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UNIVERSAL SERVICE RECYCLING INC. <br /> 3200 SOUTH EI DORADO SREET <br /> STOCKfON,CA 95206 <br /> 209 944-9555 Page 1 of 1 <br /> Date: 611412019 Straight Bill of Lading B/L NO. 65946 <br /> • <br /> Shipper No.00001 Name: Univeral Service Recycling Nevada <br /> Drive <br /> Trailer No. Address: CnCfty,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,JOHN <br /> 5 '• ' SPECIAL INSTRUCTIONS: ❑ Master Bili of Lading <br /> Name: <br /> Address: <br /> Handling Weight Subj Rate Charge <br /> Untie HU Type HM Description of Articles,Spec)ai.Marks end Exceptionti NMFCty Class to Correction <br /> _ 1 TIL SHRED AGG I 368401bs — <br /> j GROSS:74420 - <br /> TARE:37580 — — <br /> NET:36840 <br /> PO#PER ANTHONY — -- - <br /> 1 Total'for Aii.Pages.(Wei ht in lbs) 36841 0.00 <br /> Hazardous Material Emergency Contact: Freioht Terms: C.O.D.Amount ❑ Prepaid <br /> Q Prepaid ❑ Collect <br /> ❑ Collect ❑ Customer Check Acceptable <br /> Third Party <br /> DECLARED VALUE:Where the rate Is dependant on value,shippers are required to state specifically in The carrier shag not make delivery of this shipment without payment of freight and ail other lawful <br /> writing the agreed or declared value of the property as follows: charges. <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 /> RECEIVED,subject to Individually determined rates or contracts that have been agreed upon in writing between the carrier and shipper,K applicable,otherwise to the rates,classifications and rules that have been <br /> established by the carrier and are available to the shipper on request.The property 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,K on its route,or other wise deliver to another carrier on the route to destination.Every service to be performed hereunder <br /> shag be subject to all bill of lading terms and conditions in the governing classification on the data of the shipment.Shipper hereby certifies that he is hereby familiar with all the big of lading terms and cordftions in <br /> the goveming ciassirication and the said terms and conditions are hereby agreed to by the shipper and accepted for himself and his assigns. <br /> This is to corfity 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 Traller Loaded Freifaht Counted <br /> UNIVERSAL SERVICE RECYCLING UNIVERSAL SERVICE RECYCLING <br /> ❑ By Shipper ❑ By Shipper <br /> SHIPPER SIGNATURE/DATE DRIVER ❑ By Driver ❑ By Driver I pallets said to contain <br /> ❑ By Driver/Pieces <br /> ADI SmarteOL Classicv10.3.6 <br />