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� v�Ro <br /> ao A,� <br /> i � SV <br /> y. <br /> w JTillard Gavironm-en c t i. Services TAG NO. <br /> � R1IIG�g PO Box 579 19443 <br /> Byron, CA 94514 <br /> I T61cph©ne No. (925) 634-6850 <br /> Facsimile No, (925) 634-0569 <br /> Date . / � 3(38 PJUt6ER5tS). IB tVVA4aERSo} C:B.auUMB£ {SD a06 NUN BEFis{5# <br /> TRUCK � TRAILER # I � . � # # # <br /> NO. — NO. I f �✓ <br /> SU& <br /> HAULER # # # # <br /> PRIME <br /> CARRIER CONSIGNEE , 1_ <br /> GENERATOR(S) 7 <br /> DESTINATION <br /> CITY <br /> CITY <br /> BEQi1t4NJNG MILEAGE END G MILEAG <br /> i _ _ r <br /> hAATERtALS .. ." EUEL=GALLONS ' F E _VENDOR <br /> LOAn1tiG Ul�ti C3ADING � <br /> IM"_ .i <br /> FAAt�tEEaT YA4DSOR ,TIME ' . TiMETtME ftt s #2 #1 #2 <br /> WEIGHT ARRNE ARRIt(E LEAVE <br /> 2 <br /> 3OFFICE USE ONLY <br /> I�`12 . .� �� TNS/HRS/LDS/YDS � <br /> z <br /> f TRANSPORTATION UNITS: <br /> TRANSPORTATION RATE; <br /> su�Td�T . <br /> g <br /> l _ <br /> s DISPOSAL UNITS' . <br /> DISPOSAL RATE: <br /> SUBTOTAL-. $ <br /> 12 <br /> i <br /> 13 BRIDGE-TOLL: I <br /> COMMENT& <br /> + MATERIALS: <br /> I <br /> P ; <br /> I <br /> START STOP DEDUCT NET <br /> ! t o TIME TIME <br /> RIVER <br /> CEELt $� r� €)ATE <br /> APFROVEDsy <br /> TOTAL CHARGES: $ <br /> TERMIS and CONDITIONS <br /> Payment terms are net thirty(30)stays subject to a Ghallge of 1.5%per month on all past due ba4ances,In the evens the account becomes delinquent ani?Itis necessary to institute $ <br /> legal Proceedings;CUSTOMER agrees to pay DES'attorney's fees incurred in such proceeding,action Or s <br /> proceedings arising to connectlan with this agreeuit Grin any appeal thereon.The parties spree that actions or <br /> agreement shall be tried and litigated exclusively in the courts t€scated in Gantry Casla l then,California_ <br /> I <br /> ( <br /> I <br />