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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: 91612019 Straight Bill of Lading BIL NO. 67328 <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. POWER ANTHONY, DAVID <br /> ' • SPECIAL INSTRUCTIONS: ❑ Master Bill of Lading <br /> Name: <br /> Address: <br /> Weight Sub <br /> Handling HU Typo HM Description of Articles,Special Marks end Exceptions NMFCtt Class to Correction Rate Charge <br /> Units _ <br /> 1 TIL SHRED AG 39020 lbs <br /> GROSS:76560 <br /> TARE:37540 <br /> N ET:39020 <br /> 1 Total for All Pages (Weight in lbs) 39020lbsl r 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 Wnere the rate is dependent on value,shippers are required to slate specifically in Tecarrier shall riot make delivery of this shipment without payment of freight 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 is specifically stated 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,sub;ect to individually determined rales or contracts that have been agreed upon in writing between the carrier and shipper,it applicable,otherwise to the rates,clossdicalions and rules that have been <br /> established by the carrier and are available to the shipper on request The properly 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 dostination,if on its route,or othor wise deliver to another carrier on the route to destination.Every service to be padormod heroundor <br /> shall be subject to all bill of lading terms and conditions in the governing classification 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 condilions are hereby agreed to by the shipper and accepted for himself and his assigns. <br /> This is to certify Thal the above namod materials aro properly classified,described,packaged,marked and labelod,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 DRIVER ❑ By Driver ❑ By Driver I pallets said to contain <br /> ❑ By Drivermeces <br /> ADI SmartDOL Classic v10.3 6 <br />