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������ _ FORWARD <br /> SITE: TICKET GRID <br /> INCORPORATED <br /> _8 <br /> 9999 South Austin Road/WEIGHING LOCATION P.O. Box 6336 <br /> WEIGHMASTER <br /> M- a,CA 95336 Stockton,CA 95206 v I ' K.i A <br /> (209)982-4298/WEIGHING LOCATION Main Office:(209)466-4482 -DATE IN TIME iN. <br /> " <br /> Re-ce Recovery:(209)9824936 Fax:(209) 465-0631 ` ,`'ii3 �`_.?{ 1._,� ; t `_�i. Hi•i <br /> 1�4i L t _ '.DATE OUT: TiME•OUT. <br /> TIT <br /> C L 9 ! ^?A N'S HC1 L T <br /> -y .. -,'V.EWIGLE -:ROLL OFF:.:;. <br /> 0 Bf)X x0'12 Ri.)'�1` K--2066 1-,tti(!til <br /> t� �� <br /> ..v 'Y �r\ w ! 41 'iN IRA.- <br /> TO) lI <br /> Y Gj`r/1 S S t p r r '1..t .'7 f 3' , _ x. �l1 y �. <br /> 'J LiE.I'J WE♦GH f I Jd.0 a.0 ► } �1�7J�Eu Jr fii_t I f"•ij.E i <br /> l <br /> A WJ -, �Jy nRE E I GHT 1 i 4 0 C,0 !_A:; <br /> N' G' r ! rn r0. { 'f i <br /> QTY... IT.;». t DESCAIP.TION.. RALE, :::.EXTENSION TAX TOTAL.:;" <br /> r rZ <br /> WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed,measured,or counted by a welghmaster,whose signature is <br /> on this certificate,who is a recognized authority of accuracy,as prescribed by Chapter 7(commencing with Section 12700)of Division 5 of the California Business <br /> and Professions Code,administered by the Division of Measurement Standards of the California Department of Food and Agriculture. <br /> 10 <br /> NET'.AMQUNT <br /> AY . <br /> n »R e.••i'r r} y r i.,{;I-," ;'TENDERED. <br /> E . <br /> `:,CHANGE <br /> CHECK':NO. <br /> DRIVER'S SIGNATURE <br />