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UNIVERSAL SERVICE RECYCLING INC. <br /> 32061 SC1JTK EI DORADO SREET <br /> StOtKTON,CA 95206 page 1 of 1 <br /> 209 944-9555 <br /> Date: 4111/2019 Straight Bill of Lading BiL NO. 6496R <br /> Name: Univeral Service Recycling Nevada <br /> Shipper No,00001 Address: 5855 Sheep Drive <br /> Trailer No. Carson City,NV 89701 <br /> Seal No. <br /> Name: UNIVERSAL SERVICE RECYCLING <br /> Address: 3200 SOUTH EL STOCKTON,CA 95206D0 STREET P.O NO POWER ANTHONY,HAROLD <br /> - • .- • SPECIAL INSTRUCTIONS: ❑ Master Bill of Lading <br /> Name: <br /> Address: <br /> NMFk".►!. Class Weight SubJ Rate Charge <br /> Handling HU Type` HM Description of.Artiblea,Species Merks,end Exceptions to Correction <br /> Units' 38400 lbs <br /> 1 T/L SHRED AGG <br /> GROSS:76900 <br /> i TARE-38500 <br /> NET:38400 <br /> I POWER ANTHONY <br /> 1 - <br /> 1 <br /> 0.00 <br /> Total for Ali'Pa es'. eightn lbs 36400 lbs <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:Whore the rata is dependent on value,shippers are required to state specifically in charges.TThe shag not make delivery of Us shipment without payment o 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 property is specifically stated 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 /> s that <br /> RECEIVED,subJed to individually determined rates or contracts that have been agreedu above,In ,iin apparent the <br /> 000d order,exceprrier and t noted(conton15 end(se to the condition ofies,classifications and contents of packages n1eknown),mave rked, <br /> established <br /> n <br /> established by the carrier and are available to the shipper on request The property <br /> described shall ba susulgad two all bid as of lads 9 e�e,w conditions min the governing to carry <br /> to clat�n Itan If on its the date°t the ahlpment Shipper hereby certifies that he is hereby roule,or otherwise deliver to another carrier on the aftamiliar with all the bill of lading trvice to ear ms and conditions irformed n <br /> the governing classification ad the east tare and conditions ora hereby agreed to by the shipper and accepted for himself and his assigns. <br /> This is to certify that the above named materials are property classified,described,packaged,marked and labeled,and are in proper condition for transportation according to the applicable regulations of the <br /> Department of Transportation. <br /> SHIPPER COMPANY NAME CARRIER Trailer Loaded Fretaht Counted <br /> UNIVERSAL SERVICE RECYCLING UNIVERSAL SERVICE RECYCLING ❑ By Shipper ❑ By Shipper <br /> SHIPPER SIGNAT REI ATE DRIVER ❑ By Driver ❑ By Driver/pallets sold to contain <br /> ❑ By Driver/Pleces <br /> ADI SmertBOL Cleaslc v7D.3.6 <br /> i <br /> I <br /> i <br />`s <br /> j <br /> I <br /> i <br />