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RUDY BONZI, AJC. UDY BONZI, INC.
<br /> INDUSTRIAL WASTE DISPOSAL C7 ami .5.
<br /> INDUSTRIAL WASTE DISPOSAL
<br /> 2650 W. HATCH ROAD 2650 W. HATCH ROAD
<br /> PHONE MODESTO,CALIF. 95358 PHONE MODESTO, CALIF. 95358
<br /> 538-1430 W/T It— 538-1430 W/T#
<br /> DATE CUST# DATE
<br /> CUST#
<br /> CUSTOMER j CUSTOMER,
<br /> ADDRESS f r iCALIF. ADDRESS
<br /> DRIVER� CAIJF.
<br /> TRUCK NO. DRIVER . '.
<br /> BIN TO BE REPLACED YES 0 NO OBIN TO BE REPLACED__ YES—(!) NO 0 TRUCK NO.
<br /> 5MFOODITY E T C
<br /> METAL METAL COMMODI El HT C Y S.
<br /> PAPER PAPER
<br /> CANS,USED CANS,USED
<br /> CONCRETE OR DIRT
<br /> CONCRETE OR DIRT
<br /> CANNED GOODS
<br /> CANNED GOODS
<br /> WASTE WET WASTE WET
<br /> TRASH TRASH
<br /> COMPACTED TRASH COMPACTED TRASH
<br /> META
<br /> OM 0DITY` T—C
<br /> METAL
<br /> PAPER
<br /> CANS,
<br /> USED
<br /> ON E 0i DIRT CR TE I I
<br /> CANNED GOODS
<br /> AM WET
<br /> TRASH
<br /> C:MPACMD 7 ASH
<br /> COMPACTED PAPER COMPACTED PAPER
<br /> WOOD WOOD
<br /> SPECIAL BURIAL
<br /> SPECIAL BURIAL
<br /> CUSTOMER'S
<br /> SIGNATURE X
<br /> Custormor acknowledges' SIGNATURE X
<br /> . container was necerred in good condition and
<br /> T"and sarl.,,m,d.,and conallion (21 to place gd;16andl 1 11) to maintain it in C-slier-1 knowledge,qrst-sairst,was reaennd;q good aardifien
<br /> ,or, god and sanitary oFdar and condition 121 to pa20,000
<br /> e dire d '.dI.9.to 11)so qmj.I.i,,it I,
<br /> I or�isiflc lsl�o 131 nor to imsd i,'.� 6f 20 b ormers on in container,podded for
<br /> a.o fires and damages
<br /> czrnii,.s eaused by s.6 =e5locili s m any container and cs,mseres ft for.11 1 ,t'pecifi,isurpres., (3)W to land iq'eec..� 1 20 0 laroalb,qo.- condiners prorrided for
<br /> aarioner excludinZ :unable wear and 7. 141 to reimburse collentio,for mr, 10 ge ro a.,. fees and damage,ccsus.dl by such ownlood n try q.n in.,on agree,to all
<br /> 61
<br /> to indemnify and old a.1lectar frontal inter and mog,mused by collecke,or its em 14)so reimburse collector for any dom*ge to
<br /> 15J iner excivan moswoble wear and tear ord'Imor9t mused by collei,or or its em
<br /> seasonable attorneys fees from any ilami far in!.,to a third isany, an in pay to indemnify and aid colleasor hqrmiess basis any 6-1-61 ilistry la is third isan,, apirs, (51
<br /> 6 k
<br /> and an",for mr,-inired in rmq�ficsn with fl,.."mm ant. reasonable anome,s fees and costs for OW acliqn required in contestation with sh an 16 ta pay
<br /> is agreement
<br /> DO NOT IMMIT,BELOW THIS LINE DO NOT WitBELOW THIS UNE
<br /> CU.YDS.
<br /> CU.YDS. CU.YDS.
<br /> CU.YDS.
<br /> 8 -d e12 :01 60 40 jew
<br />
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