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J <br /> o "Dillard Eavironrrizatal Serv%res TAG NO. <br />{ %FRVIc10b PO.Box 579Q <br /> Byron, CA 945.14 <br /> Telephone No. (925) 634-6850 <br /> C Facsinir;le No (9.25) 6:34-0569 <br /> Bate 7 + BilUM8EF2s(s) ro ; 08 NUNleERS(S) <br /> m.3U&NUNIBERS(S) # <br /> SUB. c� x JOB NUMBERS(S <br /> NO <br /> ,may 11. NO.TRAILER - i <br /> HAULER # # t. # <br /> PRIME <br /> CARRIER DllCONSIGNEE <br /> GENERATOR(S) DESTINATION <br /> I fl Soo <br /> CITY $" <br /> CITY <br /> Q (t L) CA BEGINNING MILEAGE ENDING MILEAGE <br /> AATERIALS L{JAI3tNG FUEL-GALLONS FUEL-VENDOR r <br /> UNLOADING; <br /> #2 <br /> NO M'AAdtFEST YARDSOR :T€f lE TiNIE 14iE TfNIE #2 <br /> a .. <br /> .,T7C3 ARRIVE =LEAY ARRfVB LEAIE' <br /> 4 OFFICE USE ONLY <br /> TNS/FIRS 1 LDS 1 YM € <br /> S TRANSPORTATION UNITS: <br /> ....... <br /> ;I TRANSPORTATION RATE. <br /> 7 r` <br /> SUBTOTAL.: $ <br /> DISPOSAL UNITS. <br /> to .k <br /> _ DISPOSAL RATE: <br /> SUBTOTAL: $ <br /> 12 <br /> t3 BRIDGE-TOLL: <br /> COMMENT& stet <br /> MATERIALS: <br /> i <br /> STA � TIME <br /> RT t <br /> ST TIM"ICT NET <br /> _ <br /> DRIVER <br /> RECEIVED <br /> DATE APPROVED BY TOTAL CHARGES: $ <br />_ 'TERMS.and CONDITIONS <br /> ct to s charge of t:5V per month on alt past m <br /> due valances.in 144)event the ucxount becoe^,delinquent and it is necessary to insbtute <br /> Payment terms are net thirty(3[1}days subje <br /> ` legal Proceedings,CUSTOMER agrees to pay Dcs'Ott—eY's fees incurred in such prooeedinq,action or suit or in any appeal thereum The parties agree that actions or <br /> proceedings arising in connection with this agreement shall t*Ined ana Ittigated exctusivoly in the courts€ocatee in Contra Costa County,California, <br /> i <br />