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=r :E=07;5:0!= -i�00 <br /> Dillard Trucking, Inc. dba. SHIPPING ORDER <br /> DiZrdEn-r ironmentaCServices FREIGHT BALL <br /> PO Box 579 <br /> Byron, CA 94514 10 6 13 2 <br /> Telephone:No. (925) 634-6350 <br /> 1 / Facsimile No. (925) 634-0569 <br /> Date L C �i 4 <br /> JOB NO, NO- <br /> JOB NUMBERS(S) JOB NUMBERS(S) JOS NUPrIBERSiS <br /> TRUCK J TRAILER <br /> SUB. # # # # <br /> HAULER <br /> PRIME / � 4CONSI EECARRIERw /L <br /> 5�`�� <br /> GENERATOR(S) �J � � . D $TINAT ION <br /> CITY <br /> CITY (jj+j VEGINNING MILEAGE ENDING MILEAGE <br /> MATERIALS OADING i UNLOADING FUEL -GALLONS__ FUEL-VENDOR <br /> ,,��yy I:.17 4rl <br /> MANIFEST YARDSOR TIME IME TIME TIME <br /> NO NO. I WEIGHT I ARRIVE LF—WE ARRIVE LEAVE <br /> 1 - <br /> F <br /> OFFICE USE ONLY <br /> 4 I TNS!HRS,'LDS!YDS <br /> 5 f I I i TRANSPORTATION UNITS: I <br /> 8 I I TRANSPORTATION RATE: <br /> 7 I I SUBTOTAL: $ <br /> 8 i I <br /> I <br /> 9 I DISPOSAL UNITS: <br /> I � <br /> 10 I DISPOSAL RATE: I <br /> 11 I I SUBTOTAL: <br /> Is <br /> 12 <br /> 13 BRIDGE-TOLL: <br /> COMMENTS: �6 MATERIALS: I <br /> START STOP D MEUCT TNET <br /> IME <br /> DRIVER <br /> RECEIVED DATE 1 APPROVED BY TOTAL CHARGES: , $ <br /> E <br /> TERMS and CONDITIONS <br /> Payment terms are net thirty(30)days subject to a charge of 1.5'0 per month an atl past due balances.In the event the account becomes delinquent and itis necessary to institute <br /> legal proceedings. CUSTOMER agrees to pay DES'attorney's fees incurred in sucn proceeding,action or suit or in any appeal thereon.The parties agree that actions or <br /> proceedings arising in connection with this agreement shall be tried and litigated exclusively in the courts located in Contra Costa County,California. <br />