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DUMP TRUCK FREIGHT BILL" ' <br /> HOURLY-ZONE-TONNAGE 4 <br /> BILL NO. <br /> LPTINCIPAL OR YING CARRIER v J DATE 5642 <br /> 33 � <br /> I <br /> ADDRESS TRUCK# <br /> CITY <br /> STATE ' ZIP d TRAILER# � <br /> UNDERLYING ` <br /> CARRIER(IF ANY) CAL-T# I <br /> SHIPPER <br /> CONSIGNOR CONSIGNEE <br /> STREET STREET <br /> OR BOX OR BOXt V-01 <br /> ---urd�rhl4i. >•! hWa <br /> �., <br /> CITY/STATE/ZIP � _ i CITY/STATE/ZIP �ICAP <br /> JOB# BROKER# NAME AND ADDRESS OF DEBITOR OTHER THAN CONSIGNOR <br /> li s It <br /> E R6M ONLY RA <br /> PT.OF <br /> PRODUCTION AREA LETTER DELIVERY ZONE NQ NLEAGE =. RATE ❑HOURLY I <br /> SII ❑TONNAGE PL OF DESTINATION <br /> • • •� ••� ••N . c <br /> i' <br /> f <br /> 1 <br /> 1 <br /> I� <br /> TYPE OF DUMP TRUCK EQUIPMENT TRAILER(S)r REPORTING TIME ENDING TIME i! TOTAL TIME TOTAL TONS <br /> ❑NONE -7,, t3�✓ C� 'f C f (VL, ACCESSORIAL <br /> TRUCK TRACTOR ❑BOTTOM DUMP DBL START DRIVING ARRIVAL TIME AT DEDUC71BLE TIME OTHER CHARGES <br /> TRANSFER Ti LASTS ( DUMP ILA�U�� SUBTOTAL <br /> 2-AXLE ❑ 2 AXLE y ND DUMP SO4' .. , C. <br /> ❑ 3 AXLE P AXLE 1 <br /> END UNLOADING RUNNING TIME NETJjLNE� • <br /> ' - LAST TRIP � LAST TRIP <br /> X <br /> CARRIER I� TERMS:A SERVICE CHARGE OF 1%%WILL BE AS- ].;PUBLIC ILITIES C`iOMMISSION RE- } <br /> x PE METfED Y AwW.COURT COSTS, TTa NEW FEES!l'--QUIRES PAYMENT FOR THESE <br /> DRIVER SIGNATURE- -, AND ALL COSTS THAT ARISE FROM ANY PROCEEDINGS i' CHARGES NOT LATER THAN THE 25th , <br /> FOR THE COLLECTION OF AMOUNTS DUE'm THE �� ' <br /> x ABOVE CARRIER FOR WORK DONE FOR THE ABOVE•p DAY OF THE MONTH FOLLOWING DATE <br /> CUSTOMER WILL BE.t D BY THE ABOVE CUSTOMER ,� I <br /> CONSIGNEE SIGNATURE ATTENTION UNDERLYING CARRIERS:No payment wiR be .i j OF THIS BILL. REV. ©M F <br /> maga for TIC= <br /> MOT eompum Lr lRled cm d/88 <br /> CALIFORNIA DUMP TRUCK OWNERS ASSOCIATION-334 NORTH EUCLID AVE,UPLAND,CALIF. 91786-6031 (714)982-9898 - <br /> j <br /> . r ! <br /> II ' <br />