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DATE Dec 27,2012 <br /> CUSTOMER Alpha Tread <br /> IFB ITEM CONTRACT NO. 1354651-01 <br /> VEHICLE TYPE VAN LICENSE NO 3o STATE <br /> DIGITAL WEIGHT INDICATOR&PRINTER TICKET <br /> Ibs.GROSS <br /> lbs.TARE <br /> 40 lbs.NET <br /> WEIGHTMASTERS INITIALS/DATE J C DRIVER ON FVJ OFF <br /> CUSTOMER/AGENT/DATE — %'��/- � f (�/ PASSENGER ON OFF <br /> WEATHER: SNOW /�RPIN 0 / <br /> REMARKS <br /> SHIPMENT RECEIPT/DELIVERY PASS (Prescribing Authority: DLA Disposition Services Instruction 4160.14, Sec. 2, Ch. 6) <br /> 1.TO: PURCHASER OR AGENT (Name of Carrier,if Applicable) 2.FROM: (Name and location of Activity and Installation from which property <br /> ALPHA TREAD is being removed) <br /> 4301 E. IRVINGTON RD. DLA DISPOSITION SERVICES <br /> TUCSON, AZ 85714 700 E. ROTH RD. BLDG 286 <br /> FRENCH CAMP. CA. 95231 <br /> 3. INVITATION NUMBER 4.CONTRACT NUMBER <br /> S. ITEM 6. DESCRIPTION-OF MATERIAL 7. UNIT 8, QUANTITY <br /> RELEASED <br /> 1 SCRAP TIRES LB <br /> SHIPMENT NUMBER 9A. "X"TYPE OF SHIPMENT 10. TIME LOADED 11. VEHICLE LICENSE NO, <br /> PARTIAL OFINAL <br /> ?.RELEASED BY (Signature ofPDO orAuthorrzed RepresentaiiveJ13. TITLE OF AUTHORIZED DISPOSAL REPRESENTATIVE <br /> RELEASING PROPERTY <br /> JSTIN CROUCH PROPERTY DISPOSAL SPECIALIST <br /> SIGNATURE'OF PURCHASE R AGENT 15. DATE PROPERTY IS RELEASED <br /> 12/27/12 <br /> ell <br /> j TO BE COMPLETED BY SECURITY PERSONNEL ONLY <br /> TIM),SHIPMENT LEAVES INSTALLATION 17. SENTRY'S INITIALS <br /> DISPOSITION SERVICES FORM 1367,AUG 2004 <br />