RECEIVED
Prudential
MAY 21 2025 INVOICE
9 verall
By: Page 1 of 6 CLEAN GREEN
Supply®
Plant's Location: 6997 Jurupa Ave., Riverside, Ca 92504 Remit Payment: P.O. Box 511886, Los Angeles, CA 90051-1827 Invoice Number: 23807056 Telephone 951-687-0440 Fax 951-354-8110 Invoice Date: 05/22/2025 Customer Sales Rep: RUBEN MORENO
Deliver To: # 40237407 Charge Bill To: # 3517225
LAKE ELSINORE PUBLIC WORKS LAKE ELSINORE PUBLIC WORKS
521 NORTH LANGSTAFF 521 NORTH LANGSTAFF
ATTENTION: ACCOUNTS PAYABLE
LAKE ELSINORE, CA 92530 LAKE ELSINORE, CA 92530
05/15/25-05/22/25
*****Please see Remit information below*****
FY25. 00147
Wearer Mdse. Product Description Service Bill Unit Amount Description Qty Charge
9034 MAT 3X4 BLACK Rent 2.801 16.81
9034 MAT 3X4 BLACK MMP 0.584 1.17
9792 18X18 PURPLE SHOP TOWEL Rent 200 0.074 14.80
9792 18X18 PURPLE SHOP TOWEL MMP 0.424 1.70
9985 22X44 WHITE BATH TOWEL Rent 0.329 1.32
9985 22X44 WHITE BATH TOWEL MMP 2.122 2.12
102 GUSTAVO DELAT 733816 MEN'S CHARCOAL MIMIX PANT Rent 11 0.478 5.26 78442799 MENS GREY MIMIX WORK SHIRT Rent 11 0.414 4.55
104 RAMIRO DELGAD 753311 INDUSTRIAL REGULAR FIT JEAN Rent 11 0.499 5.49 78442799 MENS GREY MIMIX WORK SHIRT Rent 0.414 2.90
78442799 MENS GREY MIMIX WORK SHIRT Rent 4 0.414 1.66
106 OSCAR VASQUE 734416 CHARCOAL WORK PANT Rent 11 0.212 2.33 777508PA POLO SHIRT-100% POLYTRI BLACK Rent 11 0.372 4.09 108 ALFONSO MONT 733816 MEN'S CHARCOAL MIMIX PANT Rent 11 0.478 5.26 78442799 MENS GREY MIMIX WORK SHIRT Rent 0.414 2.07
78442799 MENS GREY MIMIX WORK SHIRT Rent 6 0.414 2.48
109 ALEX CANAS 733816 MEN'S CHARCOAL MIMIX PANT Rent 11 0.478 5.26 78442799 MENS GREY MIMIX WORK SHIRT Rent 11 0.414 4.55
110 HECTOR GONZA 753311 INDUSTRIAL REGULAR FIT JEAN Rent 0.499 5.49 777508PA POLO SHIRT-100% POLYTRI BLACK Rent 0.372 1.86
777508PA POLO SHIRT-100% POLYTRI BLACK Rent 11 0.372 4.09 111 MATT REED 753311 INDUSTRIAL REGULAR FIT JEAN Rent 11 0.499 5.49 777508PA POLO SHIRT-100% POLYTRI BLACK Rent 11 0.372 4.09 112 LUIS CEJA 753311 INDUSTRIAL REGULAR FIT JEAN Rent 11 0.499 5.49 777508PA POLO SHIRT-100% POLYTRI BLACK Rent 5 0.372 1.86 777508PA POLO SHIRT-100% POLYTRI BLACK Rent 11 0.372 4.09 113 DANIEL SAAVED 753311 INDUSTRIAL REGULAR FIT JEAN Rent 11 0.499 5.49 777508PA POLO SHIRT-100% POLYTRI BLACK Rent 0.372 2.60
