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DUMP TRUCK FREIGHT 81LL <br /> HOURLY-ZONE-TONS; E <br /> BILL NO . <br /> PRINCIPAL OR OVER- U' DATE 564232 <br /> .. LYING CARRIER <br /> TRUCK# <br /> ADDRESS Z <br /> CITY r— �.4 � ZIP "�,r TRAILER# Q � <br /> STATE <br /> UNDERLYING - .. y' CAL-T11 S�j— 7 O <br /> CARRIER IIF ANY) <br /> SHIPPER i �— 5 1 <br /> CONSIGNOR z CONSIGNEE <br /> STREET <br /> STREET ` OR BOX LSr Q -j f-n C/4 <br /> OR BOX /�} r <br /> 5,t,- <br /> ,— <br /> QTY/STATE/ZIP C,/ L.e CITY/STATE/ZIP <br /> E--. <br /> ROKER# NAME AND ADDRESS OF DEBITOR OTHER THAN CONSIGNORRATE J❑HOURLY PT.OFORIGIN A`7�AREA LETTER DELIVERY 2011E NQ AUIEAGE ,I' y <br /> ® PLOFDESTINATION - ��� H•y:,r <br /> ❑TONNAGE { <br /> TAG • WEIGHT • •i , •' <br /> o <br /> 7r:z7- <br /> oc / '2-z <br /> j4e� Z; tc 1014 <br /> A � - , dr`., .�: It RIVF.1 <br /> I <br /> i <br /> !F <br /> TYPE OF DUMP TRUCK EQUIPMENT TRAILERS) <br /> REPORTING TIME ENDING TIME TOTAL _ TOTAL TONS <br /> ❑NONE (. -7.' 3o ' ACCESSORIAL <br /> TRUCK TRACTOR ❑ BOTTOM DUMP DBL START DRIVING ARRIVAL TIME AT D TIME OTHER CHARGES <br /> t;_RANSFER LIME LasT DUMP LASTSUB TOTAL <br /> 2 AXLEC112 AXLEND DUMP SEMI TRIP TRIP <br /> ❑ 3 AXLE 3 AXLE <br /> END UNLOADING.... RUNNING T1ME...•..•.--,ir NET I - ='=.::- e "fir <br /> X �'LAST TRIP - LAST TRIP .. ..lI <br /> CARRIERTERMS,A SERVICE CHARGE oP tux mLL BE AS <br /> PU C UT1LiT 5 COMMISSION RE- <br /> X , SESSEO TO ALL ACCOUNTS PAST DUE�O GAYS AS'��; <br /> PERMITTED BY LAW.COURT COSTS,AT FEES,�, QUIRES PAYMENT FOR THESE <br /> DRNER SIGNATURE AND ALL COSTS THAT ARISE FROM ANY PROCEEDINGS,{ CHARGES NOT LATER THAN THE 25th <br /> i° FOR THE COLLECTION OF AMOUNTS DUE TO THE,f�. <br /> y ABOVE CARRIER FOR WORK DONE FOR THE ABOVE;I'DAY OF THE MONTH FOLLOWING DATE <br /> ^ �I CUSTOMER WILL BE PAID By THE ABOVE CUSTOMER.' <br /> CC <br /> CONSIGNEE SIGNATURE ATTENTION UNDERLYING CARRIFRS:NO payment will Ue i OF THIS BILL. REV, O <br /> CALIFORNIA DUMP TRUCK OWNERS ASSOCIATION-334 NORTH EUCLID E,I UPLAND,:fim out ,CALIF 91786-6031 {714}982-9898/88 M <br /> E <br />