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FORWARD <br /> I N C O R P O sisF' <br /> DATED , <br /> ,99 South Austin Road/WEIGHING LOCATION P O 'Box 6336 _ - .. :,�WEIGHMASTER <br /> i rnteca,CA 95336 - ' Stockton,CA 95206 i# i pitaxz <br /> *rce <br /> ll (209)982-4298/WEIGHING LOCATION Main Office (209) 466-4482 s� �,f pA71i INS- ?��'�.axrx ;�^ :a rx�r -TWE IN <br /> Recovery (209)982-4936 Fax (209) 465-0631 1 � `�'X" . i l't 'I <br /> r F <br /> 'PAA§OUT z 7;; elicv f STIME OUT <br /> 7'tii-:rttx:y <br /> 'Z Tyr`' ,. ' ,• r _ ` <br /> 1 ��r�`_- E:1-IiCLE`st "��.yt1 �.---,-ti rk-•, -tr�`POLI_OFF � � <br /> - s '� �AEFERENC � <br /> t{j�s'i Z'f tt.`�1 �G`^.�aX �-,i W j -s. 1� u u.:,i:.rr. .„.t.,•{ y M' - <br /> -^ 4T'F. [JNI ��rf �r ` [lI=SCRIPTION w tY t x <br /> F�. %�AATI` r �EKfENStOPt -,TpJEa �" g*TOTAL <br /> 4 � <br /> _1 Z <br /> r <br /> r � <br /> WEIGHMASTER CERIFICATE THIS IS TO CERTIFY That the following described commodity was weighed measured or counted by a wercghriaster v hose k—icr,re ry <br /> this certificate who is a recognized authority of accuracy as prescribes!by Chapter 7(commencing with Section 12700)of Droslon 5 of the CaIrternla&-aness <br /> d Professions Code administered by the DMsion of Measurement Standards of the Calrfomla Department of Food and Agriculture <br /> t° M <br /> 27 w t j ? vc— A1A�CitVT <br /> Y. <br /> TENDERED <br /> 1 ^i` 1,`) int aCHMGEr3 <br /> CHECK NQ <br /> r ' 'r <br /> DRIVER'S SIGNATURE • �� /�� J <br /> i <br />