Laserfiche WebLink
11/03/2011 13:02 209-521 1 MCCOY TRUCK TI PAGE 12/14 <br /> WORK ORDER I MANIFEST <br /> O <br /> 1274677- 4 17 9 9 <br /> McCoy Truck Tin'Service Center, Ino. Name: <br /> 1407 Lone Palm Ave, s AdAddress.r� <br /> Modesto.CA 9535L - C � Siete: <br /> 209-621-6221 11�T'' zip: .5, 3 Phone: <br /> TPID-1 4877-01 TP with$vM I <br /> Load Date: Load TO:Ywhol!_U Cubic Yard Pound <br /> Decal # - Pick-up Count; _ <br /> License Is :(W cot code: RWDY ] ellvery Count;_,-, _ <br /> SIZE MFG. POT TREAD WHEEL COMMENt <br /> 2 <br /> 3 ---- <br /> 4 - _ - - -- -• _.. <br /> 10 ' <br /> 12 -- <br /> 13 <br /> 14 <br /> 16 <br /> 18 <br /> 17 <br /> 18 -� <br /> 19 <br /> 20 <br /> DNvers Signatur®: mar Si re: - `� Date: <br /> Drivers Name(print), Q/V ..) Customer Name rint <br /> i rnrary amt unar or ury e"a me 9Me of CeII�l1vI M IfIWrMlntfefl 101 OIOI INION df under the Go d dA aw of cavomia Nmi vio kepRN>tbn <br /> e�c�tdb0 eem�e I-We orld edited In ad�tlen.l en ehele tlw1 aorpVi.NlMx�rgepwp1611rrma ortr�vTu�v}M�W aDae Ie SU odrt�dapl�prM7lay fl,1 am Anna■got r�MMIlan nr qt■r,tn y <br /> fi Te MI�OeMt eMelbn nM elnty wur In oMN pr�r�Nr QOOe11EeE In Pudb MN M�..eAA.A(n rl efle Ife.euiee^eCede a en a29B eneMb6 ue ro S� <br /> r��PIblw or up b lSADO Oar uble0en Ols N <br /> �aurce p ( ]Imported Load [ ]Exported Load and Location Hauler Exemption Status: <br /> as W ACgress: [ ]Government <br /> [ ]LEA Exempt <br /> city Agricultural <br /> �• - ( ]Common Card®r <br /> Received Time Nov, 4, 2011 1 : 21PM No. 2465 <br />