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DILLARD TRUCKING, INC.. : <br /> r. € dba DILLARD ENVIRONMENTAL SERVICES1, - <br /> P.O.BOX 579 <br /> BYRON, CALIFORNIA 94514 <br /> PHONE:(925)634-6850 FAX:.(925)634-0569 <br /> DATE PM JOB# CUSTOMER SITE ADDRESS CITY " INT PM <br /> DELIVERY PICKUP TIME UNIT# TYPE RT/OT LINER _ rgRp <br /> 1 <br /> V IR30 0 07. <br /> LIST ANY DAMAGE/MISSING PARTS,IN DETAIL <br /> UNIT# UNIT# <br /> l <br /> TOP ftoo <br /> FRONT FRONT <br /> Q LEFT SIDE Q Q LEFT SIDE Q d <br /> TOP TOP <br /> FRONT FRONT <br /> Q RIGHT SIDE Q Q RIGHT SIDE Q <br /> FRONT AR MAY `I SqWI �� �{ '• " <br /> R , <br /> DRIVER SIGNATUR11 DATE = �� TRUCK# <br /> By accepting delivery o0ented items, customer agrees to all terms and con i ons of this re'n"tal dontract. <br /> Customer acknowledges receipt of rented items in good order with exceptions noted above. <br /> CUSTOMER SIGNATURE(*) DATE TRUCK# <br /> 'No one at jobsite to receive units, driver signs for customer. <br /> THIS IS NOT AN INVOICE <br /> ESTIMATED COST FOR REPAIRS: Mailed invoice to follow <br /> REPLACEMENTTARP TOP OUTSIDE REPAIRS <br /> REPLACEMENT PARTS <br /> WHEEL(S) HINGES RAILS BODY <br /> DOOR LOCKS TOP PAINT <br /> Terms and Conditions: Bills are due and payable within 30 days of invoice date.We reserve the right to assess'i.5% . <br /> finance charge per month on past due accounts.Customer assumes full responsibility for all rented iters, including sale <br /> and proper use,operation, routine maintenance,and storage.Customer is responsible for all loss, damage or repair. <br /> WHITE-CLIENT YELLOW-JOB'FILE GREEN -ACCOUNTING GOLDENROD-DISPATCH <br />