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11/01/2013 11:40 209982x479 CUTTER LER PAGE 03 <br /> WORK ORDER!'MANIFEST <br /> 1274577- • ; , <br /> W�h TCP H2lLlfi�• •�,a„��rp Ceneratnr ;, <br /> McCoy Truck Tire Service Center,Inc; Nem®; Q'J V,_ . <br /> 1407 Lone Palm Ave. Addrvnn: � ..`1 Ss. : <br /> Modesto,CA 95351 Clty: ' ^.'�'' State: <br /> 209-521-6721 7ip: 'a .. ": �., Phone: <br /> TPID-1274877-01 TPID•with Suffix: 1'3�+�' �' Q <br /> Load Dato' ' - Load T whole Cubic Yard Ton Pound <br /> 1 <br /> 7, 61 Q [ ']Pick-up count: • <br /> Decal# - - —— ---�— <br /> rt". L� state. ,: Dot Cede: R111IpY t ]Delivery count: <br /> Livens®#; i — <br /> h]REGULAR TIME [ I OVERTIME I')CALL OUT CUSTOMER P92W <br /> FLAT RE=PAIRS WHEEL SWITCHES MT/DISMT ! <br /> LICENSE N4.�'1 �" VEHICLE MAKES t�-,-. MILEAGE_r"�`r'� VEHICLE NO. <br /> LOCATION: <br /> WORK PERFORMED, `�'�••_--•:`.�' �' o" Y >•''" . MILEAGE IN <br /> 1 I-'� �"r. �" �" ' .►��i` "�w' �:" � 1 MILEAGE OUT <br /> �,;`•;':� y V�'\' +ti f � " ++ TOTAL <br /> TIME.IN - <br /> � 1 �•.-_. TIME OUT <br /> 51 _ MFG. .-J DOT# __ TREAD, WHEEL COMM NT <br /> 4. <br /> 7, <br /> ---------- <br /> 7 7 <br /> Dlivers Snatu � teDate, <br /> i" <br /> Drivers Name t Customer Name rent <br /> I. under ppeenalty 01 anger Na Lara tlty a Of Gura n1a tnol tro 1nlonrra�n I eerMy ant undo pOrokr u prrlury un0or Ns Iwre a rtw 6�e d Cnlltanle Jhgt Ino Infemaaon . <br /> pryvided eEpva b aue onq III a00AloN I emr kwon Mai I�IvOnam of INe in(arnetlpn may piwbod ntmW ro 4ao em aareai.le OOON011,I em ewern Net IdOlficetlan.a m I.1,9n,%Mv rtpy <br /> wft In q{fpemdal,Ikvr rrpOtl f tJanNl of vnan0l pf DIo Wa The MOIMOr'gpplcavlbn Purk"°^l iwuM elvA penaWn up to S29.OtldpOr00y, r ublOAa1 or edmingRett"pn1BGlee up to tD,000 <br /> 10 an PuOAu tieaptlroa Cada�p e7960 afrtl mvy rekuk h oWll oNlki I♦p�315,OOe p-day. IMr vld�npn per dey 07 d0oo bed n PId110 itekO ln7A COdp OOellai x2982. <br /> Dor vWtbn or odmin' ft-rnOAkw o t0 Ss,mo pw vh"ion Der day a;deyoibed Hi PLCIb <br /> O Wee¢oxo aoatlan 420a , <br /> [ ]Imported Load [ ]Exported Load and Looation Hauler.5-xamp6on Status: <br /> Address: ( )Government- <br /> 'C )LEA Exempt <br /> City a State: I ']Agricultural <br /> Received Time Nov, 1. '2013 11 , 34AM No, 0868 ';. ` ' Common Carr-ter <br />