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Mi <br /> FORWARD <br /> r N C'O R P O R A T E D is�ITE i 1CKET',,<; a_ 4 } <br /> :.._:. .:,::GRID: <br /> 9999 South Austin Road/wFr6iING LOCArt'ON P.O. Box 6336 + µ- "S 4 r ,`WEIGHIVIASTER <br /> Manteca,CA 95336, <br /> Stockton <br /> ,CA 95206 <br /> Landfill:(209)982-4298;/.WEIGHING LOCATION Main Office:(209) 4664482 L, ,.. k� ..,,ti;DATE IN. :.5•'' }.i,•a+;,i .7IwE IN <br /> Resource Recovery: (209) 982'4936- Fax:(209)465-1637 PIP. <br /> OOkw11-9 <br /> Vtj`,4 .;1{.`DATE:OLJT rn ti- .,-:F,�'_,N4-':TIME=DUT: <br /> Trti3ia h1-;V rP-01l'fENTA. i SERVICES ' i. ZYvm 3 21104 3 a 8 r <br /> pnr <br /> RL I .} Ig1T i A SLTfivY E„ 4' a(WEHICLEa;e•.c�','i _Ais .iL a:.i30tL OFF', <br /> .�,.. A�.I%111—.. SV r - i`.l�i`ANSA G.1, <br /> �„CS���a.ext:� % ��� .. '1��'�{)��L53'"r-•#.� <br /> c t„ 7 ti a"�•q+;.,'` ,I:`7 n rtAlTI r <br /> F: .a S LF, <br /> Al �.l'�aFT ' <br /> 1,r tzu.ADESCRIPTIDN11 '.:•�av� 7 1a »FiA'rE,�.,�v I N't'�';*, ra.. _ <br /> EXTENSIO TAX'' ;_<t • TOTAL <br /> LYL <br /> wEIGHMASTER CERTIFICATE THIS IS TO CERTIFY That the following doscfibed commodity was wolghed.measured,or•caunted by a wolghmoster,whose signature is <br /> on fhis,ceriftoto,who is a recognized outhorlty of accurocy,as prescribed by Chopief 7(commencing with Section 12700)of Divls€on 5 of the Colifomla Business <br /> end Professions Code,odministered by the Division of Measurement Standards of the Colifomin€]apartment of Food and Agriculture. <br /> " NET,AMOUNT: <br /> ey Y TENDERED <br /> CHECK NO... <br /> I <br /> DRIVER'S"SIGNATURE <br /> e� <br />