Laserfiche WebLink
ORWARD SITE TICKET GRID <br /> INCORPORATED <br />)999 South Austin R0ar)/WEIGHIr4G LOCATION P O Box 6336 WEICsHMASTER <br /> lto a, CA 95336 Stockton, CA 95206 <br /> (209) 982-4298/WEIGHING LOCATION Main Office (209) 466 4482 DATE IN TIME IN <br /> tes rce Recovery (209) 982-4936 Fax (209) 465-0631 t <br /> t- w, r= DATE OUT TIME OUT <br /> W4H I- tf`.tit exti7'! L L <br /> Y 19 fe VEHICLE ROLL OFF <br /> , REFERENCE ORIGIN <br /> QTY UNIT DESCRIPTION RATE EXTENSION TAX TOTAL <br /> VEIGHMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed measured or counted by a weighmaster whose signature is <br /> m this certificate who is a recognized authority of accuracy as prescribed by Chapter 7(commencing with Section 12700)of Divis[on 5 of the California Business <br /> ind Professions Code administered by the Dlvislon of Measurement Standards of the California Department of Food and Agriculture _ <br /> NET AMOUNT <br /> iTENDERED <br /> � A <br /> CHANGE <br /> CHECK NO <br /> DRIVER'S SIGNATURE <br />