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n �fi .•R, I <br /> 'T <br /> ORWARD <br /> TICKET '-,GRID . <br /> INCORPORATED <br /> °"SCfkLE OPERATOR <br /> 9999 South Austin Road/WEIGHING LOCATION 1145 W.Charier Way <br /> Manteca,CA 95336 Stockton,CA 95206 . <br /> Landfill: (209)982-4298/WEIGHING LOCATION Main Office:(209) 466-4482 —D E INS_ �,,��� � �' :�.`TIME:IN - <br /> Fax: (209) 466-1067 <br /> RATE pUT TIME OUT <br /> VEHICLES ROLLOFF <br /> ORiCtiIN� a <br /> . .. .. �,i .. .. .. - •.. .. .v .. ...E ....., s , �.. <br /> QTY. UNIT ;'DESCRIPTION E ?- x a ;b x x,;.gas =TAX", '?. .-TOTAL <br /> =';'RATE . ::;�- . :�EXT�NSIOI� : .: <br /> .' NET AMOUNT <br /> TENDERED <br /> CHANGE", - <br /> DRIVER'S <br /> HANGE", -DRIVER'S SIGNATURE <br /> w <br /> I <br />