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9999�SuAUSTI <br />009914 <br />JIM THORPE OIL INC. <br />MARTIN THORPE <br />P O BOX 357 <br />4 'Lnd-l.4�:lA* <br />SCALE IN GROSS WEIGHT 71,180 NET TONS 19.76 <br />SCALE OUT TARE WEIGHT 31,660. NET WEIGHT 39,520 INBOUND <br />20.0 YD I TRACKING QTY <br />19.7 TN SW—CONT SOIL <br />MAV <br />The undersigned individual signing this document on behalf of Customer acknowledges that he or she has read and understands the terms and condition, <br />on the reverse side and that he or she has the authority to sign this document on behalf of the customer. <br />RS-F042UPR (07112) SIGNATURE <br />FORWARD LANDFILL <br />9999 S AUSTIN RD <br />$ J�14 <br />DATERIME OUT <br />CHANGE <br />009914 <br />y OLCONTAINER <br />JIM THORPE OIL INC. <br />MARTIN THORPE <br />P 0 BOX 357 <br />INVOICE <br />42041320712 <br />BILL OF LADING <br />817491 <br />SCALE IN <br />GROSS WEIGHT 71,180 <br />NET TONS <br />19.76 <br />SCALE OUT <br />TARE WEIGHT 31,660 <br />NET WEIGHT <br />39,520 INBOJND <br />QTY. <br />I UNrr: <br />,.. DESCRIPTION <br />RATE <br />I EXTENSION <br />TAX <br />TOTAL <br />20.00 YDI TRACKING QTY <br />19.761 TN SW -CONT SOIL <br />OAKDALE <br />f <br />The undersigned Individual signing this document on behalf of Customer acknowledges that he or she has read and understands the terms and conditions CHANGE <br />on the reverse aide and that he or she has the authority to sign this document on behah of the customer. <br />CHECKX <br />