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FORWARD <br />9999 S . <br />MANTECA, CA <br />ITOMER <br />010392 <br />JIM THORPE OIL INC. <br />MARTIN THORPE <br />P 0 BOX 357 <br />4204141109 <br />n <br />36 -- <br />'SITETCKET <br />CELL <br />Y8 62 <br />"TOOM TAX <br />WEIGHMASTER s <br />Brid ette B. <br />DATEMME IN <br />DATEMME OUT <br />03-05-2014 10:06 am <br />03-5-2014 10:41 am <br />VEHICLE <br />CONTAINER <br />THORPE 6 <br />REFERENCE <br />INVOICE <br />BILL OF LADING <br />RFQ'A'4d <br />SCALE IN GROSS WEIGHT 60,040 NET TONS 12.25 <br />SCALE OUT TARE WEIGHT 35,540 NET WEIGHT 24,500 INBOUND <br />OTT.'-. UNI` <br />DESCRIPTION <br />RATE <br />"TOOM TAX <br />TOTAL <br />18 -OC YD <br />TRACKING QTY <br />TRACKING QTY <br />12.25 TN <br />SW—CONST DEBRIS STOCKTON <br />SW—CONST DEBRIS STOCKTON <br />1.00 <br />ENVIRONMENTAL FEE 1 <br />ENVIRONMENTAL FEE 1 <br />1.00 <br />FUEL RECOVERY FEE <br />FUEL RECOVERY FEE <br />The undersigned Individual signing this document on behalf of Customer acknowledges that he or she has read and understands the terms and condi"ons <br />on the reverse side and that he or she has the authority to sign this document on behalf of the customer. <br />RS-FO42UPR (07/12) SIGNATURE <br />FORWARD LANDFILL <br />9999 S AUSTIN RD <br />MANTECA, CA 95336 -- <br />010392 <br />JIM THORPE OIL INC. <br />MARTIN THORPE <br />P O BOX 357 <br />4204141109 <br />SCALE IN <br />SCALE OUT <br />OUT <br />TENDERED <br />CHANGE <br />CHECK# <br />INVOICE <br />GROSS WEIGHT 60,040 NET TONS 12.25 <br />TARE WEIGHT 35,540 NET WEIGHT 24,500 INBOUND <br />tTIV. <br />DESCRIFTK/N <br />.,RATE EXTEN81K* - TAX <br />TOTAL <br />18.0 <br />YD <br />TRACKING QTY <br />122 <br />IN <br />SW—CONST DEBRIS STOCKTON <br />1.0c <br />ENVIRONMENTAL FEE 1 <br />1.0c <br />t <br />FUEL RECOVERY FEE <br />I The undersigned Individual signing this document on bele" of Customer acknowledges that he or she has mad and understands the terms and conditions <br />ss% . <br />on the reverse aide and that he or she has the authority to sign this document on behalf of the customer. <br />9191 <br />TENDERED <br />CHANGE <br />CHECK# <br />