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01/1112005 10: 18 9256340931 DIL.LARD TRUCKING PAGE 03 <br /> �Nv ri t�Q <br /> oSu Til,lard EaVii.ranmental &ruiceS TAG NO. <br /> ��Rv1 �g PO Box 57913405 <br /> Byron, CA 94514 <br /> ' Telephone No, (925) 634-6850 <br /> Facsimile No. (925) 634-0569 <br /> Data JDH:#UrrtBERS{S}. JOB NGIMBER8F5Y •'. ' Jt)E3.t�1G1BE <br /> ' TRUCK TRAILER # ��O # # # <br /> NO, NO. <br /> SUB. # # # # <br /> HAULER " <br /> PRIME <br /> CARRIER CONSIGNEE <br /> GENERATpR($) l L� DESTINATION <br /> -s-- <br /> CITY <br /> CA <br /> ' CITy O t a BEGINENDI MIL <br /> $' LQAOING L1NL�i4DtNC,:. ': 1 FUEL-GALLONS FUEL_VENDOR <br /> _ 41Y�NtFE9l YAROSrO TIMH; 11ME' TI[G1E "TfME 92 #1 #2 <br /> .'� .-"Y1�fL�L•Flt: ^hRRl�6'�' 1tE"'. :PIRRIHE' LF�IbE'^ <br /> Z � <br /> ! 00? A <br /> 3 <br /> OFFICE USE ONLY <br /> a TNS/ ILDS/Ya5 • <br /> a r ' <br /> TRANSPORTATION UNITS, <br /> r.•" a <br /> +4•: 7 TR,4N3PORTATION RATE: <br /> SUBTOTAL $ ,Sy ? <br /> j t <br /> - -- DISPOSAL UNITa• <br /> DISPOSAL RATE, <br /> SUBTOTAU $ <br /> BRIDGE-TOLL: <br /> �r"t IT I <br /> ' g MATERIALS: 3 <br /> J <br /> STOP <br /> DEDUCT NOT <br /> AA TIME TIME <br /> DATE APPkGVED BY <br /> TOTAL CHAROESe $ -Sl r <br /> TERMS 41104 _fpd CONDITIONS! <br /> �a rel Wrty(30)days subject tD a charge of 1.5%par morm an all 088t due balances,tit the event the acmunt becomes delinquent snd it Is necessary to Instwo <br /> CUSTOMER agrees tp pay DES'aftameys fees Incurred in Such procpeding aatior'i or suit of in any awaal thereon.The PAftles s9r9g that actions Cr <br /> g In connactlon with this agreement shell be tried ana litigated exciuelvely to the courts located in Camra Costa Courtly.Caltfomta, <br />