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FORWARD 517E TICKET GRID <br /> 4 INC OR PORATE O <br />)999 South Austin Road/WEIGHING LOCATION P O Box 6336 WEIGHMASTER <br /> N a, CA 95336 Stockton, CA 95246 <br /> T (249) 982-4298/WEIGHING LOCATION Main Office (209) 466-4482 DATE IN TIME IN <br /> sr ee Recovery (209) 982-4936 Fax (209) 465-0631 <br /> DATE OUT TIME OUT <br /> VEWCLE ROLL OFF <br /> REFERENCE ORIGIN <br /> CITY UNiT DESCRIPTION RATE: EXTENSION TAX TOTAL <br /> KEIGHMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed measured or counted by a weighmaster whose signature Is <br /> in this cerhflcate who is a recognized authority of accuracy as prescribed by Chapter 7(commencing with Section 12700)of Division 5 of the CaFfornla Business <br /> ind Professions Code administered by the Divtlon of Measurement Standards of the California Department of Food and Agriculture <br /> NET AMOUNT <br /> �w <br /> r <br /> f f-, TENDERED <br /> CHANGE <br /> CHECK NO <br /> DRIVER'S SIGNATURE <br />