777508PA POLO SHIRT-100% POLYTRI BLACK Rent 0.372 4.09
114 WILL YANG 733816 MEN'S CHARCOAL MIMIX PANT Rent 11 0.478 5.26 Please indicate Invoice numbers) on all remittances.
Payment by ACH Payment by Check:
Bank Name: BMO Bank N.A See P.O. Box address above UNED Routing No: 071000288
count No: 05031556
emittance email: [email protected]
rudential
verall INVOICE
upply®
TEA SEABEL
Plant's Location: 6997 Jurupa Ave., Riverside, Ca 92504 Remit Payment: P.O. Box 511886, Los Angeles, CA 90051-1827 Invoice Number: 23807056 Telephone 951-687-0440 Fax 951-354-8110 Invoice Date: 05/22/2025 Customer Sales Rep: RUBEN MORENO
Deliver To: # 40237407 Charge Bill To: # 3517225
LAKE ELSINORE PUBLIC WORKS LAKE ELSINORE PUBLIC WORKS
521 NORTH LANGSTAFF 521 NORTH LANGSTAFF
ATTENTION: ACCOUNTS PAYABLE
LAKE ELSINORE, CA 92530 LAKE ELSINORE, CA 92530
*****Please see Remit information below*****
Wearer Mdse. Product Description Service Bill Unit Amount Description Qty Charge
114 WILL YANG 78442799 MENS GREY MIMIX WORK SHIRT Rent 11 0.414 4.55 117 CHRIS ERICKSO 734416 CHARCOAL WORK PANT Rent 11 0.212 2.33 777508PA POLO SHIRT-100% POLYTRI BLACK Rent = 0.372 4.09 118 JUSTIN THOMPS 733816 MEN'S CHARCOAL MIMIX PANT Rent 11 0.478 5.26 78442799 MENS GREY MIMIX WORK SHIRT Rent 11 0.414 4.55
120 JOSE FONSECA 777508PA POLO SHIRT-100% POLYTRI BLACK Rent 5 0.372 1.86 777508PA POLO SHIRT-100% POLYTRI BLACK Rent 11 0.372 4.09 123 DAVID CHAVEZ 753311 INDUSTRIAL REGULAR FIT JEAN Rent 11 0.499 5.49 78442799 MENS GREY MIMIX WORK SHIRT Rent 8 0.414 3.31
78442799 MENS GREY MIMIX WORK SHIRT Rent 3 0.414 1.24
124 KYLE BELL 733816 MEN'S CHARCOAL MIMIX PANT Rent 0.478 5.26 78442799 MENS GREY MIMIX WORK SHIRT Rent 0.414 4.55
125 LANDEN FINLEN 733816 MEN'S CHARCOAL MIMIX PANT Rent 5.26 78442799 MENS GREY MIMIX WORK SHIRT Rent 11 4.55
128 RICARDO GAMB 733816 MEN'S CHARCOAL MIMIX PANT Rent 5.26 78442799 MENS GREY MIMIX WORK SHIRT Rent 2.07
78442799 MENS GREY MIMIX WORK SHIRT Rent → =00 = 2.48
129 CHRISTIAN KERR 733816 MEN'S CHARCOAL MIMIX PANT Rent 5.26 73441699 CHARCOAL MENS SHORT Rent 0.21
78442799 MENS GREY MIMIX WORK SHIRT Rent 10 20212) 4.14 78442799 MENS GREY MIMIX WORK SHIRT Rent 0.414 0.41
130 SIZING KIT 784227 LT GRAY WORK SHIRT Rent 0.191 0.19 784227 LT GRAY WORK SHIRT Rent 0.191 0.19
784227 LT GRAY WORK SHIRT Rent 0.191 0.19
784227 LT GRAY WORK SHIRT Rent 0.191 0.19
784227 LT GRAY WORK SHIRT Rent 0.191 0.19
784227 LT GRAY WORK SHIRT Rent 0.191 0.19
132 PABLO RUBIO 733816 MEN'S CHARCOAL MIMIX PANT Rent 5.26 78442799 MENS GREY MIMIX WORK SHIRT Rent 2.07
78442799 MENS GREY MIMIX WORK SHIRT Rent 2.48
Please indicate Invoice number(s) on all remittances.
