Laserfiche WebLink
!� SITE TICKET �GFIIQ <br /> FORWARD <br /> INCORPORA .. <br /> 999 h Austin Road/WEIGHING LOCATION P.O. Box 6336 WEIGHMASTER <br /> IanA 95336 '` Stockton,CA 95206 sf,fvl� <br /> ind I 209) 982-4298/WEIGHING LOCATION Main Office: (209) 466-4482 DATE IN TIME IN <br /> es_ource Recovery: (209) 982-4936 Fax: (209) 465-0631 ;-`* '*a~tQ 1 o <br /> QATE OUT TIME OUT <br /> ;:4 <br /> ALEX FLORES VEHICLE ROLLOFF <br /> 11 177 L014E F ALM A=t EIAUE„ SU x TE S LJ;41 FED K <br /> € ODESTO� CA `77,54:-;51 REFERENCE ORIGIN <br /> C'.M'.nt' Vii:t: R11/` # Sl :_C . ! C1\i <br /> T <br /> 1:0 Gross We-ight 1.7 i,-i80,c:.0 LS it{bof_nd' SC"'!-E TIMCET <br /> Tiare 1,We iQht 121180.00 LB <br /> QTY. UNIT DESCRIPTION RATE EXTENSION TAX TOTAL <br /> f 0.00 DR LI C 4ii'�ASS3 11 501L _ <br /> 2. ;'/ TN 20 CSWECGRZ TONS <br /> VE1GHMASTER CERTIFICATE THIS 1S TO CERTIFY That the following descrlb,?d commodity was weighed,measured,or counted by a weighmaster,whose signature is <br /> m this cerhftcate,who is a recognized authority of accuracy,as prescritAed by Chepter 7(commencing with Secflon 12700)of Division 5 of the Colifomia Business - <br /> ind Professions Code,administered by the Division of Measurement Standards of the Calif ornla Department of Food and Agriculture. <br /> NET�AMOUNT- <br /> TENDERED <br /> t?E! MANIFEST # � <br /> CHANGE <br /> CHECK NO. <br /> } DRIVER'S SIGNATURE <br /> i <br />