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UNIVERSAL SERVICE RECYCLING INC. <br /> 3200 SOUTH EI DORADO SREET <br /> STOCKTON,CA 95206 <br /> 209 944-9555 <br /> Date: $/7/2018 Page 1 of 1 <br /> Straight Bill of Lading BIL NO. 66849 <br /> •' <br /> Shipper No.00001 Name: Univeral Service Recycling Nevada <br /> Trailer No. Address: 5855 Sheep Drive <br /> Seal No. Carson City,NV 89701 <br /> Name: UNIVERSAL SERVICE RECYCLING <br /> Address: 3200 SOUTH ELDORADO STREET <br /> STOCKTON, CA 95208 P.O.NO. POWER ANTHONY,JOHN <br /> SPECIAL INSTRUCTIONS: ❑ Master Bill of Lading <br /> Name: <br /> Address: <br /> H��,i$"g HU Type <br /> dM <br /> DescriptionofArticles,3peclel�MerK andExcepilona NMFC# CCesa we( t�f$ubJ r <br /> to Correction, Rete; Chatge <br /> 1 TiL SHRED AG 33380 lbs <br /> ---------- ---- --------- <br /> GROSS:70980 <br /> NET:33380 i — <br /> t — <br /> i— <br /> Towfor Allf tis' ei ht In lbs 33380IbS:, 0.00 <br /> Hazardous Material Emergency Contact: Fre(tiht Terms: C.O.D. Amount ❑ Prepaid <br /> ❑✓ Prepaid <br /> � Collect ❑ Collect <br /> ] Third Party ❑ Customer Check Acceptable <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 height and all other lawful <br /> writing the agreed or declared value of the property as totlows: charges <br /> The agreed or declared value of the property is specifically stated by the shipper to be not <br /> exceeding —per— Shipper Signature <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 carrier and shipper.If 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 cordents of packages unknown),marked, <br /> consigned,and destined 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 terms and conditions in the governing classification on the date of the shipment.Shipper hereby certifies that he is hereby famlllar with oil the big 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 classed,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 <br /> SHIPPER SIGNATURE/ ATE DRIVER ED BY Shipper 0 By Shipper <br /> ❑ By Driver ❑ By Driver/pallets said to contain <br /> �00) ❑ By Driver/Pieces <br /> ADI Smarle01.Classic v10.3.6 <br />