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� 1 nowt_ nnncn <br />R.U.C. 0140756 <br />and FREIGHT BILL <br />DILLARD TRUCKING <br />HaratdOus Wazte Hauler 01177 155 <br />N. 0906 <br />P.O. BOX 624 <br />1 / / 9 RODEO, CALIFORNIA 94572-0624 <br />Date <br />TYPE OF LOADING <br />TRUCK / TRAILER <br />Business Phone: (415) 724-5116 <br />NO. NO, <br />Home Phone: (415) 799-0220 ❑ BUNKER ❑ BELT <br />SUB. <br />D POWER- 0 HAND <br />liR" <br />HAULER ¢" £:oi''•F �;%, <br />. ice, <br />PRIME;. .,,r,,,. <br />��I lit <br />TAG CONSIGNEE •� /N <br />NO. "- ? <br />CARRIER Y"" <br />SHIPPER^ -- <br />6 i DESTINATION `. r•+�' ,. �:. e <br />POINT <br />-�'.; <br />- CITY <br />`, 1 -) <br />OF ORIGIN :�,, Yr` <br />• - <br />' <br />-CITY ".i'."�1„ �1. <br />P.O. NO. <br />MATERIALS <br />LOADING <br />UNLOADING <br />FUEL <br />No. of Axles <br />ONE WAY MILEAGE <br />GAL. <br />Truck Type <br />SCALE <br />YARDS OR <br />TIME <br />TIME <br />TIME <br />NO. <br />TAG NO. <br />WEIGHT <br />LEAVE <br />ARRIVE <br />LEAVETIME <br />STARTED LAST LOAD — <br />1TIME <br />2 <br />4ARRIVE <br />i <br />i <br />ARRIVED TO DUMP LAST LOAD - <br />NET RUNNING TIME LAST LOAD - <br />TIME FINISHED DUMP LAST LOAD - f, <br />4 <br />- <br />TIME ALLOWED TO RETURN. SAME <br />�'•i : ! <br />I-' „� <br />AS NET RUNNING TIME LAST LOAD - <br />5 <br />S� /, <br />f <br />6 <br />a <br />{ :1 <br />_ <br />OFFICE USE ONLY <br />7 <br />- 1 <br />TOTAL HOURS OR TONS <br />6 <br />•-�-}:i .`.� <br />w <br />RATE PER HOUR OR TON <br />$ <br />9 <br />e.w.wr <br />SUB TOTAL <br />$ <br />0 <br />SURCHARGES <br />$ <br />1 <br />2 <br />3 <br />4 <br />5 <br />SALES TAX <br />$ <br />6 <br />BRIDGE FARE <br />$ <br />7 <br />START <br />STOP <br />DEDUCT <br />NET <br />TOTAL CHARGES <br />$ <br />TIME <br />TIME <br />DRIVER <br />_ <br />RECEIVED <br />BY <br />I : <br />WE MAKE DELIVERIES INSIDE THE CURB LINE AND ON THE LOT AT THE CUSTOMER'S RISK ONLY ANO ACCEPT NO RESPONSIBILITY FOR DAMAGES RESULTING FROM SUCH DELIVERIES <br /># _ .,,�. ALL BILLS DUE AND PAYABLE BY THE 10TH OF THE MONTH. A 1%1,o PER MONTH CHARGED ON PAST DUE ACCOUNTS. THIS IS AN ANNUAL <br />PERCENTAGE RATE OF 18%. CUSTOMER WILL BE RESPONSIBLE FOR ALL COURT AND ATTORNEY COSTS FOR COLLECTION. <br />SIERRA OFFICE SUPPLIES A PRINTING (916) ]66-1872 <br />I A <br />i" <br />f. <br />