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FORWARD SITE TICKET GRID <br /> �,►� INCORPORATED <br /> ` <br /> 9999 South Austin Road/WEIGHING LOCATION P O Box 6336 WEIGHMASTER <br /> a,CA 95336 Stockton CA 95206 i <br /> LIW (209) 982-4298/WEIGHING LOCATION Main Office (209) 4664482 l y 1 DATE IN TIME IN <br /> Resource RerrQyery (209) 982-4936 Fax (209) 465 0631 <br /> DATr=OUT TIME OUT <br /> Irv" 01 0 <br /> VEH CLE ROLL OFF <br /> a^ 1 <br /> 8 S f} t} ' " FEFtENCE` ORIGIN <br /> + e <br /> r7 frit til-I '�l r fJ ,� + mil lrfa <br /> QTY NET µ SG IP i5 RATE EXTENSION TAX TOTAL <br /> L <br /> WEiGHMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed measured or counted by a weighmaster whose signature is <br /> on this certificate who Is a recognized authority of accuracy as prescribed by Chapter 7(commencing with Sectscn 12700)of Division 5 of the California Business <br /> and Professions Code administered by the Divis n of Measurement Standards of the California Department of Food and Agriculture _ <br /> NET AMOUNT <br /> } TENDERED <br /> CHANGE <br /> CHECK NO <br /> DRIVER'S SIGNATURE <br /> 1 <br /> a <br /> 1 <br /> r <br /> t <br /> fo <br />