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�7 _ <br /> l�illtirdNOV 2 1 2005 �tlx�tra►'►a�trr,rlftt. erucic <br /> PO Box 579 <br /> Byron, CA 94514 19984 <br /> __ TJ1epht:ne :Na. (925) 6134-6850 <br /> Facsirn le No. (925) 634-0569 <br /> Date : OBiNt1tASERS;S) fVJ08NUMBERS(S) x'J08NIJt�IBEFtS(S; i JQBtIUMBERSISj <br /> TRUCK TRAILER <br /> NO. [ � NO, __jS-ZDD ( 3� <br /> SUB. � # � # <br /> HAULER <br /> PRIME <br /> j CONSIGNEE <br /> CARRIER <br /> GENERATOR(S) �ry DESTINATION <br /> W. <br /> CITY r <br /> CITY �IfEAG <br /> BE�NI�M EA � <br /> MATERIALS & 7 � L(7AtAlltlG UIVt 0At3€NG:P ;. FUEL-GALLONS, FUEL-VENDOR <br /> - 1 #� #1 W <br /> MANIFEST �- YARD' OR TIRE�` ��T vlE <br /> I <br /> �WEIGHT "Af�2R(VE .1 SAVE.-. i1RRIVF. kiAVE .: <br /> 1 '#' a 00 <br /> 3� 2 <br /> t <br /> s OFFICE USE ONLY <br /> 4 TNS HRS LCIS C YDS <br /> _ TRANSPORTATION UNITS: <br /> 6 jr TRANSPORTATION RATE: <br /> SUBTOTAL- � <br /> 3 --- —— DISPOSAL.UNITS: ; <br /> i0 DISPOSAL RATE: <br /> 11 SUBTOTAL. $ <br /> 12 <br /> 1a BRIDGE-TOLL. <br /> COMMENTS <br /> MATERIALS: <br /> START STOP DEDUCT NEl" x <br /> E 1 Tim <br /> CCYY �- �.r.� <br /> DRIVER <br /> .- <br /> RECEIVED DATE APPROVEDBY <br /> f TOTAL CHARGESt $ <br /> TERMS and CONDITIONS <br /> Payment terms are netthirty(3a)days sub'=to a charge of 1,5%par month on all past due ttaW%ces.in the event tete account becomes delinquent and it is necessary to institute <br /> legal proceedings,CUSTOMER agrees to pay DES'attorney's to incurred in such proceeding,action or suit or in'any appeal thereon.The parties agree that actions or <br /> proceedings arising in connection with this agreement sell be f ed and litigated exclusively in the courts tucated in Contra Costs County,Callthmia. <br /> i <br /> 3 <br /> r <br />