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ECI TRANSPORTATION <br /> Ecology Control industries SERVICE ORDER <br /> A FULL SERVICE EIWIRONMENTAL COMPANY SERVICE <br /> ORDER# <br /> 474206 <br /> DATE: ....��—��' <br /> C <br /> U Name: ',,r ,I+� Joion: <br /> h.Loca4 <br /> S <br /> T Address (BILLING}: "7` f l /V 'r n -�City: `-a Zip: ' <br /> M <br /> E Ordered by: Company: F.O. # <br /> R r <br /> D <br /> Name (PRINT):' Signed: <br /> I Truck #-. +l F, Trailer #: Size/Type:. <br /> E Services perfor <br /> R <br /> E <br /> R <br /> V <br /> 1 <br /> C <br /> E <br /> S <br /> T MANIFEST# DISPOSAL.# AM Ann <br /> MStart PM Stop: aM Gross Time: Hrs. <br /> E # # <br /> MEALS. AM AM <br /> # # Start PM Stop: Pm Less. Hrs. .. <br /> #Loads: Qty <br /> BBL Gal: - Tons: Yards: Other Time: Total: Hrs. <br /> Add/Deduct <br /> S <br /> i Time 1n: Time in: Time in: Stop Miles: <br /> T Start Miles <br /> E Time Out Time Out Time Out Miles Driven: <br /> D QTY. U.O.M. RATE EXT. QTY. U.O.M. RATE EXT <br /> E Vacuum Truck Disposal <br /> S <br /> REnd Dump Washout <br /> I Roll-off i Roper Pump <br /> P <br /> j Flat Bed d. t Bin Liner <br /> O Tank Mover Surcharge <br /> N ' <br /> Driver Relief <br /> Subsistence <br /> �..,` TOTAL d% <br /> Authorized &Approved by: }-j Title: CHARGES. `P <br /> If invoice is not paid within 30 ays interest shall commence accruing at 1.5%per month.Should suit be commenced to collect any portion <br /> Of this invoice, Ecology Contrail lhdustries shall be entitled to any costs deemed reasonable by the court, including attorney fees. <br /> Original.,Accounting Yellow:Accounting Pink:Customer Gold. Driver TSO-1 <br />