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DATE Mar 26,2013 <br /> CUSTOMER . , <br /> IFB ITEM CONTRACT NO. r <br /> 1354651-01 <br /> VEHICLETYPE VAN LICENSE NOI l,' i,-2,2 STATE �+\c <br /> DIGITAL WEIGHT INDICATOR&PRINTER TICKET / <br /> �y 'Z.--).-6 40 Ibs.GROSS <br /> 34,400 IbS.TARE <br /> 5 ,{ aQ Ibs.NET <br /> WEIGHTMASTERS INITIALS/DATE J C 1 3 DRIVER ON Ej OFF F] <br /> CUSTOM ER/AGENT/DATEI�A �� _f PASSENGER ON OFF Ej <br /> WEATHER: SNOW F1 RAIN' �' <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 /> is being removed) <br /> United Tire Removal DLA DISPOSITION SERVICES <br /> 15215 Sherri Lane 700 E. ROTH RD, BLDG 286 <br /> Apple Valley, CA 92307 FRENCH CAMP. CA. 95231 ' <br /> 3. INVITATION NUMBER 4. CONTRACT NUMBER <br /> 5' .,ITEM 6. DESCRIPTION OF MATERIAL' 7• UNIT ' 8. QUANTITY <br /> RELEASED <br /> 1 SCRAP TIRES LB <br /> 9. SHIPMENT NUMBER 9A. "T TYPE OF SHIPMENT 10.TIME LOADED 11. VEHICL LICENSE NO. <br /> E]PARTIAL FINAL O,f) <br /> l � <br /> 12.RELEASED BY (Signature ofPDO crAuthorized Representative) 13.TITLE OF AUTHORIZED DISPOSAL REPRESENTATIVE <br /> RELEASING PROPERTY <br /> JUSTIN CROUCH PROPERTY DISPOSAL SPECIALIST <br /> 14. SIGNATURE OF PURCHASER OR AGENT 15. DATE PROPERTY 15 RELEASED <br /> 03/26/2013 <br /> TO BE COMPLETED BY SECURITY PERSONNEL ONLY <br /> 16. TIME SHIPMENT LEAVES INSTALLATION 17. SENTRY'S INITIALS <br /> DLA DISPOSITION SERVICES FORM 1367,AUG 2004 <br />