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M <br /> N <br /> Flying J Inc, -Ripon,CA Plaza <br /> Fuel Receipt Certification <br /> Revised Manch 2,2006 <br /> Delivery driver certifies thatig>n ti bugkffs_eud stage-I vanor is for <br /> the following product tanks are SIM Wd dry as of the date aad time below. <br /> DATE TIME Freight Bill# Diesel#1 1 Diesel#i2 Diesel#3 R alar Mid-Grade Promium lVa Name'mint) S' natur <br /> Ln <br /> �2 <br /> E l 9 �- <br /> n Lf� <br /> (-7 7fi232:2 <br /> ® 7 ) Z&1 S-7'3 <br /> N /S:jo .5.x'6 i Alv^-*-� <br /> J? 1131-15022 <br /> N ✓� <br /> O <br /> 1 <br /> L. <br /> O <br /> O <br /> N <br />