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DEOE SAKHE 4S-BOJRQB T <br /> BE 73564 <br /> KME <br /> PO BOX 30248 . <br /> cc) �� STOCKTON,CALIFORNIA 95213-0248 <br /> (209)467-0626 (800)843-7056 <br /> MATEnIA00 INC 8 E p V I C E FLATS•PNEUMATICS•TRANSFERS <br /> 4 SAND•GRAVEL•CEMENT <br /> � RAILER NO <br /> J' <br /> Y*4Q CARIVEA CUST P O NO TE <br /> CoNsmGv <br /> ADDRESS ADDRESS <br /> r <br /> for- <br /> COT, <br /> Ac <br /> ' NAME AND ADDRESS OI DEBTOR ! <br /> ,s OTTER THAN cON51GNdf <br /> FOR USE WITH DISTANCE OR ZONE RATES DIST RAT"ONLY <br /> EG DISTANCE <br /> PEANT OF IN <br /> CRIOIN MILES <br /> ' PRECPSE - <br /> PO,NT OF i <br /> p(MTRIATION <br /> 0 �- <br /> 0� ..45 <br /> 3 <br /> ' 4 ~ <br /> 's <br /> 6 <br /> 7 <br /> COMMO8 <br /> TRANSPORTED II 1 p, ^y ' AT ORIGIN TY TYPE OF OASNG 0 POWER [3 Q OTHER <br /> TIME DRIVER REPORTED V` LOCATION AT WHICH <br /> FOR WORK DRIVER REPORTED FOR WORK <br /> A STARTING TIME B STARTING TIME OF C.OVERALL TINE IFRDM TIME RE <br /> OF LAST TRIP L AST AcKTRIP a pF PORTMIG rCA wgrK TO START OF <br /> LAST TRI/ <br /> ' ENDING TIME OF TAME TRIP PLUS 1}pVBLE INNMAX <br /> ENDING TIME TIME OF LAST TRIP PI Us UNLOAD <br /> OF LAST TRIP L TR TIME <br /> IX <br /> DP LASTAST TMP RJG TME OF LAST LOAtl! <br /> ELAPSED TIME OF FLA"SED TIME OF D EKDVCTIBLE TIME <br /> TME"INNING TIME THE VNLOADING FOR MCLS 09 FAIL URE OF <br /> OF LAST TRIP THE OF LAST TRT URRlEA TOUPPMENT <br /> REASON FOR DELAY NE7 CHARGEABLE TIME <br /> CHARGES <br /> APPLICAWE <br /> MOL/!LY <br /> RATE <br /> CONSIDNORS <br /> SIGNATURE RATE <br /> IN CENTS <br /> PER TON <br /> DRIVER 5 ACCESSORIAL HELPERS <br /> SIGNATURE OTHER CHARGES <br /> I <br /> CONSIGNEE S TOTAL <br /> ' SIGNATURE <br /> TERMS*NET 10TH PROX A SERVICE CHARGE OF 2% PER MO ASSESSLD ON ALL OVERDUE ACCOUNTS <br /> CONiIGNEE AGREES TO PAY ANY LEGAL FEES FOR COLLECTION OF DELINOUENT ACCOUNT <br /> WE MARE ALL DEL3VEMES IN51OE CURB­D6bp T C;A g S RISK ONLY AND ACCEPT NO RESPONSIBILITY FOR DAMAGES <br /> `�AlKAJ4TB.ST_'.SUCH D�IIVERY � <br /> ! <br />