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FORWARD <br />INCORPORATED <br />7999 South Austin Road/WEIGHING LOCATION P.O. Box 6336 <br />ianteca, CA 95336 Stockton, CA 95206 <br />andiill: (209) 982-3298 / WEIGHING LOCATION stain Office: (209) 466-4482 <br />mesource Recovery: (209) 982-4936 Fax: (209)463.0631 <br />6'7811 <br />.4 -En 'ED=hJV I=:O!�Jr?E VT=±� <br />V.EVIC r _KI=8EN <br />416_)5 N. Wi'ON WAY <br />T_-LY.TUN CA lz5-2,D5–=-4e6 <br />TT c TICKET <br />GRID <br />WEIGHMASTER <br />_ MAC 1 EL <br />DATE IN <br />TIME IN <br />CA.TE OUT <br />T:A^E OUT <br />VE-�ICLE <br />I ROLL OFF <br />I7:; IZ: ' 1C <br />j-EERENCE� j <br />ORIGIN <br />.. <br />_ =`ice AND GROCERY <br />Mllanl a -;�c� n C!h n��'.'(_! I iC G�" y — ! F?: ✓F tyr �e} <br />I �t W_ 1 _ .. <br />"?ar,Llal Tare Weight _14i:)ri _S <br />!yet Wei h t 47!Ri!i-• <br />CTY. j UNIT c3CR.?T:Oti TE EY,TE!dSICN TAX I TOTAL <br />_?. TINE '_over _Ia=_=_ I I . <br />I � <br />t <br />i <br />a <br />EIGHMASTERCERTIFICATE ,5 S-nr.- <br />Manife-.t # 57816 <br />T _I _ L.. # a p:; () 2 8 <br />lC' . # 'NONE <br />r a i 1 er ?# 3.24 . zFS <br />'=LhedUle Z-4 -=-:r= in i=Ldva^,i a di� <br />rarly wil.I the <br />yL 1�nyT111. <br />Drive Sa-elv I 1 <br />DRIVER'S SIGNATURE <br />I NET AMOUNT <br />emlea cape, <br />