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<br /> r (,W.ION ASTEFIJ, !i,CERT1FIfC/� f� p• I' u,b'1 jJ f. ; . r - r 1 1 ,^�Ji•t'
<br /> I �rlfylr. WEIG11MAJlLH uLiIIIII(.,I�
<br /> IIU;,I„Ii,r.c1111FYdmllbelolk,1y1 " 11 � ,q.li��4 a ,
<br /> s4lnal its h.on this curld . commodltywasws (� 11115 IS l O CERTIFY u..o Il a l„II,,.nn�dxscrlUxd•.umn odll; as wnlyhud.meae.
<br /> 1410.who le 01 ,� _ IG�d.mribod bQ� alb wel�hmttale/�wrlpae I' e�pnal.u6 la u I this wNIL ate.who la a rea�pnl:ed eulhunty of er cwn.:y,as pr.•srnW.l
<br /> f 27W1 Of D�aslon 5 or the Celdomis Bust' 0e�Pr leselona CodO�'r n prsecribed b Ch r I`+'•;,• t'.
<br /> of Iho LaLk.nda Ddparbra,nl of Food end A _ y 'ilCOrnrnencino with Section ”'y,.l �,.' 127001 of DwL.lun,of Ilia California Bualnaaa aria Roless„os Calx•aJminh.terud by Ill,,Drofslu',nl AL.auurxrne q St.rnl..�,
<br /> 0,0dminlslered by the Division of Mxseurems.rt St.rndarda I rsl
<br /> pllculluro. - of the(:uhlun Ja Dol w.6ora.1 0l Foucl urrl Agn.:ulh au
<br /> t
<br /> DAIS RM
<br /> `I 1 C LOESTAR'
<br /> ;WEIG AAA8IER �' ✓1 ;,!.DATt ���M �R�1 LONESTAH WLIGHMASILit
<br /> r TIME•. �^ ^ r i�y� !n� �7P IIr.11
<br /> -- Y. _ �, .,SWAbi s :1t1� I, I ,�� �G1j��� .;:F �1a 'I; ; `�Q13�215� 4 � , A . :AIii, I r .
<br /> AEH IU "bEPU }t ri• 7,iAir'T.}t� vi ' t� ____ I,Lr'I,I
<br /> OUR ORDER NOI, , t CUSTOMER ORD r(I �I'CUSTOMER!1D,: OUR'ORD NO t GI15TUf.1LH OHULH NU
<br /> Cir r ER NO r'} 1 r Irl l 11,` "TAG NUM9ER b :r7 1 r 1•' it I AG t4i JM
<br /> r•'.7;s7 Ir�ay I l.,i 1 �;:h' �.� C• 2C � r b.
<br /> 1
<br /> J SOLD TO: —� _-
<br /> DELIVEREOTO: -'i—• „ . ' WAIVLHLD Iu.
<br /> 1 II I:.I 11 11 l A V A I 1116
<br /> ,7V;
<br /> L.A1- NF NC 1: L 1V1: 1�1I•AL b1 .I AF;1.11J::;111J Ex6-aVAfTN. iU I ;1111;1 III I I 1 '�'I 1
<br /> hl( C1ftll•l ti 1r;I.I: 'r ,' I, ACY
<br /> M(.Illif A �l bt_l• . PI(: (.111'11 t It f;iftl 1= 7 II 71( 1
<br /> C '�55'lt>J� ^r► Tr ' ' ,sAr�1A�r��iiJ,l;w � ;,.). �.�R��''•`����,., � f
<br /> 1
<br /> ` 1. 1 j 1'1 ' -\� •.ill (l.'� 'tl'1..! 1. 1
<br /> PRODUCT DESCHIPP TION r ---
<br /> 17
<br /> PRODUCT NO. PIIULAh 1 u[SGIIIPIkiN
<br /> \ •, i 'r.. ! f �j, til OrrH•I' ,
<br /> t iJ 4 • W. Ct Vl_ . '�rr;,,4. , I I, 1 4 1 0 3 ;: fi a 1'I
<br /> CiVI. •
<br /> Io --—-- ----
<br /> HAULER DESCR - `rr HAULER NO
<br /> IPTION — --- — 11AUlLH DLRI
<br /> SCF l
<br /> d• f ' ION
<br /> 1�' -- �uu t)L�Id l
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<br /> r UE:NT TRLICK N' y. � ► .I: ), I� ..� i I r ) ( kltl 11Ilii,
<br /> :K NO. --- ----- , -- -- --- _____ _
<br /> �r11
<br /> CUSi OMER TRUCK NO. ' (' OUR TRUCK NO. CUS 1 UMLH 1 RUCK PID. LOADS TODAY
<br /> LOADS TODAY , .,TONS TODAY. 1Ur15 IuUA
<br /> 0(11 IJI-t 20 C
<br /> ) .
<br /> di
<br /> AT:(SEEVERSE SIDE FOR PLANT I.D.) -- E FOR PLANT . — _--.
<br /> '= WEIGHED AT S REVERSE SIDE F -
<br /> WE1GFiTS EE OR PLANT I.D.) WEIGHTS
<br /> —
<br /> AFFFtIIn YDS: Z4 c�Jr,Q.;: �:EtiI. INGER 0114 AI'I'1:r1;, y1)':,
<br /> ON 1�,OFF ��N N E T T CON$: Z 4. 2 6 �I f ��11 SCALE NO. DRIVER ON OFF NE. I 10 a
<br /> ON ' +( f �f•1 J+1 1 24 1 �' a NE1 1 LWL'lt
<br /> a�rJj 4 ,�,�1 'pb"�Iries' NEI — 1_L:
<br /> f`TAFtE•:LB$t �;iyl(t,��Ij,fLQO . I t RECEIVED BY: — (AliE 1. E5: ill , ,`111
<br /> 'GROSS Lr,S: ;�;:L'' 78 ; 72011'� .<
<br /> X--
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