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FORWARD <br /> INCORPORATED <br /> South Austin Road/WETCHING LOCATION P O Bax 6336 <br /> nteca, CA 95336 Stockton,CA 95206 ~ r <br /> dfill (209) 982-4298 WEIGHING LOCATION Main Office (209)466-4482 '- <br /> ource Recovery (209) 982-4936 Fax (209)465-0631 cs r+�_q5 t +}r, ;eco. <br /> ,,,-. s1 a - �:�o pnt <br /> bl rtl:C�l15 _ rv!JU 1 r_:y <br /> JDF_ fi+LDS I 6GEC pin <br /> IHIFri STfif.EI $ <br /> REFERENCE °k n.'t :s j --MORIGlN <br /> •�, � �f� 14#p <br /> `J G- L-is WelglSt r_c , It L <br /> C- - :Gam% 7ICJ <br /> Ta-e Weight ?c,5hra.Gc.J LS <br /> Net We.ght '-,.6 Cj.00 L F4 'f . TN <br /> 1P ;7.FF ; 1ir_ EXTENSKNd - 7AX Y.r-Y - #7[TA_ <br /> t � = 7 <br /> 0 <br /> GHMASTER CERTIFICATE THIS ES TC CERTIFY That the following described commodity was weighed measured or counted by a weghmaster whose signature is <br /> this certificate who is a recognized autholty of accuracy as prescribed by Chapter 7(commencing with Section 12700)of omsion 5 of the California Business <br /> J Professions Code administered by the Dvision of Measurement Standards of the CGIIfOmia Department of Food cnd Agricuifure <br /> i� <br /> NET AMOUNT <br /> P 114 4 S r ? n T t TENDERED <br /> CHANGE <br /> CHECK NO <br /> _�� DRIVER'S SIGNATURE <br />