Laserfiche WebLink
FORWARD SITE TICKET GRID <br /> 4�. INCORPORATED <br /> 9999 South Austin Raad/WEIGHING LOCATION P O Box 6336 WEIGHMASTER <br /> Manteca, CA 95336 Stockton, CA 95206 <br /> 'O (209) 982-4298/WFIGHING LOCATION Main Office (209) 466-4482 DATE IN TIME IN <br /> ce Recovery (209) 982-4936 Fax (209) 465-06311 <br /> f <br /> DATE OUT TIME OUT <br /> r z >>! <br /> VEHICLE R01-1-OFF <br /> i r <br /> REFERENCE ORIGIN <br /> }} <br /> L <br /> QTY UNIT DESCRIPTION RATE EXTENSION TAX TOTAL <br /> i <br /> NEIGHMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed measured or counted by a weighmaster whose signature is <br />)n 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 /> �. CHECK NO <br /> r � ' <br /> , <br /> DRIVER'S SIGNATURE <br />