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Nate: If tenant/landlord split Is not providRd at the tkae of dWMry, <br />tenant will be charged Irofull. <br /> <br />T <br />TIM- C <br />t AD RIESS <br />M <br /> <br />A CfIY, 9". ZIP OOE <br />?1 i X RT i L i ?a E R A C I E M I C A L CO Ptodueta Llsted heteort are sold as Is with all <br />ardstkig Isuft. There arc no warrantigs which <br />extend beyond the description an the fib of the <br />product label and seller makes no warrant, <br />express or implied, as to the meraiantablMty of <br />product. Having Inspected the same, customer <br /> <br />assumes all risk or loss or liability resulting from <br />use of. or def ds In. the oducls listed and any <br />lo furniB <br />equipment <br /> <br />T PHONE NUMBER . <br />205 N <br />i <br />h A <br />a it requires by ae <br />R <br />. his Is "G cerdty <br />that In below named materials are a <br /> <br /> <br />L NAME . Par <br />s <br />ve, <br />P.O. Box 606 • Johnstown, CO 80534 <br />Office' , (970) 687-5105 6 n s classified. descxlbed, padtaged, marked an <br />nd <br />labeled. <br />d am in pra;w <br />condition f r <br />N <br /> <br />D DRESS Fax: (970) 587-5107 <br /> <br />Commerical applicators are licensed b t <br />noeo loth* <br />reputations of the department of transport Lion. <br /> <br />L <br />crrY, RATA, ZIP DE y <br />Colorado Department of Agriculture <br /> <br />0 . <br /> <br />In rase of • mergency'. 5pllt, leak, accident or <br />R <br />0 PHONE NU FJt QA'TE <br />?1 ' <br />Z• <br />Oq , NO. fire at any tour, call shipper of Infotrac (800-535. <br />5053) toll free. Isolate any spill, the cargo, and <br />A NO. d EXPIRATION DATE <br />TAX E(EM N NO. ll-ORMS <br />MERCHANDISE R LANDLORD SHARE <br />CK DELIVER the vehicle Involoved until directions are received. <br />C R CROP <br />DESCRIPTION 8har'e UNITOFMEAB. QUANTITY PRICE EXTENDEDAMOUNT <br />LA -io i\t?jl l` 7T t _ 1__ W 5D <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />IMPORTANT: T IS ILLEGAL TO TRMSPiORT MATERIAL K D AS OR TO BE POISON LASS A OR B) <br />IN THE SAME= VEHICLE WITH MATERIAL WHICH IS MARKED AS OR KNPWN BE FOODSTUFFS, FEEDS, OR SUB TOTAL <br />ANY OTHER EDIBLE MATERIAL INTENDED FOR CONSUMP?N .HUMANS OR ANIMALS. <br />RATE TAX <br />t.oAOeo By Rot;rrea sY va"em ON X o BY <br /> <br />Purchaser agrees to an the tame ¦nd mpditno of this hate. PRINT <br />N"E <br />OTAL <br />This purchase may quality (or a propmt payment discount as shown. <br />Account must be paid in full by 15, 20 to qualify. Tenant 3 Landlord $ Total Dollars S <br />1UMN. BALANCE ouE ON RECM Of 10a t rNe eTATMW. A t9NAryC! CKARGE mrrp I d e pada to rate of t MM peraelrlh (1113 per "With to oem of limb ttnkenlq 10ru+t bat ANNUAL "JtCE TApa RAta or <br /> 11% (tae a aM or Neb uM m"weW dr be <br />onwws m Iara tttttauts ot9Yt fawn rsrnsldttp <br />wWatd 30 days ftem the date of this Ntvoke etbwn codhtue to to sand eadlsltpedA araral4tar, on Y ertwas kxkP IM Ga teal IFIAN to h - d eb Ream. 0101 I-" -oem w d ri, etdrwnr.