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FORWARD LAND <br />9999 S AUSTI <br />009914 <br />JI THORPE OI -L INC. �,�r�/� <br />MA IN THORPE ( ' , <br />P BOX 357 L/ <br />4 04145409 <br />SITE TICKET N <br />CELL <br />Y8 953 <br />RATE <br />WEIGHMASTER <br />Christina G. <br />DATEITIME IN <br />DATE/TIME OUT <br />04-16-2014 2:59 m <br />04-16-2014 3:10 prr <br />VEHICLE <br />CONTAINER <br />THORPE 6 <br />REFERENCE <br />BILL OF LADING <br />R17'1Q9 <br />SCALE IN GROSS WEIGHT 78,700 NET TONS 23.52 <br />SCALE OUT TARE WEIGHT 31,660 NET WEIGHT 47,040 1NPCL'H <br />DTY, <br />,4h117, <br />DESCRIPTION. - <br />RATE <br />EXTENSION <br />TAX <br />TOTAL <br />18.0 <br />23.5 <br />YD <br />TN <br />TRACKING QTY <br />SW -BENEFICIAL REUSE STOCKTON <br />23-52 <br />IN <br />The undersigned Individual signing this document on behalf of Customer acknowledges that he or she has read and understands the terms and conditions <br />on the reverse side and that he or she hes the authority to sign this document on behalf of the customer. <br />RS-F042UPR (07/12) SIGNATURE <br />I SITE <br />FORWARD LANDFILL <br />9999 S AUSTIN RD <br />009914 <br />JIM THORPE OIL INC. <br />MARTIN THORPE <br />P 0 BOX 357 <br />4204145409 <br />TENDERED <br />CHANGE <br />CHECK# <br />SITE TICKET # <br />YI, <br />CELL <br />WEIGHMASTER <br />RATE <br />DATEMNIE OUT <br />V HCL <br />CONTAINER <br />REFERENCE <br />INVOICE <br />BILL OF LADING <br />817492 <br />SCALE IN GROSS WEIGHT 78,700 NET TONS 23.52 <br />SCALE OUT TARE WEIGHT 31,660 NET WEIGHT 47,040 INBOUND <br />OTY. <br />UNIT <br />DESCRIPTION * <br />RATE <br />EXTENSION <br />TAX - <br />TOTAL <br />18.0 <br />YD <br />TRACKING QTY ..„�. <br />23-52 <br />IN <br />SW -BENEFICIAL REUSE STOCKTON'. <br />I The undersigned Individual signing this document on behalf of Customer acknowledges that h'ec r she has read and understands the terms and conditions <br />on the reverse side and that he or she has the authority to sign this document on behalf of the customer. <br />PC_PnA7u 100 IMIIl\ ?01 <br />r <br />ENDERED <br />CHANGE <br />CHECK# <br />