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vrr�.c vcryNw)Y�riaw <br /> Dillard Trucking, Inc. db OrER <br /> (AlTardEn`flironmenta(ServweS FREI T L <br /> PO Box 579 04035 <br /> Byron, CA 94514 <br /> Telephone No. (925)634-6850 <br /> Facsimile No. (925) 634-0569 <br /> JOB NUMBERS(S) JOB NUMBERS(S) JOB NUMBERS(S) JOB NUMBERS(S) <br /> Date # <br /> TRUCK �I TRAILE�5 # r 00 Ll o <br /> NO. NO. # <br /> SUB. <br /> HAULER ..► <br /> PRIME CONSIGNEE <br /> CARRIER C <br /> GENERATOR(S) '{ DESTINATION L76 -t-lel k1 <br /> Cto Ero CITY <br /> CITY <br /> BEGI ENDI <br /> 1..� <br /> . ,— VS0 <br /> FUEL-GALLONS FU -VENDOR <br /> MATERIALS LOADING UNLOADING #1 #2 #1 #2 <br /> MANIFEST YARDS OR TIME TIME TIME TIME <br /> NO NO. WEIGHT ARRIVE LEAVE ARRIVE LEAVE <br /> ' 2 <br /> OFF USE ONLY <br /> T TNS HR /LDS/YDS <br /> 5 I -� TRANSPORTATION UNITS: <br /> 5 <br /> 6 TRANSPORTATION RATE: 0 <br /> SUBTOTAL: $ <br /> 8 <br /> DISPOSAL UNITS: <br /> 9 <br /> DISPOSAL RATE: <br /> 10 <br /> 11 SUBTOTAL: $ <br /> 12 <br /> 13 BRIDGE-TOLL: <br /> COMMENTS: MATERIALS: <br /> START STOP j DEDUCT NET <br /> U 1V TIME TIME <br /> st <br /> DRIVER ` <br /> i <br /> RECEIVED DATE APPROVED BY TOTAL CHARGES: $ <br /> TERMS and CONDITIONS <br /> Payment terms are net thirty(30)days subject to a charge of 1.5%per month on all past due balances.In the event the account becomes delinquent and it is necessary to institute <br /> legal proceedings,CUSTOMER agrees to pay DES'attorney's fees incurred in such proceeding,action or suit or in any appeal thereon. The parties agree that actions or <br /> proceedings arising in connection with this agreement shall be tried and litigated exclusively in the courts located in Contra Costa County,California. <br />