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' 01/11/2005 10:18 9256340931 DILLARD TRUCKING PAGE 06 <br /> �t1V 1�O <br /> S� <br /> 'Dillard environmenfal Services TAG NO. <br /> �sFRvIesap PO Box579 13411 <br /> Syron, CA 94514 <br /> Telephone No. (925) 634-6850 <br /> Facsimile No. (925) 634-0569 <br /> Date , Q Ia13I�lITINBERS(s) ;JQt�NtUM6�8($j? :.J48idk�trteERS(S>>. JF�adVt]fslBSfSS4 '. <br /> ' TRUCK TRAILER <br /> NO. � NO. �'- <br /> SVB. # # # # <br /> HAULER <br /> PRIME CONSIGNEE <br /> CARRIER <br /> GENERATOR($) DESTINATION <br /> ( <br /> CITY BEGINNIN END N <br /> ' FLT L• GAL€,ONS FU -VENDOR <br /> Rf+9F1ERI+ kS . .. LOADv4G-.' LINLOMP4G- 9 #2 #7 ; 2 <br /> IiF1EST.' YRRT]SOR T1Mi=: TIME mm TIRAE <br /> Nig ' a :q ICGj. ,.. cyWEI� F :.., ...Cfnlq�r<�__:. <br /> z <br /> b3 OFFIC USE ONLY <br /> 4 TNS 1LDS IYDS <br /> 6 TRANSPORTATION UNITS. - IA t' <br /> Ei TRANSPORTATION RATE: �- <br /> 7 GUOTOTAL: $ r <br /> B DISPOSAL UNITS; <br /> i <br /> 10 DISPOSAL-RATE: <br /> 11 SUBTOTAL,- $ <br /> ' tz <br /> 13 BRIDGE-TOLL: <br /> COMMENTS; <br /> MATERIALS: <br /> srAl� STgP DEDUCT NET <br /> t ► I� TIME TIME <br /> ' DLIV •� ����? 11 <br /> RECEIVED DATE= APPROVED BY <br /> fPWM6WtsM1S <br /> roTaL cMwsGss• sZ�rTERMS and CONDITIONS <br /> are net thirty(30)days subject to a charge of 1.s%per martth on all past nue bglanoos.In g Ie evenl the account becomes delinquent and it Is novessary to institute <br /> Iegal prvt:eeglhga,CUSTOMER agrees to pay DES'attorney's fees Incurred In suCh proceeding.action or suit or In any appaal thereon.The parties agree that actlDna or <br /> ' proceedings arising ill nonnection with this agreement Shall be tried and Illlgeted exclusively In the courts located in Contra Costs county.callfamle. <br />