Bank Name: AM Bank NA. Payment by Check:
See P.O. Box address above
Routing No: 071000288
Account No: 050315563
Remittance email: [email protected]
rudential
verall INVOICE
Supply® CLEAN GREEN
Plant's Location: 6997 Jurupa Ave., Riverside, Ca 92504 Remit Payment: P.O. Box 511886, Los Angeles, CA 90051-1827 Invoice Number: 23807056 Telephone 951-687-0440 Fax 951-354-8110 Invoice Date: 05/22/2025 Customer Sales Rep: RUBEN MORENO
Deliver To: # 40237407 Charge Bill To: # 3517225
LAKE ELSINORE PUBLIC WORKS LAKE ELSINORE PUBLIC WORKS
521 NORTH LANGSTAFF 521 NORTH LANGSTAFF
ATTENTION: ACCOUNTS PAYABLE
LAKE ELSINORE, CA 92530 LAKE ELSINORE, CA 92530
*****Please see Remit information below*****
Wearer Mdse. Product Description Service Bill Unit Amount Description Qty Charge
134 JOEL DE LEON 733816 MEN'S CHARCOAL MIMIX PANT Rent 11 0.478 5.26 78442799 MENS GREY MIMIX WORK SHIRT Rent 11 0.414 4.55
135 LUIS RENTERIA 733816 MEN'S CHARCOAL MIMIX PANT Rent 11 0.478 5.26 78442799 MENS GREY MIMIX WORK SHIRT Rent 0.414 2.07
78442799 MENS GREY MIMIX WORK SHIRT Rent 0.414 2.48
138 MIGUEL VALDIVI 733816 MEN'S CHARCOAL MIMIX PANT Rent 11 0.478 5.26 78442799 MENS GREY MIMIX WORK SHIRT Rent 0.414 2.48
78442799 MENS GREY MIMIX WORK SHIRT Rent 0.414 2.07
139 ANGEL ACEVED 733816 MEN'S CHARCOAL MIMIX PANT Rent 11 0.478 5.26 78442799 MENS GREY MIMIX WORK SHIRT Rent 0.414 2.48
78442799 MENS GREY MIMIX WORK SHIRT Rent 5 0.414 2.07
141 CHRISTINA ALVA 733816 MEN'S CHARCOAL MIMIX PANT Rent 11 0.478 5.26 78442799 MENS GREY MIMIX WORK SHIRT Rent 11 0.414 4.55
143 EDDIE HERRERA 733816 MEN'S CHARCOAL MIMIX PANT Rent 11 0.478 5.26 78442799 MENS GREY MIMIX WORK SHIRT Rent 11 0478) 4.55
144 JOSEPH SELVAG 733816 MEN'S CHARCOAL MIMIX PANT Rent 11 5.26 78442799 MENS GREY MIMIX WORK SHIRT Rent 6 0.414 2.48
78442799 MENS GREY MIMIX WORK SHIRT Rent 5 0.414 2.07
148 JULIAN PARRA 733816 MEN'S CHARCOAL MIMIX PANT Rent F 0.478 5.26 78442799 MENS GREY MIMIX WORK SHIRT Rent 11 0.414 4.55
78442799 MENS GREY MIMIX WORK SHIRT Rent 0.414 1.24
149 CHRIS LOPEZ 733816 MEN'S CHARCOAL MIMIX PANT Rent 11 0.478 5.26 78442799 MENS GREY MIMIX WORK SHIRT Rent 0.414 4.55
150 JEREMY MEDWI [733816 MEN'S CHARCOAL MIMIX PANT Rent 11 0.478 5.26 78442799 MENS GREY MIMIX WORK SHIRT Rent 5 0.414 2.07
