Laserfiche WebLink
<br />WORK TICKET NO. <br /> <br />87~- '1071 SU"- <br />No. 0215354 <br />,~s'T09 <br /> <br />ir. <br /> <br />~,..- .~~ <br />ACCT.NO.c:2)1 -L(f:/L) '7(,)) -0/7 <br />A)fi~~ ~ 51 <br />. ), -g So&.t+-., 7~.q5 Ft- 0+ Lo+8 (,JS <br />,;::O~ _ _~-,,<.1 vJ;eb.,.Itdd.:/oiM <br /> <br />___ .~_ STATE~ ZIPCODE <br /> <br />) <br /> <br />SOLD TO <br /> <br />ADDRESS <br /> <br />CITY <br /> <br />CASH. . . , . . . . 0 0 0 CHARGE, EXISTING ACCOUNT C" <br />SALE AMOUNT. . . . . . . . . , . . . . . . . . . . . . Bill. NEXT Bill 0 R ~ CHARGE. NEW ACCOUNT...AUTHORIZED&/..<'f rJ. <br />7 0 c) --,d-... <br />DOWN PAYMENT. . . REQ AMT. PD. ~ 0 0 ' CUSTOMER DESIRED MONTHLY PAYMENT AMOUNT .sIP ,- <br /> <br />QUANTITY STOCK ACCT. STORE COST AMOUNTOF SALE <br /> NO. r\ ITEMS" NO. ACCT. UNI1 tOtAL <br />ISSlJ[D 1t[1-0 NU NO. UNIT TOTAL PRICE <br /> K }~.- {{ _LL-",,// <br /> ~"'" ... .;77~-//L/ <br /> - <br /> ..... ~ " - I <br /> / r/J:~~tJ&J /~ - -~~ ~J. -// J' i; ,. - --' <br /> ~"1"""\ /' .~ K<v =-- <br /> / ~;t7 /. =:f ~';'. \ 'rTLL _ I~~ LIZ- J A,;/; ,17 -.... <br /> - <br /> J/ ,14 // ~~c.:>>Q. <br /> OJ If- // / ;.".J~ / Jk-1 <br /> y?...- <br /> / ?/-. /.' J' h; //,..:.11:-,,-1 <br /> .//"'~ .'.:..', -r1'V' <br /> II '..3{.' /-' c?~ <br /> V _..' V <br /> / }/..;:/.'}~L-'p_ <br /> 'J ":k:, / -' /? [' ..; <br /> . v __ ~ <br /> '1/-/ ;);, i'/?~_ <br /> I I,; i ".,':-/ <br /> y , '.j!.., "-- <br /> / I. ' N f, .-:Lz- <br /> /1.--' C~-' <br /> LI- /h "0U?- <br /> '/ ~.. :---:!-- <br /> '/ '/6:/0/[, . / (S1? <br /> SUMMARY OF STOREtAccotNfS'- SUB TOTAL c-.;.c;. <br /> GEN,lED STORES <br /> NO. ACCT. NO. ITEM AMOUNT <br /> STATE TAX .00 q~ <br /> EXCISE TAX <br /> CITY TAX <br /> TOTAL ~5' l~' <br /> <br />SUMMARY OF REVENUE ACCOUNTS <br /> <br />GEN.lED ITEM ITEM TAXES ASSESSED EXEMPT CODE <br />NO. AMOUNT STATE EXCISE CITY OTHER S X C 0 <br />.,//\- \-U / () i'.f f\/t:? ..;/ .' 12- <br />'J <br />~;, t-n 3~~j oc. .-.. <br />j/; ..: r70 /)} (.. c-: 4 y.j <br />TOTALS <br />CUSTOMER SIGNATURE X >=i "u ) <br /> L..-.J .. I /.~ _ _ <br /> ORI <br /> <br />ne-.c:._INCl~s ~v_S ON _lllVlaSf $lDl Of CUSTOMEIlCOl'Y. <br /> <br />GINAl COPY <br /> <br />L <br /> <br />L <br /> <br />L <br /> <br /> <br />r <br /> <br />~ <br /> <br />.-J <br /> <br />~ <br />