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UNIVERSAL SERVICE RECYCLING INC. <br /> 3200 SOUTH EI DORADO SREET <br /> STOCKTON,CA 95206 <br /> �Date: <br /> 9 944-9555 Page 1 of 1 <br /> 8/29/2019 Straight Bill of Lading B/L NO. 67213 <br /> SHIPPER • " . . • <br /> Shipper No.00001 Name: Univecnl Service Recycling Nevada <br /> No. Address: 5855.h—n give <br /> Trailer <br /> Seal N Corson C-Ov, NV 89701 <br /> Name: UNIVERSAL SERVICE RECYCLING <br /> Address: 3200 SOUTH EL DORADO STREET <br /> STOCKTON, CA 95206 P.O. NO. Pollf-1--ANTHONY, HAROLD <br /> " ' • SPECIAL IPI-T"" T'^" ❑ Master Bill of Lading <br /> Name: <br /> Address: <br /> Handling "FCN Class Weight SubJ Rate Charge <br /> Units HU Type HM Description of Articles,Special Marks and Exceptions i (o Correction <br /> 1 TIL SHRED AG 43140 lbs <br /> GROSS:78600 <br /> i <br /> TARE:35460 <br /> NETA3140 — <br /> 1 Total for All PBcles ('• ' ' ' ' to Ihs) 43140 Itis 0.00 <br /> Hazardous Material Emergency Contact: Freiqht Terms: C.0. cunt ❑ Prepaid <br /> ❑✓ Prepaid ❑ Collect <br /> ❑ Collect ❑ Customer Check Acceptable <br /> ❑ Third Party <br /> DECLARED VALUEWhere the rate is dependent on value,shippers are required to slate specifically in ❑us shipment without payment of freight and all other lawful <br /> writing the agreed or declared value of the property as follows. <br /> The agreed or declared value of the properly is specifically stated by the shioper to be not <br /> Shipper Signature <br /> exceeding per <br /> NOTE Liability Limitation for loss or damage in this shipment may be apps` 'hl . "^^ ' °' 1(1)(A)and(B). <br /> RECEIVED,subject to individually determined rates or contracts that have been agreed upon in wnlinii b�;:,,:. r i,w,otherwi,r n.the rates,classifications and rules that have been <br /> established by the carrier and are available to the shipper on request.The property described aLove,in al�pa.."I <br /> res and a- iaavi of contents of packages unknown),marked, <br /> consigned,and destined as shown above,which said carrier agrees to carry to destination,if on its mule•ur on�� r it,c route to dnnfmrnion Every service to be performed hereunder <br /> strait be subject to all bill of lading terms and conditions in the governing classification on the data of IIm sh!pmera hereby lanulmr 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 shihpw and accept-I <br /> This is to Bendy that the above named materials are properly classified,desenbed,packaged,marked and lel, r.,rr r eanspodation according to the applicable regulations of the <br /> Department of Transportation <br /> SHIPPER COMPANY NAME CARRIER ','I-r Loaded Freight Counted <br /> UNIVERSAL SERVICE RECYCLING UNIVERSAL SERVICE rr-rvrf f^ir <br /> rrFr ❑ By Shipper <br /> SHIPPER SIGNATURE/DATE DRIVER v nri\,i r ❑ By Driver/pallets said to contain <br /> ❑ By Driver/Pieces <br /> ADI— <br /> 1 <br />