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TIM’S

TIRE

TIME,

INC

1000

N POPLAR

CENTRALIA,

IL 62801

618-533-9208

SOLD TO

JOHN GROFF

Sales

Receipt.

DATE

SALE NO.

6/14/2004

8027

DISPOSAL

PASSENGER TIRE

DISPOSAL

LIGHTTRUCK

DISPOSAL

MOUNTED PASSENGER ON RIM

Sales Tax

CHECK NO.

PAYMENT METHOD

PROJECT

Cash

QTY

RATE

AMOUNT

25

1.50

37.50

4

2.00

8.00

1

4.50

4.50

6.50

0.00

DESCRIPTION

H

Total

S50.00