.24 USD
NOW ORDER THE PRODUCTS YOU NEED ONLINE.
Shopping for Safety-Kleen products has never been easier. Shipping is FREE when you add the delivery to your next scheduled service. Explore our products at store safety-kleen.com Interest will be charged at a rate of 1.5% per month for all past due amounts.
Billing Account # Service Account# Invoice # Invoice Date SAFETY-KLEEN SYSTEMS, INC LA2749 LA2749 94741447 06/15/24 42 Longwater Dr.
Norwell, MA 02061 PLEASE RETURN THIS Total Amount Due
PORTION WITH Current Amount Due Date Due
PAYMENT. MAKE ANY
safety-teen. ADDRESS CORRECTIONS $3,031.24 07/15/24 $3,031.24 BELOW.
000947414470000LA2749000003031249
000000 1
LAKE ELSINORE CITY OF Safety-Kleen Systems, Inc.
P.O. Box 975201
130 SOUTH MAIN STREET
LAKE ELSINORE CA 92530 Dallas, TX 75397-5201
1 027134 000000 0001 0002