Laserfiche WebLink
DATE Sep 27,2016 <br /> CUSTOMER C2G,LTD Co. <br /> IFB ITEM CONTRACT N6. <br /> $p4510-10=A-0007 1021 <br /> VEHICLETYPE Van LICENSE NO 7C_r S'k STATE <br /> DIGITAL WEIGHT INDICATOR&PRINTER TICKET <br /> ♦ J� ao 40 Ib,.GROSS <br /> /J5 74�n 40 Ibs.TARE <br /> 1-� 1 q,n 40 Ibs.NET <br /> WEIGHTMASTERSINITIALS/DATE EV 9-27-16 DRIVER ON El OFF E] <br /> CUSTOMER/AGENT/DATE I, 0 9-27-16 PASSENGER ON 11:1 OFF E] <br /> WEATHER: SNOW RAIN <br /> REMARKS <br /> SHIPMENT RECEIPT/DELIVERY PASS: ,(Prescribing Authority: PtA Disposition.Services Instruction 4160.14, Sec. 2, Ch. 6) <br /> 1.TO: PURCHASER OR AGENT (Name of Carrier,ifAppllcab/e) 2.FROM: (Name and location ofActivity and Installation from which property <br /> D Co. is being removed) <br /> C2C, LT <br /> 110 Mallo DLA Disposition Services-San Joaquin <br /> Goose Creek SC 29445-5446 25600 CRd. Bldg. 6 <br /> Tracy, Caa.. 9 95305304 <br /> 3. INVITATION NUMBER 4.CONTRACT NUMBER <br /> 5. ITEM 6. DESCRIPTION OF MATERIAL 7. UNIT B• QUANTITY <br /> RELEASED <br /> r1 <br /> 1 SCRAP TIRES )mph LBS 13 1 aO j <br /> CLIN 1001 <br /> 9. SHIPMENT NUMBER 9A. "X"TYPE OF SHIPMENT 10.TIME LOADED 11. VEHICLE LICENSE NO. <br /> ❑PARTIAL ]FIN. 7 <br /> 12.RELEASED BY (Signature of PDOorAuthoriiedRepresentative) 13.TITLE OF AUTHORIZED DISPOSAL REPRESENTATIVE <br /> RELEASING PROPERTY <br /> Property Disposal Specialist <br /> 14. SIGNATURE OF PURCHASER OR AGENT 15. DATE PROPERTY IS RELEASED <br /> 9-27-16 <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 /> l �7.4(P <br />