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m <br /> li <br /> RUDY BONZI, INC.QQ <br /> ! INDUSTRIAL WASTE DISPOSAL "x+670 <br /> 2650 W.HATCH ROAD - <br /> PHONE MODESTO,CALIF. 95358 <br /> .538.1430 yVn IT i <br /> DATE - _ _ CUST# <br /> CUSTOMER <br /> I <br /> ADDRESS - , CALIF. <br /> ! DRIVER TRUCK NO, <br /> BIN TO BE REPLACED YES[I NO❑ <br /> COMMODITY WEIGHT CU. YDS. <br /> METAL <br /> PAPER <br /> CANS,USED <br /> CONCRETE OR DIRT <br /> CANNED GOODS <br /> WASTE WET <br /> TRASH <br /> COMPACTED TRASH <br /> COMPACTED PAPER <br /> WOOD <br /> cu SPECIAL BURIAL <br /> CUSTOMER'S j <br /> p 51UNATURE X <br /> Customer acknowledgm cemolner was ris e. ed in good toadifion end ogress III b maimoin it in <br /> ggood and sanibry order and condition,(2)b plum din and mmem only In conjoiners provided for <br /> (n Ihot specific purpose,131 not to load in exmss of 20,ODO Ibe in airy comoiner and agrees b poy ell <br /> p i extra leer and demogea caused by sash ewrbodtngg, fel b rejmisvrse tallness,forny damage to <br /> container axduding reoronabln or and Lem nad domoge caused by collocbr or the em b es,I51 <br /> I to indemnify and held collecmr harnlnu bum any clnim for inIary to a third pady,anyl6l a poy <br /> '� I ,emonablis attorneys hes and cosh/or any atlion«vuired in connection with this agreemsm. <br /> Ot <br /> L <br /> DO NOT WRITE BELOW THIS LINE <br /> q`- CU.YDS. <br /> = CU.YDS. <br />