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6 f TRANSP®RTATI®N <br />'00Z C 1 � <br />Ecology Control Industries SERVICE <br />ORDER <br />A FULL SERVICE ENVIRONMENTAL COMPANY SERVICE <br />ORDER # 240919 <br />57-7-07 Z® DATE: 6 _D.3 <br />C <br />U <br />S <br />T <br />O <br />M <br />E <br />R <br />D <br />R <br />I <br />V <br />E <br />R <br />S <br />E <br />R <br />V <br />I <br />C <br />E <br />S <br />i <br />S <br />I <br />T <br />E <br />D <br />E <br />S <br />C <br />R <br />I <br />P <br />T <br />I <br />O <br />N <br />Name: _W A L-rb i l F-06'��Yle 2R! /1 G Job Location: r A <br />Address (BILLING): <br />Ordered by: 1,, lit}" L_ L Dx # ✓ d <br />Name (PRINT): J ,,We-,0S72°1Z" <br />City: <br />Truck #: Z- $D D r; Trailer #: 6 3 d Size/Type: <br />Services performed: <br />1,5R6 <br />Zip: <br />P.O. #: <br />MANIFEST #-. <br />DISPOSAL <br />i. <br />#Loads: <br />Qty: <br />BBL Gal: Tons: <br />Time In: <br />Time In: <br />Staml kzom- Stop6da Gross Time: Hrs. <br />MEA AM <br />Start Stop iZ- Less: Hrs. <br />Yards: I Other Time: Add�� I Total: f . Hrs. <br />Time In: <br />,Stop Miles: <br />Start Miles: <br />Time Out Time Out Time Out ---Miles Driven: <br />TOTAL $ <br />Authorized &Approved by: Title: CHARGES: <br />If invoice is not paid within 30 days, interest shall commence accruing at 1.5% per month. Should suit be commenced to collect any portion <br />of this invoice, Ecology Control Industries 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 />QTY. <br />U.O.M. <br />RATE <br />EXT. <br />QTY. <br />U.O.M. <br />RATE <br />EXT. <br />Vacuum Truck <br />Disposal <br />End Dump <br />Washout <br />Roll -off <br />Roper Pump <br />Flat Bed <br />Bin Liner <br />Tank Mover <br />Surcharge <br />Driver Relief <br />Subsistence <br />TOTAL $ <br />Authorized &Approved by: Title: CHARGES: <br />If invoice is not paid within 30 days, interest shall commence accruing at 1.5% per month. Should suit be commenced to collect any portion <br />of this invoice, Ecology Control Industries 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 />