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ECS /// q (��` -O �/ ,. TRANSPORTATION <br /> Ecolo§y Control Industries SERVICE ORDER <br /> A FULL SERVICE ENVIRONMENTAL COMPANY SERVICE <br /> h ORDER# 21 l t y <br /> 1 <br /> DATE: <br /> UName: Job Location: Lob )I GA <br /> S <br /> T Address (BILLING): City: Zip: <br /> 0 <br /> E Ordered by: �• Company: P.O. #: <br /> R Name (PRINK: CJ/ , '7/� Signed: `� 6 L - <br /> R Truck #. 7 Q 0016 Trailer #: -3 0Z 8 Size/Type: )? O <br /> V <br /> H Services performed: TA 7- 3e V6 El " r L r)A b RTO TJ C C-Z•- _Z <br /> S <br /> E <br /> R <br /> V <br /> C <br /> E <br /> S <br /> MANIFEST #: DISPOSAL #: <br /> Ani <br /> M # # Start' Stop: �y� Gross Time: <br /> T� Hrs. <br /> E <br /> MEALS.' <br /> # # Start P"^ Stop: PA Less: Hrs. <br /> #Loads: - Qty: <br /> BBL Gal: Tons: Yards: Other Time: Total: LHrs. <br /> Add/Deduct <br /> Time In: Time In: Time In: Stop.Miles: <br /> IStart Miles:3� G <br /> E Time Out Time Out Time Out Miles Driven: <br /> P <br /> D QTY. U.O.M. RATE EXT. QTY. U.O.M. RATE EXT. <br /> E Vacuum Truck Disposal <br /> S <br /> C End Dump Washout <br /> R <br /> P Roll-off I Roper Pump <br /> T Flat Bed - Bin Liner <br /> I <br /> NTank Mover Surcharge <br /> Driver Relief /✓ ` - <br /> Subsistence <br /> .�. TOTAL$ <br /> -- "- <br /> Authorized & Approved by: =- f - Title: - - ,------ -- CHARGES: <br /> If invoice is not paid within 30 days, interest shall commence accruing at 1.5%per month.Should suit be commenced to collect any porton <br /> of this invoice, Ecology Control Industries shall be entitled to any costs deemed reasonable by the court including attorney fees. <br /> Original:Accounting Yellow:Accounting Pink: Customer Gold: Driver TSO-1 <br />