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(�©® RUDY BONZI, 'C. ; _ OY BONZI, INC. Z A <br /> INDUSTRIAL WASTE DISPOSAL <br /> INDUSTRIAL WASTE DISPOSAL <br /> 7852r. <br /> 2650 W. HATCH ROAD 2650 W. HATCH ROAD <br /> PHONE MODESTO,CALIF. 95358 PHONE MODESTO,CALIF. 95358 <br /> 538-1430 / W/T# i 538-1430 W/T# <br /> DATE -7�/ :. - Ci ,; CUST# DATE % - CUST# <br /> CUSTOMER A1. CUSTOMER <br /> ADDRESS CALIF. I� ADDRESS '''^�^ CALIF. <br /> DRIVER TRUCK NO. - �I DRIVER ��.=:i:>.r'" �� TRUCK NO._ <br /> BIN TO BE REPLACED YES,Q' NO❑ BIN TO BE REPLACED YES•L'S NO❑ <br /> IlLoumm0DIFY WEIGHT I CQ- Y COMMODITY WEIQHT -L-U- YD <br /> METAL METAL <br /> PAPER I PAPER <br /> CANS,USED _ CANS,USED <br /> CONCRETE OR DIRT CONCRETE OR DIRT 77 <br /> CANNED GOODS CANNED GOODS <br /> WASTE WET I WASTE WET <br /> TRASH T TRASH <br /> COMPACTED TRASH :S I COMPACTED TRASH <br /> COMPACTED PAPER COMPACTED PAPER <br /> WOOD WOOD <br /> SPECIAL BURIAL ; SPECIAL BURIAL <br /> CUSTOMER'S - I CUSTOMER'S 1- <br /> SIGNATURE X SIGNATURE X <br /> Custom"ac can ca 1 s r ismd in good mndA on and grew Ill ro mo nrom t 1 �; Customer a Ir ne m ecemed ' good condition and og w I11 b mo"win t m <br /> g d ane`eanGary order a d w d'Imn' 121 ro Place dal and cement on n earoo rr s provided d and aonirory E and co d't Ix j^ro ek dim and cee t onlycontainers ded k <br /> Mal speaG<par <br /> pow,131 rot ro load.n excess of 20,000 lbs in any c serer and agrem to pay all Xwl specific p pose,131 nos to load in f 40,000 lbs n any container and gree M pay all <br /> exrra hes and rdamage mused by such overkadin 141 ro burro eallecror for any damage so exka fors and rdomages earned by each asedcadmg,(Al to reimbmw collector Fm any damog u <br /> mnminer exdvdinp awtwble id Isar and mag mused by colbcror o Is empl�ee,151 container excludin reoaonab6 wear and tear and tlamcg caused by clector or its am 67"o.151 <br /> ro indemnity and twW call cla homeless ham any claim far injury to o Mird piny, and(ol ro pay ro indemnify and hold mllecbr harmless From any deem far injury ro a thiel poM,a^d lel to PoY <br /> reosonoNe PWrn<p lees vrd mein fa any anion required in mnneahon with ihis agreement. I reasonable norneys fees and msis For any action mquiwd in connection with this agreement. <br /> DO NOT WRITE BELAW 7HI5 UNE l - DO NOT WRRE BELOW THIS LIM <br /> CU.YDS. :�I CU.YDS. <br /> CU.YDS. ;I CU.YDS. .. <br /> LT •d eBZ :OT 60 10 JeW <br />