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FORWARD SITE TICKET GRID <br /> �b INCORPORATED P <br /> 9999 South +ustin Road/WEICHING LOCATION P O Box 6336 WEIGHMASTER <br /> M ca, CA 95336 Stockton, CA 95206 <br /> I (209) 9x32-4298/WEICHwc LOCATION Main Office (209) 466-4482 DATE IN TIME IN <br /> R rce Recovery (209) 982-4936 Fax (209) 465-0631 1 ' - , , <br /> DATE OUT TIME OUT <br /> r) ,(/ <br /> f VEHICLE ROLL Orr- <br /> REFERENCE <br /> FFREFERENCE ORIGIN <br /> i � 4F 1 ✓j Q � 1 <br /> QTY UNIT DESCRIPTION RATE EXTENSION TAX TOTAL <br /> WEIGHMASTER CERTIFICATE THIS IS TO CERT4FY That the following described commodlty was weighed measured or counted by a weoghmoster whose signature is <br /> Dn this certificate who is a recognized authority of accuracy as prescribed by Chapter 7 (commencing with Section 12700)of Division 5 of the California Business <br /> and Professions Code administered by the Division of Measurement Standards of the California Department of Food and Agriculture _ <br /> NET AMOUNT <br /> • TENDERED <br /> CHANGE <br /> ^^i <br /> r <br /> y"• CHECK NO <br /> DRIVER'S SIGNATURE <br />• <br />