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UNIVERSAL SERVICE RECYCLING INC. <br /> 3200 SOUTH EI DORADO SREET <br /> STOCKTON,CA 95206 <br /> 209 944-9555 <br /> Page 1 of 1 <br /> Date: 6/28/2019 Straight Bill of Lading B/L NO. 66174 <br /> •- • . 61,1 <br /> Shipper No.00001 Name: Univeral 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 95206 P.O. NO. POWER ANTHONY, JOHN <br /> - ' - • SPECIAL INSTRUCTIONS: ❑ Master Bill of Lading <br /> Name: <br /> Address: <br /> Hand HU Typo HM Description of Articles,Special Marks and Exceptions NMFCk Class Weight Subj Rate Charge <br /> Units Ito Correction <br /> 1 T/L SHRED AG 40780 lbs <br /> GROSS:78100 <br /> TARE:37320 <br /> NET:40780 <br /> I <br /> 1 Total for All Pages (Weight in lbs) 40780lbsl 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 rate is dependent on value,shippers are required to state specifically in The carrier shall not make delivery of this shipment without payment of freight and all other lawful <br /> wiling the agreed or declared value of the properly as follows. charges. <br /> The agreed or declared value of the property is specifically stated by the shipper to be not <br /> 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 rales or contracts that have been agreed upon in writing between the tamer and slapper,d applicable,otherwise to the rates,classifications and rules that have boar <br /> established by the carrier and are available to the shipper on request.The properly described above,in apporent 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 otherwise deliver to another carrier on the route to doslinalion.Every service to be performed hereunder <br /> shall be subject to all bill of lading terms and conditions In the governing ctassdtcalion on the dale 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 shipper and accepted for himself and his assigns. <br /> This Is to certify that the above named materials are properly classified,described,packaged,marked and labeled,and are in proper condition for transportation according to the applicable regulations of the <br /> Department or 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/DATE DRIVE ❑ By Driver ❑ By Driver I pallets said to contain <br /> ❑ By Driver/Pieces <br /> 1 <br /> ADI SmarlOOL Classic v10.3.6 <br />