Laserfiche WebLink
FORWARD SITE TICKET D <br /> INCORPORATED cEr GFiI <br /> 9991ftu 1ustin Road/wEiGHING LOCATION P O Box 6336 WEIGHMASTER <br /> Va, CA 95336 Stockton, CA 95206 " I E�� <br /> I4 (209) 982-4298/WEIGHING LOCATION Main Office (209) 466-4482 DATE IN TIME IN <br /> Re ice Recovery (209) 982-4936 Fax (209) 465 0631 a; 7 ;} 4 <br /> ijt'tr}C '= — DATE OUT TIME OUT <br /> `.�Rf GH T ENV ��ifyr��f+I��t_ ��X ` ��� t;2 �7,-t2 ;E ai+-yf 2':4)4 3.4a PM <br /> JOHM f,Vr4rW 2/13 VEHICLE ROLLOFF <br /> ' 'r-ALf ' CA �zt 7 e; p REFERENCE ORIGIN <br /> L Ltr it o f L�,'�rru't Sf <br /> r'.. _s L-,a=-s q ;t �a S 4 7f'-" 3 t_B E nLi +#r,d '- 13+,.AL7 tr T t K[' r <br /> QTS' UNIT DESCRIPTION RATE EXTENSION TAX TOTAL <br /> VEIGHMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodity was weighed measured or counted by a weighmaster whose signature is <br />)n this certificate who Is a recognized authority of accuracy as prescribed by Chapter 7(commencing with Section 12700)of Division 5 of the Collfornb Business <br /> and Professions Code admin€stered by the Division of Measurement Standards of the California Department of Food and Agriculture <br /> NET AMOUNT <br />.� TENDERED <br /> MrANZF-E--'T #150,477 <br /> CHANGE: <br /> r <br /> } CHECK NO <br /> r <br /> DRIVER'S SIGNATURE <br />