78442799 MENS GREY MIMIX WORK SHIRT Rent 0.414 2.48
151 KOBE CELIS 733816 MEN'S CHARCOAL MIMIX PANT Rent 11 0.478 5.26 78442799 MENS GREY MIMIX WORK SHIRT Rent 11 4.55
152 HOUSTON OMAL 733816 MEN'S CHARCOAL MIMIX PANT 11 0478) 5.26 Rent
78442799 IMENS GREY MIMIX WORK SHIRT Rent 11l 0.414 4.55 Please indicate Invoice number(s) on all remittances.
Bank Name: AND Bank N.A. ayment by Check
See P.O. Box address abov
Routing No: 071000288
Account No: 050315563
Remittance email: [email protected]
rudential
9 verall INVOICE
Supply® CLEAN GREEN
Plant's Location: 6997 Jurupa Ave., Riverside, Ca 92504 Remit Payment: P.O. Box 511886, Los Angeles, CA 90051-1827 Invoice Number: 23807056 Telephone 951-687-0440 Fax 951-354-8110 Invoice Date: 05/22/2025 Customer Sales Rep: RUBEN MORENO
Deliver To: # 40237407 Charge Bill To: # 3517225
LAKE ELSINORE PUBLIC WORKS LAKE ELSINORE PUBLIC WORKS
521 NORTH LANGSTAFF 521 NORTH LANGSTAFF
ATTENTION: ACCOUNTS PAYABLE
LAKE ELSINORE, CA 92530 LAKE ELSINORE, CA 92530
*****Please see Remit information below*****
Wearer Mdse. Product Description Service Bill Unit Amount Description Qty Charge
154 JUAN 733816 MEN'S CHARCOAL MIMIX PANT Rent 0.478 5.26 78442799 MENS GREY MIMIX WORK SHIRT Rent 0.414 2.48
78442799 MENS GREY MIMIX WORK SHIRT Rent 0.414 2.07
164 OSCAR VASQUE 777508PA POLO SHIRT-100% POLYTRI BLACK Rent 0.372 0.37 777516PA POLO SHIRT-100 POLY IRON GRY Rent 1 0.372 0.37 166 DAVID CHAVEZ 777508PA POLO SHIRT-100% POLYTRI BLACK Rent 1 0.372 0.37 777516PA POLO SHIRT-100 POLY IRON GRY Rent 1 0.372 0.37 167 RAMIRO DELGAD 777508PA POLO SHIRT-100% POLYTRI BLACK Rent 0.372 0.37 777516PA POLO SHIRT-100 POLY IRON GRY Rent 1 0.372 0.37 168 GUSTAVO DE LA 777508PA POLO SHIRT-100% POLYTRI BLACK Rent 0.372 0.37 777516PA POLO SHIRT-100 POLY IRON GRY Rent 1 0.372 0.37 169 WILL YANG 777508PA POLO SHIRT-100% POLYTRI BLACK Rent 1 0.372 0.37 777516PA POLO SHIRT-100 POLY IRON GRY Rent 1 0.372 0.37 170 JUSTIN THOMPS 777508PA POLO SHIRT-100% POLYTRI BLACK Rent 1 0.372 0.37 777516PA POLO SHIRT-100 POLY IRON GRY Rent 0.37
