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r <br /> r r� FORWARD , <br /> SITE71CKET GRID <br /> INCORPORATED � _ <br /> 9999 South Austin Road/WEIGHING LOCATION P O Box 63* + +< WEIGHMASTER <br /> Rrca, CA 95336 Stoakton, 95206 <br /> I (209)982-4298/WEIGHING LOCATION Main Of6 (209) 466-4482 ADATE IN TIME IN <br /> rce Recovery (209) 982-4936 Fax (209)465-0631 <br /> 1)i-, l.f) ;— <br /> `F 3"111H 1 1='>''t` ,3I,i�^s, — + i , �'- w 4 DATE OUT TIME OUT <br /> t.„� I xYti�l.��tY.. �{ f "ti. -+ + <br /> , i <br /> VEHfCLE ROLL OFF <br /> `aY e riA3L / REFERENCE+ r�+ i sORIGIN <br /> `` '-tib" ,1<-;,.. }.{I�:. }F w r {r t➢ ' , trr LY 1{ teL f rr" .-!� ��Z. <br /> T, <br /> n� Y <br /> c QTY a'i i;3cs: '. ,UNITffi M1S nasnra' �y rl� i• 'tip DESGRIPTIDNk <={v` e'`s` F1A7Et EXTENSION,,,, TAX TOTAL <br /> k <br /> NEIGHMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed measured or counted by a wefghmaster whose signature Is <br /> in this certificate who Is a recognized authority of accuracy as prescribed by Chapter 7(commenying with Section 12700)of Dlvfsfon 5 of the California Buslness <br /> and Professions Code administered by the Division of Measurement Stanaards of the Callfomia Department of Food and Agriculture <br /> NET AMOUNT <br /> M 1t'i3 k Jett '1C„ `i NDERED <br /> �y CHANGE <br /> CHECK NO <br /> DRIVER'S S16 ATURE <br />