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{ <br /> { <br /> �Vf1� <br /> D S <br /> $ `Dillard 6avii"C�tt-r en-lal t�rvicBS 1� NO. <br /> . <br /> '�F+v v I C,00 PO Bax 519 19444 <br /> Byrom, CA 94514 <br /> Telephone No. (9.2.5) 634-6850 <br /> Facsimile No. (925) 634-0569 <br /> —""JOBauII R5 s1 tcie tJuMaE <br /> Datea ( :tea 968.NUM1303 (S]'xk �::`013 NUMBER, <br /> # # w... .�, ;y <br /> TRUCK TRAILE. - <br />' . <br /> �, # # <br /> NO. .. / NO. <br /> SUR. <br /> HAULER # # # <br /> PRIME 1_ <br /> CARRIER t CONSIGNEE <br /> t -Ile 0 Al <br /> 1 <br /> GENERATOR(S) - — DESTINATION <br /> 1 CITY <br /> CITY f c " BEGINNIhEG IILEAGE`-7 J ENj}ING E . <br /> L :� ;� FUEL-rALLONS FI.EL_'SV .: DOR <br /> _ OADING t.NLOAUtING <br /> ; <br /> 3AANi1 EST YARDSf3R TIME TIMETjjTIME <br /> WEIGHT ARRIVE TIME i <br /> m" LEAVE '- ARftIYE_ LEAIdc <br /> i a � r — .tt <br /> 2 <br /> OFFICE USE ONLY <br /> _ <br /> t' I _ '• TNS 1 I RS 1 LDS/YDS <br /> s <br /> 77 <br /> TRANSPORTATION UNITS: ,rJ <br /> S ~� TRANSPORTATION RAT <br /> E: {1 <br /> }A SUBTOTA'IL. F G <br /> DISPOSAL UNITS: <br /> to DISPOSAL RATE: <br /> .SUBTOTAL $ <br /> I � <br /> 12 I <br /> 13 BRIDGE-TOLL: <br /> COMMENTS, <br /> MATERIALS; <br /> ----------- i <br /> START STOP DEDUCT NET <br /> TIME TIME <br /> f"ORIVE' <br /> j <br /> L-r L� <br /> ECEIbE[) t DATE APPROVED BY <br /> T1ITAL CHARGES: $ <br /> TERMS and CONDITIONS <br /> Payment terms are net thirty(30)flays subject Ica crtarge of 1.5%per month on all past due balances,In the event the account becomes delinquent and d is necessary to institute <br /> legal proceedings,CUSTOMER agrees to pay DES'attorney's tees incurred in such proceeding,action.or suit or in any appeal thereon.The parties agree that actions or <br /> proceedings arising in connection wdh this ageaemart shall be trted.and litigated exclusively in the courts Iocaied in Contra Costa County,California, A <br />