171 ALFONSO MONT 777508PA POLO SHIRT-100% POLYTRI BLACK Rent 0.37 777516PA POLO SHIRT-100 POLY IRON GRY Rent 0.37
172 KYLE BELL 777508PA POLO SHIRT-100% POLYTRI BLACK Rent 0.37 777516PA POLO SHIRT-100 POLY IRON GRY Rent 0.37
173 JUAN REYES 777508PA POLO SHIRT-100% POLYTRI BLACK Rent 0.37 777516PA POLO SHIRT-100 POLY IRON GRY Rent 0.37
174 ALEX CANAS 777508PA POLO SHIRT-100% POLYTRI BLACK Rent 0.37 777516PA POLO SHIRT-100 POLY IRON GRY Rent 0.37
175 1 0.37
LANDON FINLEN 777508PA POLO SHIRT-100% POLYTRI BLACK Rent 777516PA POLO SHIRT-100 POLY IRON GRY Rent 0.37
176 PABLO RUBIO 777508PA POLO SHIRT-100% POLYTRI BLACK Rent 0.37 777516PA POLO SHIRT-100 POLY IRON GRY Rent 0.37
177 CHRITIAN KERR 777508PA POLO SHIRT-100% POLYTRI BLACK Rent 0.37 777516PA POLO SHIRT-100 POLY IRON GRY Rent 0.37
178 RICK GAMBOA 777508PA |POLO SHIRT-100% POLYTRI BLACK Rent 0.37 Please indicate Invoice number(s) on all remittances.
Payment by ACH: Payment by Check:
Bank Name: BMO Bank N.A See P.O. Box address above
Routing No: 071000288
Account No: 050315563
Remittance email: [email protected]
rudential
verall INVOICE
Supply® CLEAN GREEN
Plant's Location: 6997 Jurupa Ave., Riverside, Ca 92504 Remit Payment: P.O. Box 511886, Los Angeles, CA 90051-1827 Invoice Number: 23807056 Telephone 951-687-0440 Fax 951-354-8110 Invoice Date: 05/22/2025 Customer Sales Rep: RUBEN MORENO
Deliver To: # 40237407 Charge Bill To: # 3517225
LAKE ELSINORE PUBLIC WORKS LAKE ELSINORE PUBLIC WORKS
521 NORTH LANGSTAFF 521 NORTH LANGSTAFF
ATTENTION: ACCOUNTS PAYABLE
LAKE ELSINORE, CA 92530 LAKE ELSINORE, CA 92530
*****Please see Remit information below*****
Wearer Mdse. Product Description Service Bill Unit Amount Description Qty Charge
178 |RICK GAMBOA 777516PA POLO SHIRT-100 POLY IRON GRY Rent 0.372 0.37 179 MIGUEL ACEVED 777508PA POLO SHIRT-100% POLYTRI BLACK Rent 1 0.372 0.37 777516PA POLO SHIRT-100 POLY IRON GRY Rent 2 0.372 0.74 180 JOEL DE LEON 777516PA POLO SHIRT-100 POLY IRON GRY Rent 2 0.372 0.74 181 TUA MASOLI 777508PA POLO SHIRT-100% POLYTRI BLACK Rent 1 0.372 0.37 777516PA POLO SHIRT-100 POLY IRON GRY Rent 1 0.372 0.37 182 CHRISTINA ALVA 777508PA POLO SHIRT-100% POLYTRI BLACK Rent 1 0.372 0.37 777516PA POLO SHIRT-100 POLY IRON GRY Rent 0.372 0.74
183 JOE SELVAGGIO 777508PA POLO SHIRT-100% POLYTRI BLACK Rent 1 0.372 0.37 777516PA POLO SHIRT-100 POLY IRON GRY Rent 0.372 0.37
184 MIGUEL VALDIVI 777508PA POLO SHIRT-100% POLYTRI BLACK Rent 0.372 0.37 777516PA POLO SHIRT-100 POLY IRON GRY Rent 0.372 0.37
185 ANTONIO RENTE |777508PA POLO SHIRT-100% POLYTRI BLACK Rent 1 0.372 0.37 777516PA POLO SHIRT-100 POLY IRON GRY Rent 0.372 0.37
186 KOBEE CELIS 777508PA POLO SHIRT-100% POLYTRI BLACK Rent 1 0.372 0.37 777516PA POLO SHIRT-100 POLY IRON GRY Rent 1 0.372 0.37 187 JULIAN PARRA 777508PA POLO SHIRT-100% POLYTRI BLACK Rent 1 0.372 0.37 777516PA POLO SHIRT-100 POLY IRON GRY Rent 0.372 0.37
188 JEREMY MEDWIN 777508PA POLO SHIRT-100% POLYTRI BLACK Rent 0.372 0.37 777516PA POLO SHIRT-100 POLY IRON GRY Rent 0.372 0.37
189 HOUSTON O'MAL 777508PA POLO SHIRT-100% POLYTRI BLACK Rent 1 0.372 0.37 777516PA POLO SHIRT-100 POLY IRON GRY Rent 0.372 0.37
190 CHRIS LOPEZ 777508PA POLO SHIRT-100% POLYTRI BLACK Rent 1 0.372 0.37 777516PA POLO SHIRT-100 POLY IRON GRY Rent 1 0.372 0.37 191 EDDIE HERRERA 777508PA POLO SHIRT-100% POLYTRI BLACK Rent 1 0.372 0.37 777516PA POLO SHIRT-100 POLY IRON GRY Rent 1 0.372 0.37 192 DG 777508PA POLO SHIRT-100% POLYTRI BLACK Rent 1 0.372 0.37 777516PA POLO SHIRT-100 POLY IRON GRY Rent 0.372 0.37
193 JUAN P 777508PA POLO SHIRT-100% POLYTRI BLACK Rent 0.372 0.37 777516PA POLO SHIRT-100 POLY IRON GRY Rent 0.372 0.37
Please indicate Invoice numbers) on all remittances.
