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SHIPPING ORDER <br /> PUG <br /> a 6767 <br /> EPA 9C 981692WO DILLARD TRLCKING, INC. '+^a FREIGHT BILL <br /> Huadous Waste Hauler *1715 <br /> P.O. BOX 218 <br /> Date /.t 2, BYRON, CA 94514 <br /> TRUCK % G/ TRAILER J/J (510) 634-6850 TYPE OF '_CADING <br /> NO •J G. <br /> NO <br /> ❑BUNKE= D BELT <br /> SUB POWER OHAND <br /> HAULER r' <br /> PRIME TAG CONSIGNEE - <br /> CARRIER ILL NO. L <br /> SHIPPER g(JF/G �� "�� /- 1/k/�-� DESTINATION ��_i/' . / / <br /> _. <br /> POINT CITY <br /> OF <br /> CITY Jl��—S E %J-[.�J'./li P.O. NO. �417 <br /> /109 <br /> MATE IALS LOADING UNLOADING FUEL No So A.lee ONE WAY MILEAGE <br /> SCALE YARDS OR TIME TIME TIME TIME Truck Type <br /> NO TAG NO WEIGHT ARRIVE LEAVE ARRIVE LEAVE GAL. <br /> f-%' 1�� ! �' `r r/ ✓ TIME STARTED LAST LOAD — <br /> 2 �� �� � / ' O f / p 0 TIME ARRIVED TO OUMPLAS-.OAO- <br /> �3 / 7. d. SSV L %V <br /> 3 ` 3 go '/ / S ��� NET RUNNING TIME LAST LOAD- / /1 <br /> V , l/•� S TIME FINISHED DUMP LAST LOAD- Cyt <br /> TIME ALLOWED TO RETURN.SAME <br /> 5 AS NET RUNNING TIME LAST LOAD- <br /> 6 OFFICE USE ONLY <br /> 7 TOTAL HOURS OR TONS <br /> B RATE PER HOUR OR TON $ <br /> 9 SUBTOTAL $ <br /> 0 SUR CHARGES $ _ <br /> 2 <br /> 3 <br /> 4 <br /> 6 SALES TAX $ <br /> 6 BRIDGE FARE $ <br /> 7 <br /> START STOP DEDUCT i NET <br /> TIME TOJE S TOTAL CHARGES S <br /> DRIVER v //' / PECEIED <br /> 1 <br /> wE'/-$__. :EVES i'AiDf -wECUAa UNF ANDON rNEL^-A'--E]VS-OkIERSPRu'.'a.- 4ND ACCEPT vOoezv-•,59111T1 F_ ".A!A35S v_S.LTwGFROMSUCt•=_IVEPIES <br /> ALL BILLS DUE AND PAYABLE BY THE 10TH OF THE MONTH.A 1'-I',PER MONTH CHARGED ON PAST DUE ACCOUNTS.THIS IS AN ANNUAL <br /> PERCENTAGE RATE OF I8"..CUSTOMER WILL BE RESPONSIBLE FOR ALL COURT AND ATTORNEY COSTS FOR COLLECTION. <br /> SIEPPA OFR�E`:-00-,ES d PRINTING 9161631-0620 <br /> . C <br /> IF <br /> p <br />