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- + � FORWARD SITE TICKET GRID <br /> Vb INCORPORATED ' <br /> WEIGHMASTER <br />)999 South Austin Road/WEIIGHING LOCATION P O Box 6336 <br /> a, CA Q5336 Stockton, CA 95206 k' ; vi . r' <br /> (209) 982 4298/WEIGHING LOCATION Main Office (209) 466-4482 DATE IN TIME IN <br /> tesource Recovery (209) 982-4936 Fax (209) 465-0631r <br /> rr E e,3,i`z <br /> i DATE OUT TIME OUT <br /> .ES J_ e <br /> t 1 s ROLL OFF <br /> s 1 tr - - LlL(� Q r—� VEHICLE <br /> t i 4�S s r t <br /> �'� <br /> [FE ORIGIN <br /> LJ h ` ! <br /> i A!,'ON <br /> !.7 CSP1 i_�G� <br /> k AU 4,S <br /> CITY UNIT DESCRIPTION RATE EXTENSION TAX TOTAL <br /> s <br /> I <br /> I <br /> i <br /> WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed measured or counted by a weighmoster whose signature is <br /> on this certiflcote who Is a recogn;zed authority of accuracy as prescribed by Chapter 7(commencing with Sectlon 12700)of Division 5 of the California Business <br /> and Professions Code administered by the Dlwslon of Measurement Standards of the Caiifornia Department of Food and Agriculture <br /> NET AMOUNT <br /> • <br /> I <br /> TENDERED <br /> CHANGE <br /> 3 <br /> r CHECK NO <br /> DENVER'S SIGNATURE <br /> • <br />