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UNIVERSAL SERVICE RECYCLING INC. <br /> 3200 SOUTH EI DORADO SREET <br /> STOCKTON,CA 95206 <br /> 209 944-9555 <br /> Date: 612512019 Page 1 of 1 <br /> Straight Bill of Lading BIL NO. 66098 <br /> SHIPPER .- <br /> Shlpper No.00001 Name: Univers/Service Recycling Nevada <br /> Trailer No. Address: 5855 Sheep Drive <br /> Seal No. Carson City,NV 89701 <br /> Name: UNIVERSAL SERVICE RECYCLING <br /> Address: 3200 SOUTH EL DORADO STREET <br /> STOCKTON,CA 05206 P.O.NO. HAROLD <br /> Name: THIRD PARTY FREIGHT CHARGES BILL TO SPECIAL INSTRUCTIONS: ❑ Master 13111 of lading <br /> Address: <br /> Handling HU Type MM Description of Articles,Special Marks and Exceptions FNMFC# Class Weight Subj Rate Charge <br /> Ito Correction <br /> 1 T/L SHRED AG 41520 lbs <br /> - GROSS:79980 <br /> ITARE:38460 - — — <br /> NET:41520 <br /> i <br /> ..... ..... ........ <br /> i <br /> 1 Total for All Pages(Weight in lbs 41520 lbs 0.00 <br /> Hazardous Material Emergency Contact: Freiaht Terms: C.O.D. Amount ❑ Prepaid <br /> Q Prepaid 0 Collect <br /> Collect <br /> Third Party ❑ Customer Check Acceptable <br /> DECLARED VALUE:Where the rate is dependent on value,shippers are required to state spectficaly in The carrier shall not make delivery of this shipment without payment of freight and all 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 staled by the shipper to be not <br /> exceeding per Shipper Signature <br /> NOTE Liability Uniltation 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,d applicable,otherwise to the rates,classifications and rules that have been <br /> astabiished 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 pacitages unknown),marked, <br /> consigned,and destined as shown above,which said carrier agrees to carry to destination,t on he route,or other wise deliver to another carrier on the routo to destbudion.Every servico 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 in <br /> the governing classification and the said terms and conditions are hereby agreed to by the stripper and accepted for himself and his assigns. <br /> This is to certify that the above named materials are properly classified,described,padtaged,marked and labeled,and are In proper condition for <br /> Department of Transportation. transportation accordingto the applicable regulations of tna <br /> SHIPPER COMPANY NAME CARRIER Traller Loaded Frelaht Counted <br /> UNIVERSAL SERVICE RECYCLING UNIVERSAL SERVICE RECYCLING <br /> SHIPPER SIGNATURE/DATE DRIVER ❑ By Shipper ❑ By Shipper <br /> ❑ By Driver ❑ By Driver/pallets said to contain <br /> ❑ By Driver/Pietas <br /> ADI SmanaOL Classic vr2.3.1 <br />