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FORWARD LAND <br />9999 S AUSTI <br />009914 <br />JIM THORPE OIL INC. <br />MARTIN THORPE <br />P 0 BOX 357 <br />4204145409 <br />SCALE IN GROSS WE <br />SCALE OUT TARE .WE <br />NOW <br />SITE TICKET # <br />Y8 <br />CELL <br />WEIGFIMASTER <br />DATER'IME IN <br />04-16-2014 4,52 pm <br />DATE/TIME OUT <br />04-16-2014 5 -in <br />VEHICLE <br />THORPE 7 <br />pu <br />CONTAINER <br />REFERENCE <br />BILL OF LADING <br />oi�n n -I <br />00 ET TONS 26.19 '/ <br />30,520 NET WEIGHT 52,380 TNRnnNn <br />QTV: <br />18.0 <br />UNIT <br />YD <br />:f, .. .,-,. .„ ._,,:..: DESCRIPTIO, ,.: <br />TRACKING QTY <br />RATE <br />- EXTENSION "' <br />` TAX '` <br />TOTAL': <br />18.00 <br />YD <br />TRACKING QTY <br />26.19 <br />TN <br />SW—BENEFICIAL REUSE STOCKTON <br />26.19 <br />TN <br />SW—BENEFICIAL REUSE STOCKTON <br />�T�.. <br />11 ,A ycUbapty <br />"��Cu"" <br />N^AT •T v <br />p` Ut <br />f <br />' A�.c \ <br />.� TENDERED <br />The undersigned Individual signing this document on behalf of Customer acknowledges that he or she a r d slid nd ends the terms and conditions CHANGE <br />on the reverse side and that he or she has the authority to sign this document on behalf of the customer . <br />CHECK# <br />RS-F042UPR (07/12) SIGNATURE <br />FORWARD LANDFILL <br />9999 S AUSTIN RD <br />009914 <br />JIM THORPE OIL INC. <br />MARTIN THORPE <br />P 0 BOX 357 <br />4204145409 <br />SCALE IN GROSS WEIGHT 82,900 <br />SCALE OUT TARE WEIGHT 30,520 <br />SITE TICKET # - <br />CELL <br />WEIGHMASTER <br />' <br />54 <br />�QAC-ftiS <br />DATE/TIME OUT <br />CONTAINER- <br />TAX <br />BILL OF LADING <br />817497 <br />NET TONS <br />NET WETCHT <br />26.19 <br />52,380 TNR1nN7) <br />QTY: <br />UNIT <br />"DESCRIPTION <br />'' RATE <br />EXTENSION <br />TAX <br />TOTAL <br />18.00 <br />YD <br />TRACKING QTY <br />26.19 <br />TN <br />SW—BENEFICIAL REUSE STOCKTON <br />�T�.. <br />11 ,A ycUbapty <br />"��Cu"" <br />p` Ut <br />' A�.c \ <br />rk <br />T <br />The undersigned Individual signing this document on behalf of Customer acknowledges that he or she a and u rstan the terms and conditions <br />on the reverse side and that he or she has the authority to sign this document on behalf of the customer.: <br />PS-FnA91 IPP 11171191 001 , Cmvnn reC <br />TENDERED <br />CHANGE <br />CHECK# <br />