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PUG T 164702 <br /> RE # SRKHE 26-603664 <br /> *KTON, <br /> OX 30248 <br /> . . Co r CALIFORNIA 95213-0248 <br /> ftw (209)467-0626 (800)8.43-70.56 <br /> M�TERIALS INC.. �k <br /> R V I C E BATS•PNEUMATICS• TRANSFERS <br /> SAND GRAVEL•CEMENT <br /> TR <br /> UNUERLV G CAq IFR 1 / /1 <br /> CUST.P.O.NO. DA V <br /> CONSIGNOR <br /> -- �- CgNSIGN <br /> J— <br /> ADDRESS �/� ; <br /> ADDRESS / G/ <br /> CITY <br /> CITY <br /> NAME AND ADDRESS <br /> O ❑FETOR <br /> !IF OTHER THAN CONSIGNOR, <br /> FOR <br /> PRECISE USE WITH DISTANCE OR ZONE RATES <br /> POINT OF DPST.RATES ONLY <br /> ORIGIN <br /> PRECISE DISTANCE <br /> POINT OF IN <br /> D"TINATON IIIII MILES <br /> TAG N <br /> �i • <br /> Mill <br /> Room <br /> z s <br /> 3 <br /> I <br /> 4 <br /> 5 <br /> 6 <br /> 7 <br /> 8 <br /> COMMODITY - <br /> TRANSPORTED /` TYPE OF LOADING ' <br /> i AT ORIGIN ,,/ <br /> TIME DRIVER REPORT D 'j J�'-�gWEl LJ HAND ❑ OTHER <br /> FOR WORK LOCATION AT WHICH <br /> A STARTING T;ME DRIVER REPORTED FOR WORK 7 i <br /> B STARTING TIME OF / <br /> OF LAST TRIP UNLOADING flF LAST TRIP C.OVERALL TIME!FROM TIME RE. <br /> ENDING TIME PORTING FOR WORK TO START OF <br /> OF LAST TRIP ENDING TIME OF LAST TRIP PLUS DQUBLE RUNNINGS <br /> OF LAST TRIPIME TIME OF LAST'TgIP PLUS UNLOAD- <br /> ELAPSED TIME OF INC TIME OF LAST LOADI <br /> OF RUNNING TIME ELAPSE❑TIME OF D.OEpUCTIRLE TIME <br /> OF LAST TRIP THE UNLOAplNG FOR MEq LS Op <br /> REASON FOR DELAY TIME OF LAST TRIP <br /> CAARfEA EQUIPMENT FAILURE OF <br /> '—" NET CHARGEABLE TIME <br /> CHARGES <br /> HO <br /> CONSIGNOR'S APPLICABLE <br /> URLY <br /> SIGNATURE RATE <br /> RATE <br /> IN CENTS <br /> DRIVER'S / PER TON <br /> SIGNATURE d ACCESSORIAL HELPERS <br /> OTHER CHARGES <br /> CONSIGNEE'$ <br /> SIGNATURE TOTAL <br /> p <br /> TERMS:NET 10TH PRO%.` A SE RVECE CHARGE OF 2% PER MO ASSESSED ON ALL OVERDUE ACCOUNTS <br /> CONSIGNEE AGREES T PAY ANI LEGAL FEES FOR COLLECTION CF DELINQUENT ACCOUNT. <br /> RE MAKE ALL pEL RI€5I VERY CURB AND ON LOT AT CUSTOMER'S AISK ONLY AND ACCEPT NO RESPON.EIILMY FOA DAMAGES <br /> RESULTING FROM CH DELIVERY <br /> DUPLICATE N <br />