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2025-11-26_0010006565_23885227_SummaryCombined.pdf
INVOICE Page 1 of 1 951-354-8110 OPEN 6997 Jurupa Ave., Riverside, Ca 92504 23885227Invoice Number: 11/26/2025Invoice Date: Customer Sales Rep: Telephone Fax 951-687-0440 Plant's Location: Remit Payment: P.O. Box 511886, Los Angeles, CA 90051-1827 Deliver To: #Bill To: #30281301 5395903Charge SAN BERNARDINO COUNTY PUBLIC WORKS 80311 TRONA ROAD TRONA, CA 93562 SAN BERNARDINO COUNTY PUBLIC WORKS 80311 TRONA ROAD TRONA, CA 93562 *****Please see Remit information below***** P.O. Number:4100245939 Unit Charge Wearer Description Mdse.Product Description Service Bill Qty Amount 19031MAT 3X4 SAFETY Rent 1.551.550 29075MAT 3X10 FRONTIER GRAY Rent 12.226.108 100979218X18 PURPLE SHOP TOWEL Rent 9.800.098 3979218X18 PURPLE SHOP TOWEL MMP 1.320.440 2401944COVERALL-100% COTTON NAVY BLUE Rent 1.5210.762COVERALLS 2401944COVERALL-100% COTTON NAVY BLUE Rent 1.520.762 -Budget Protection Program Protection Cov.0.146 0.584 Delivery Charge 11.13 39.64Service Total Sales Tax 0.00 39.64Invoice TOTAL $ $ $ Signature Date: Initials: Signature Time: LM 11/24/2025 06:12:43 PM Please indicate Invoice number(s) on all remittances. Payment by ACH:Bank Name: BMO Bank N.A.Routing No: 071000288 Account No: 050315563Remittance email: ACH.Remits@prudentialuniforms.com Payment by Check:See P.O. Box address above INVOICE Page 1 of 1 951-354-8110 OPEN 6997 Jurupa Ave., Riverside, Ca 92504 23885227Invoice Number: 11/26/2025Invoice Date: Customer Sales Rep: Telephone Fax 951-687-0440 Plant's Location: Remit Payment: P.O. Box 511886, Los Angeles, CA 90051-1827 Deliver To: #Bill To: #30281301 5395903Charge SAN BERNARDINO COUNTY PUBLIC WORKS 80311 TRONA ROAD TRONA, CA 93562 SAN BERNARDINO COUNTY PUBLIC WORKS 80311 TRONA ROAD TRONA, CA 93562 *****Please see Remit information below***** P.O. Number:4100245939 Unit Charge Wearer Description Mdse.Product Description Service Bill Qty Amount 19031MAT 3X4 SAFETY Rent 1.551.550 29075MAT 3X10 FRONTIER GRAY Rent 12.226.108 100979218X18 PURPLE SHOP TOWEL Rent 9.800.098 3979218X18 PURPLE SHOP TOWEL MMP 1.320.440 2401944COVERALL-100% COTTON NAVY BLUE Rent 1.5210.762COVERALLS 2401944COVERALL-100% COTTON NAVY BLUE Rent 1.520.762 -Budget Protection Program Protection Cov.0.146 0.584 Delivery Charge 11.13 39.64Service Total Sales Tax 0.00 39.64Invoice TOTAL $ $ $ Signature Date: Initials: Signature Time: LM 11/24/2025 06:12:43 PM Please indicate Invoice number(s) on all remittances. Payment by ACH:Bank Name: BMO Bank N.A.Routing No: 071000288 Account No: 050315563Remittance email: ACH.Remits@prudentialuniforms.com Payment by Check:See P.O. Box address above