Payment by Check:
Bank Name: BMH Bank N.A. See P.O. Box address above
Routing No: 071000288
Account No: 050315563
Remittance email: [email protected]
rudential
verall INVOICE
upply®
Plant's Location: 6997 Jurupa Ave., Riverside, Ca 92504 Remit Payment: P.O. Box 511886, Los Angeles, CA 90051-1827 Invoice Number: 23807056 Telephone 951-687-0440 Fax 951-354-8110 Invoice Date: 05/22/2025 Customer Sales Rep: RUBEN MORENO
Deliver To: # 40237407 Charge Bill To: # 3517225
LAKE ELSINORE PUBLIC WORKS LAKE ELSINORE PUBLIC WORKS
521 NORTH LANGSTAFF 521 NORTH LANGSTAFF
ATTENTION: ACCOUNTS PAYABLE
LAKE ELSINORE, CA 92530 LAKE ELSINORE, CA 92530
*****Please see Remit information below*****
Wearer Mdse. Product Description Service Bill Unit Amount Description Qty Charge
194 DANIEL* 777508PA POLO SHIRT-100% POLYTRI BLACK Rent 0.372 0.37 777544PA POLO SHIRT-100% POLYTRI NAVY Rent 0.372 0.37
195 JOSE F* 777508PA POLO SHIRT-100% POLYTRI BLACK Rent 0.37 777544PA POLO SHIRT-100% POLYTRI NAVY Rent 0.37
196 OSCAR 777508PA POLO SHIRT-100% POLYTRI BLACK Rent 1 0.37 777544PA POLO SHIRT-100% POLYTRI NAVY Rent 1 0.37
197 CHRIS* 777508PA POLO SHIRT-100% POLYTRI BLACK Rent 0.37 777544PA POLO SHIRT-100% POLYTRI NAVY Rent 0.37
198 LUIS* 777508PA POLO SHIRT-100% POLYTRI BLACK Rent 0.37 777544PA POLO SHIRT-100% POLYTRI NAVY Rent 0.37
199 HECTOR * 777508PA POLO SHIRT-100% POLYTRI BLACK Rent 0.37 777544PA POLO SHIRT-100% POLYTRI NAVY Rent 0.372 0.37
Budget Protection Program Protection Cov. 795 0.109 86.66 9921BB AUTOMATIC SOAP DISPENSER BLACK Sales 63.654 0.00 9937ALC ALCO-FOAM SANITIZER 900ML CASE Sales 90.527 0.00 Delivery Charge 10.93
Service Total $ 473.89
Sales Tax $ 0.00
Invoice TOTAL $ 473.89
Please note our payment instructions have changed. Effective immediately, send check payments to P.O. Box above.
Please indicate Invoice numbers) on all remittances.
Payment by Check
Bank Name: BM Bank N.A. See P.O. Box address above