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FORWARD ('SIT E TICKET GRID <br /> INCORPORATED <br /> 9999 South Austin Road/WEIGHING LOCATION P O Box 6336 WEIGHIMASTER <br /> M eca, CA 95336 Stockton, CA 95206 u' ` i • `� ; ;" <br /> (209) 982-4298/WEIGHING LOCATION Main Office (209) 466-4482 DATE IN TIME IN <br /> R c Reeicovery (209) 982-4936 Fax (209) 465-0631 f ° r F:(=i f 0 A R T <br /> flnJl/ J r <br /> q _ DATE OUT t^ TIME OUT <br /> (fo-J !r'�.I'i c �r C f fir.:.a i L'i 4.17^ti9 S v <br /> rT <br /> F nr'- ^ <br /> ' '`I !l' : <br /> 40,704 VEHICLE ROLL OFF <br /> f4 1M i„r—1717' .. <br /> G C-P1 r)J-11 REFERENCE ORIGIN <br /> 1 <br /> fT{ <br /> w 11 <br /> �rti =i11 <br /> ii rte'-..f � L i sf't o l f 1.7c F sell c_,J a aii�'_ �yi.� ✓`�1�M-...- 1 !r! ! <br /> r I �yiJ tf wi rfih�" 1Ft i rI"r r Jr Lf ri�_ s rl�� L-r <br /> rS f <br /> L f..�'. � tIC�., yt�`rFs9;Sa �. } lS..ty �e <br /> QTY UNIT DESCRIPTION RATE EXTENSION TAX TOTAL <br /> z r <br /> 'iCFLI !'1N 0 U S <br /> NEIGHMASTER CERTIFICATE THIS IS TO CERTIFY That the following described commodlty was weighed measured or counted by a weighmaster whose signature Is <br /> m 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 Cahfornla Department of Food and Agriculture <br /> y' <br /> NET AMOUNT <br /> • r TENDERED <br /> CHANGE <br /> CHECK NO <br /> f / � <br /> f % <br /> r 17 � <br /> DRIVER'S SIGNATURE <br />