Laserfiche WebLink
MCCOY TRUCK TIRF PAGE 06/14 <br /> 11!63/2011 13:02 209-521-� � <br /> err � <br /> WORK ORDER!MANIrEST <br /> 1274877- 37 07 5 <br /> WaSIC Tike Hjuler <br /> McCoy Truck The Service Center,Inc. Name: /0.1�1(:�t <br /> 1407 tone Palm Ave. $ Addresb:�f� <br /> Modesto, CA 95351 5�,� City. Stets: <br /> 205-521-6221 Zip; ,sr (� !� Phone: <br /> 1 �O <br /> ID- 74877-01 TPID with Suffix: / 7 le s`<9/ <br /> Load Data: zzz f Load Typo-, KWhole ]Cuble Yard [ Ton I ]Pound <br /> Deca" _ Pick-up Count: <br /> Lice sul:r, Dot code; RWDY [ euve Count:_,,., <br /> S E MFG, DOT 9 TREAD WHEEL COMMENTS <br /> 4 <br /> ..._....... <br /> _. . . <br /> 10 <br /> 12 ..........— <br /> 13 _ _,...... .,...,...._.. _...,..,_......... . _,,.__._ .. <br /> 14 _-_ ._...,... - -,_, ... _.._............... <br /> 16 _............. _ _,... - - _...,. _......__..... ,,.., <br /> 17 <br /> 20 <br /> Drivers Signature: Customer Signature: Date: <br /> Orivers Name Anj Customer Name(print <br /> t ppl(Ify �r orndb Ma mo lauh of tlq MMS 0 9nllto<n4 mai ma inmm��gnn I n�Alb lh�..�_.o•�eiry N dlr�t>(t tM�M�Spoto o!rnp�mtn nat mo infamat}on <br /> pro e a nro and m odetdon,1 nm aMaro I gel k�aMa.mn vl mm trdamwnon may pmMAMt!Ahmw a IRb Bn0�pfOW¢�In on,I cam.waro U�etfaloHlallan e4 d+h Mfarmatlan may <br /> roeutr In aueperWan,ravoaatlm,ar dnnlAl of mnnwnt of lna W�.tA Tkq Hnam N�4atmMOr1 puteu nI F Pei civil peneltt"up m 626.ead p� vy�vlobt an or narrntxatr�lN� <br /> to Eli <br /> U.". <br /> b Rwppu�C�`opdQ �s�t. 4'2p8Q end nM reatM M wa pendlbe vp to Q day. per dellen por day as dooea M,b,Mie Rmuron CORa neltlkln ARDr+?. <br /> RQ MD yr adminl�trvlFw po M ub 1036.000 Mw Volnum wr Cq a6 desar'.Dad h+Puhic <br /> iEli mU.Ell1 n42%2. <br /> 1 ]Imported Load [ ]Exported Load and Location Hauler Exemptlon Status: <br /> Address; [ ]Government <br /> [ ]LEA 6X4MOt <br /> City State: [ ]Agricultural <br /> Common Cerner <br /> Received Time Nov. 4, 2011 1 : 21PM No- 2465 <br />