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FORWARD WARD r1SITE TICKET <br /> �:►1 INCORPORATED J i RI© <br /> _ {i <br /> 990r South Austin Road/WEIGHING LOCATION P.O. BOX 6336 WEIGNMASTER <br /> Manteca,CA 95336 Stockton,CA 95206 <br /> La IfiII: (209) 982-4298/WEIGHING LOCATION Main Office: (209)466-4482 DATE IN TIME IN <br /> Re Orce Recovery: (209) 982-4936 Fax: (209)465.0631 %-' ' -- -_ "'• <br /> ;..) -t t_,;;;] DATE OUT. 1 TIME OUT <br /> VEHICLE ROLLOFF <br /> C.- Lo c& JG REFERENCE ORIGIN/ <br /> .tii <br /> 00 �L _r-,r1R_F_ TCKE <br /> %I{@� I4 ii�7 nll4 , ',!. LB Tsi 40 Til <br /> 4 f h !y SJx , Y:�'� :: <br /> DESCRIPTION':4,., RATE "EXTENSION 9 -.:,TAX TOTAL <br /> NI t�HMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed,measured,or counted by a welghmaster,whose signature Is <br /> an nMis certificate,who Is a recognized authority of accuracy,as prescribed by Chapter 7(commencing with Section 12700)of Division 5 of the California Business <br /> and Professions Code,administered by the Division of Measurement Standards of the California Department of Food and Agriculture, <br /> p NET..AMOUNT <br /> ". <br /> :fiENDERED f'�� <br /> CHANGE <br /> CHECK'NO. <br /> fA�b <br /> DRIVER'S SIGNATURE ` <br /> 1 <br /> I <br /> i <br /> 1 <br /> I <br /> i <br />