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Fax; Jun 10 2008 12:55pm P010/012 <br /> WDHK UHDlkH/ MiAr4IrE51 <br /> 1274877- 2 517 9 <br /> WgLaW Tire Hauler Wa a Tire Qgnerator <br /> McCoy Tack Tire Service Certt2r. Inc. Name: t_, 5 fi -— �­ <br /> 1447 Lone Pairs Ave. Address- J j <br /> Modesto, CA 96351 <br /> 2b9v21-6221 .zip. �L'�� L�' Phone: <br /> TPID-1274677.01 TPID with SON j�3��'j- -` 0 � <br /> Load Date: Load Type; ]Whole C a Cubic Yard ( Ton Pound <br /> Decal # L-1- 0 t a -2Pick-up Count: <br /> Wcense #77-5tz-t) state:v Doi Gede: RwQY ] Delivery Count: <br /> SlzF MFO. I DOT 0 TRIAD WHEEL COMMENTS <br /> 2 <br /> 8 <br /> 4 <br /> b <br /> 6 <br /> 7 <br /> B <br /> 9 <br /> 10 <br /> 1� <br /> 1 <br /> 14 <br /> Fi <br /> 17 <br /> 19 -- - -- �- -- <br /> rf <br /> DOvers SI nature: Rate 1 Customer Signature: Dare, lel <br /> DriverS Name ( t) IZ &45 <br /> Customer Name (print} <br /> f-9�Y Q•a:a Sv it d�wju-Y,-.51K­, <br /> �on i tR�16+ri nl IM�Ia a pi��vrna ihN ill.�nletrtbiiun V11;= <br /> 4+I�N a i '-WW.f Ps'�,nm, �nvlV un+�a ih.l,.r�p Ily 91cn'G�lxmlta us ev�+n�Uan <br /> . w......,.--• <br /> pprlA9�nb0�tl N I,IdF nIIP� :N+n#9Kwr,,t wnI andr9 IryYI fihl1•P'•1 of Iltb lilxlenbun'�R nNvnliU Dldti+1 N uun]nn em a0r In mMuo1, mD+-ti+lhni h1.4i.i.YCNPn a�,,MGg1lq 0.,map <br /> l�wD i�strsptrtlloll.$kyAM:m,a"WI&l Dl!cna,ral cl Pd Waeb nfT pgU41 Fl"ollpn p,=1 Ieslin h dN D•nPAM LIP l'7 3�5)W 11. day r:,nGlill..n n,odi'nv�ui.,,..F—IJ,.uv u ti4� <br /> ID F�Allc pw wcv Coda.n.li0n^Q1AD MA RA?n 11 in clWl Vw1WLwv vv h S;i 090 p�,�na} Ivr Iwf,Icl�llun pe,u�Y u tby.TlNd nl hu011.M ,lao G:Aa cacFv�ufP <br /> vM�nvi,Dl CC.nln:nroWp p-+nOHfIR�uP�D SS OOP PH'`{�itAM,n Gary e�G�pFlloect m Pubhc <br /> nR°�d51•`�C.polilBf����Ab.ar,-.a.. s..r...a.-.-,..«.. .r• .� n -,.....0.aa...,,._...–_._..uteri <br /> [ j lrnpor(cd OEid ( )E=prrted I.oa,,) anki ;`cAun F,e_ale > r,�r IjJlh�Ct "•aaU ;. <br /> C�Gn�PaP+afffLSS, i �ra(��•{ritll"tii'�.t <br /> City: State,- Agricullu- <br /> j ] Common Canit�r <br /> .. .. _ LE .... .. ._.._.. _..� ....__... _...... nen. ---- v,. . n „ -1 /AA <br />