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02/07/2006 17: 18 9256340874 DILLARD TRUCKING PAGE 25/29 <br /> SHY 11<0 <br /> �O 'S'w, <br /> Q <br /> t" <br /> a2l TAG NO. <br /> c lard Environmental 6E rm*ces <br /> PO BOX 579 20389 <br /> Byrom, CA 94514 <br /> Telephone No. (925) 634-6850 <br /> . a� imile No. (925) 634-0 569 <br /> Date JOB NUMB S(S) JOB:NUM6t°RS(S) J013 NUMSERS(S) ,tOg Nl1M0ERS(S) <br /> TRUCK j �j ; TROAIIER �Q #1 —313 - # <br /> SUB. m�m +� <br /> HAULERS'( <br /> PRIME - CONSIGNEE ' g / ) A r �' / f <br /> CARRIER L <br /> W L /Y LL <br /> GENERATOR(S � _ _ DESTINATION6(1S, h <br /> IJ.1' d b Y- q I . oC� 0.� CITYMAN (fA .V C 19 <br /> CITY Q GBEGINNING MI-EAGE ENDING MILEAGE <br /> _ FUEL-GALLONS FUEL-VI=NpOR <br /> IVIPTERIALS' LOADING 'w1t119�.OV�D11VCr <br /> MANIFEST YARDS OR TIME TIME ''Tllotf_' TIME: #2 2 <br /> NC WEIGHT ARRIVE LEAVE ARRIVE <br /> X765 4 v7 <br /> 57 775- 1787 If-27 6 <br /> s OFFICE USE ONLY <br /> 3 _ TINS IHRS ILDS IYDS <br /> s <br /> TRANSPORTATION UNITS: <br /> 8 TRANSPORTATION RATE: <br /> 7 SUBTOTAL• <br /> 9 _ DISPOSAL UNITS: <br /> t0 DISPOSAL RATE, <br /> 1 t <br /> SUBTOTAL,• S <br /> iz <br /> 13 BRIDGE-TOLL: <br /> COMMENTS: — <br /> MATERIALS: <br /> ST'S /y STOP DEDUCT NET <br /> 7 V d `l l7ME TIME1 1 <br /> DRIVER <br /> RECEIVED DATE —j'7F RCVEOBY <br /> TOTAL Cw4pGIM $ <br /> TERMS and CONDITIONS <br /> Payment terms are not thirty(30)days au6Ject to a charge of 1.5%per month on OR peat due belancee_In tl ie event the account bewme3 delinquent and Ria necessary to Instihrte <br /> legal prviceedings,CUSTOMER egraea'[o pay DES'attamey'S fees incurred in such proceeding, action or suit or in any appael thereon.The parties agree that acvons or <br /> proceedings arWric in connection vitt this agreement shall he tried and Iftated exclusively In the courm Ir.;cated In Comm Coats County,Cslifomia. <br /> ate, <br />