Laserfiche WebLink
_ RUDY BONZI,,BNC. JDY BONZI, INC. /f <br /> ® INDUSTRIAL WASTE DISPOSAL % 79%' INDUSTRIAL WASTE DISPOSAL E®796 <br /> 2650 W. HATCH ROAD 600 2650 W. HATCH ROAD <br /> PHONE MODESTO, CALIF. 95358 PHONE MODESTO, CALIF. 95358 <br /> 538-1430 W/TV 598-1430 W/TA <br /> DATE - �_.'. CUST-# : .� r:. - DATEy C-U&T!!, - <br /> CUSTOMER.�r r r _ — <br /> CUSTOMER: <br /> ADDRESS �" :'. , CALIF. ADDRESS <br /> - r , CALIF. <br /> DRIVER=�I TRUCK NO_•' DRIVER r ' TRUCK NO. <br /> BIN TO BE REPLACED- YES-0 NO❑ BIN TO BE REPLACED YES r NO❑ <br /> COMMODITY EI T CU. YD ODT WEIGHT YD <br /> METAL METAL <br /> PAPER PAPER <br /> CANS,USED AUGCANS,USED AUG 215 20 <br /> CONCRETE OR DIRT CONCRETE OR DIRT ' <br /> CANNED GOODS CANNED GOODS <br /> WASTE WET WASTE WET <br /> TRASH TRASH <br /> COMPACTED TRASH COMPACTED TRASH <br /> COMPACTED PAPER COMPACTED PAPER <br /> WOOD i WOOD <br /> SPECIAL BURIAL SPECIAL BURIAL <br /> CUSTOMER'S <br /> CUSTOMER'S <br /> SIGNATURE X <br /> - -� SIGNATURE X ' <br /> Customer acknowledges container was moseiem!in good condition and agrees (1( b maintain 't in Cmlemer ackrtawkd es container was received' <br /> d and sanuoy order and condition, 12)to place din and cement only n containem provided For B good condition and auras (ai a maintain it in <br /> tt I specific Wrpose,131 not to load in excess of 20,000 lbs in any container and agrees b ell good and senitary order and condition,12)to platy did and cement only n containers provided for <br /> extra Fees and dame caused such overlaodin pay good <br /> specilic purpose,(3)nee e,load in exaees of 20.000 lbs in any container and agrees b Pay all <br /> gesby mage <br /> m reimburse caector Far try damag' b e.tm Fees and damages noosed by such overloodm , 14)to relmbane collacror lar an dam b <br /> t o indem exdand reasonable war less rear and claim f rimed by a third <br /> a Ile ampler,I51 ca Ivinor exdudinq so able wear and rear one damage caused by rollecbr or Its emy ee9,e 5 <br /> ro indemnify and oKold collector harmless from my claim far injury b o third port', n7lark"ro pay ro Indomaify and hold cnllecbr harmless from any satin fo,injury b o Chid perry,and Ib s 1 1 <br /> reasonable onomeys fees and costs For any action required in connection with this agree mem. Lnda bite mturner,fees and cons for any action required in connection with this ogmemenl. pay <br /> DO NOT WRITE BELOW THIS LINE DO NOT WRITE BELOW THIS LINE <br /> CU.YDS. CU.YDS. <br /> CU.YDS. CU.YDS. <br /> bT 'd eEZ *OT 60 b0 Je�W <br />