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FORWARD SITE TICKET GRID <br /> w INCORPORATED <br /> i� <br /> 3999 South Austin 90ad/WEIGHING LOCATION P O Box 6336 WEIGHMASTER <br /> Manteca, CA 95336 Stockton, CA 95206 r, <br /> La (209) 982-429$/WEIGHING LOCATION Main Office (209) 466-4482 _ DATE IN TIME IN <br /> RjWe Recovery (209) 982-4936 Fax (209) 465-0637 k ry �f,� r ,r U <br /> A <br /> r O Tim d t <br /> co x <br /> 1� I <br /> }N'1 <br /> r h <br /> VEHICLE F3 LL OFP <br /> T, <br /> tom'� � ' r��„ �� 1'� •`4� �� -rah f'"' �ti Y'2 b. <br /> 7 <br /> FE !� I ORIGIN <br /> r�iltll f �t.s j T ,r1"7 -{,f f it y. <br /> 3J qty ti ' <br /> i:� <br /> w��..x �...s (+ , iy�4� <br /> T —)C1,�. Io'-, d ,F `Wr 1 <br /> r c- C0 <br /> 16 <br /> CITY NI D S IPTZ)T4 " " RATE EXTENSION TAX TOTAL <br /> NEIGHMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed measured or counted by a welghmaster whose signature Is <br /> m this certificate who Is a recognized authority of accuracy as prescribed by Chapter 7(commencing with Section 12700)of Dlvislon 5 of the California Business <br /> fnd Professions Code administered by the Division of Measurement Standards of the California Department of Food and Agriculture <br /> NET AMOUNT <br /> TENDERED <br /> CHANGE <br /> �< CHECK NO <br /> f <br /> DRIVER'S SIGNATURE <br />