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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: 8/1/2019 Straight Bill of Lading B/L NO. 66762 <br /> •- Zff 1111 <br /> Shipper No.00001 Name: Univeral Service Recycling Nevada <br /> No. Address: 5855 Sheep Drive <br /> Trailer <br /> Seal N Carson City, NV 89701 <br /> Name: UNIVERSAL SERVICE RECYCLING <br /> Address: 3200 SOUTH EL DORADO STREET <br /> STOCKTON, CA 95206 P.O. NO. PO#PER ANTHONY, JOHN <br /> ' SPECIAL INSTRUCTIONS: ❑ Master Bill of Lading <br /> Name: <br /> Address: <br /> Handline Hu Typo H Description of Articles,Special Marks and Exceptions =NMFCMClass Weight Correction <br /> Rate Charge <br /> units to Correction <br /> 1 TIL SHRED AG 32120 lbs <br /> GROSS:69760 <br /> TARE:37640 <br /> NET:32120 <br /> 1 Total for All Pages (Weight in lbs) 32120 lbs 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 VLDL Where the rade is depandenl on value,shippers are required to stale specifically in Ilia carrier shall not make delivery of this shipment without payment of freight and all ottior lawful <br /> waiting the agreed or declared value of the properly as follows. charges. <br /> The agreed or declared value of tho property is specifically staled by the shipper to be not Shipper Signature <br /> eAceeding 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 rales or contracts that have been agreed upon in writing between the carrier and shipper,if applicable,otherwise to the rales,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 drstined 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 Wens and conditions in the governing c'assi ication on the date of the shipment Shipper hereby certifies that he is hereby familiar with all the bill of lading terns 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 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/DATE DRIVER ❑ By Driver ❑ By Driver I pallets said to contain <br /> ❑ By Driver/Pieces <br /> ADI SmartBOL Classic v10.3.6 <br />