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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: 8/13/2019 Straight Bill of Lading BIL NO. 66961 <br /> Shipper No.00009 Name: Univeral Service Recycling Nevada <br /> 5855 Sh8&P Drive <br /> Trailer No. Address: Carson City,NV 89701 <br /> Seal No. <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 /> Handling yPWeight SubJ' Rete Charge <br /> U <br /> Hl)7 'e H1d A�acdp�onof Art(ciea,$pr3cial Merke end Exceptlona `` NMFC+Y Gees to Correction: <br /> 1 T/L' 1 ^SHRED AG — 40440 lbs <br /> I GROSS:78000 <br /> -- T —�--}TARE'-- --- <br /> .375650 <br /> j NET:40440 <br /> 1Total for.AlF,Pa`es: W®i'"-ht,' 40440'.40440 lbs _..,.:. 0.00 <br /> Hazardous Material Emergency Contact: Freitaht 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 stale specifically in The carrier shall not make delivery of this shipment without payment of trough/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 to specifically staled 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,if applicable,otherwise to the rates,ctassif<cations 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,lf on its route,or other wise deliver to another carrier on the route to destination.Every service to be performed hamunder <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 famltiarwith all the bill of lading terms and oondhlom in <br /> the governing classi icalion 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 SERVI E RECYCLING <br /> NEVADA 0 By Shipper ❑ By Shipper <br /> SHIPPER SIGNATUR DATE DRIVER ❑ By Driver ❑ By Driver/pallets said to contain <br /> J . <br /> ❑ By Driver/Pieces <br /> ADI SmMSOL Classic v10.3.0 <br />