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UNIVERSAL SERVICE RECYCLING INC. <br /> 3200 SOUTH EI DORADO SREET <br /> STOCKTON,CA 95206 <br /> 209 944-9555 Page 1 of 1 <br /> Date: 4/512019 Straight Bill of Lading BIL NO. 64910 <br /> • MIMM • <br /> Shipper No.00001 Name: Univeral Service Recycling Nevada <br /> 5855 SheeDrive <br /> Trailer No. Address: Carson City,p NV 89701 <br /> Seal No_ <br /> Name: UNIVERSAL SERVICE RECYCLING <br /> Address: 3200 SOUTH EL DORADO STREET <br /> STOCKTON, CA 95206 P.O.NO. PO#PER ANTHONY, RENO <br /> . • SPECIAL INSTRUCTIONS: ❑ Master Bill of Lading <br /> Name: <br /> Address: <br /> NMFC# Class Weight Sub <br /> j Rate Charge <br /> Handling HU Type HM �Descrlptlon of Articles,Special Marks and Exceptlons to Correctlon <br /> Units -- <br /> - 40640 lbs <br /> 1 T/L SHRED AGG <br /> GROSS:78340 <br /> TARE:37700 <br /> N ETA0640 <br /> PO#PER ANTHONY <br /> 1 <br /> Total for All Pages (Weight in lbs) I 40640lbsi 0.00 <br /> Hazardous Material Emergency Contact: Freight Terms: C.O.D. Amount ❑ Prepaid <br /> ❑✓ Prepaid ❑ Collect <br /> ❑ Collect ❑ Customer Check Acceptable <br /> ❑ Third Party <br /> DECLARED VALUE:Where the rale is dependent on value,shippers are required to slate specifically in charges.The carrier shall not mate delivery of this shipment without payment of freight and all other lawful <br /> writing the agreed or declared value of the property as follows. <br /> The agreed or declared value of the properly is specifically staled by the shipper to be not Shipper Signature <br /> exceeding per <br /> NOTE Liability Limitation for loss or damage in this shipment may be applicable.See 49 U.S.C.-14706(c)(1)(A)and(B). <br /> RECEIVEDsubject to individually determined rates or contracts that have been agreed upon in writing between the carrier and shipper,if applicable,otherwise to the rales,classifications and rules thot have been <br /> ,established by the carrier and are available to the shipper on request.The properly described above,in apparent good order,except as noted(contents and condition of contents of packages unknown),marked, <br /> consigned.and destined as shown above,which said carrier agrees to carry to destination,if on its route,or other wise deliver to another carrier on the route to destination Every service to be performed hereunder <br /> shall be subject to all bill of lading terms and conditions in the governing classification on the date of the shipment.Shipper hereby certifies that he is hereby familiar with all the bill of lading terms and conditions m <br /> the governing classification and the said terms and conditions are hereby agreed to by the shipper and accepted for himself and his assigns. <br /> This is to certify that the above named materials are properly classed,described,packaged.marked and labeled,and are in proper condition for transportation according to the applicable regulations of Ilia <br /> Department of Transportation <br /> SHIPPER COMPANY NAME CARRIER Trailer Loaded Freight Counted <br /> UNIVERSAL SERVICE RECYCLING UNIVERSAL SERVICE RECYCLING <br /> NEVADA ❑ By Shipper ❑ By Shipper <br /> SHIPPER SIGNATURE/ ATE DRIVER ❑ By Driver ❑ By Driver/panels said to contain <br /> ❑ By Driver/Pieces <br /> 1 <br /> ADI SmartDOL Classic v10.3.6 <br />