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� I <br /> i <br /> ' f <br /> r j <br /> I <br /> Y <br /> I `I <br /> 1GRRINEW-E .- i <br /> 'I WEIG.KD AT; am <br /> $ t <br /> ,,...•.... .. ;. ." X13 } , � i's" "I <br /> •., � WEIGHED AT: <br /> T F�ACY P!Li*t <br /> r i I <br /> WEIGHMASTER CERTIFICATE.,,f ; <br /> THAT E FOLLOWING COM1MODITY WAS <br /> THIS IS TO CERTIFY TH H DESCRIBED <br /> f SOLD TO WEIGHED, MEASURED OR'COUNTED BY A WEIGHMASTER,"_WHOSE SIGNA- <br /> TURE IS ON THIS CERTIFICATE, WHO ISA RECOGNIZED':AUTHORITY OF! <br /> ACCURACY,AS PRESCRIBED BY CHAPTER.7(COMMENCING,WITH;SECTION <br /> DELIVERY ADDRESS 12700)OF,DIVISION 5 OF.THE CALIFORNIA BUSiNES.'AND`PROFESSIONS.t I <br /> I'NILAA-1 1 9 OIL- CODE,ADMINISTERED SYTHE DIVISION OF MEASUREMENTSTANDARDS OF,.- ! s <br /> 1+1T. NIEFtTF'El.' f"z I:"1 l IIV THE CALIFORNIA.DEPARTMENT.OF FOOD AND AGRICULTURE , i <br /> L J - <br /> WE MAKE DELIVERIES INSIDE,CURB LINE AND ON THErIOT AT' + i <br /> SPECIAL INSTRUCTIONS <br /> CUSTOMER'S RISK ONLY AND ACCEPT NO RESPONSIBILITY WHAT,..",, i <br /> SOEVER FOR DAMAGE RESULTING FROM SUCH DELIVERIES. <br /> ;DRIVER <br /> ON OFF COPY"2 <br /> GROSS&TARE <br /> . . :9214r <br /> t, DATE ICUST. ACCT.NO. COST. P.O. NO. OUST.JOB NO. CONTRACT NO. TICKET Np. <br />�. <br /> FOB PLANT a FOB JOB ❑ FOB PLANTA HAUL'iNG TIMOUT. + 4144 I' � <br /> TRK"NO.!LIC, NO. OWNER ZONE '. <br /> r i <br /> ARRIVE <br /> AT JOB Ii <br /> - z <br /> QUANTITY ORDERED I TONS QUANTITY DELIVERED I TONS QUANTITY TO G0.1 TONS I ? <br /> DEPART-:�..i +� I f <br /> JOB °. <br /> t <br /> LOAD NO GRb55 WT./TONS NET WT./TONS TARE WT./TONS <br /> STAND <br /> }'..5 TIME 1 <br /> I .I• i <br /> DUCT CODE DESCRIPTION ORDER NO. P e r <br /> KFIfl�iE 1. INME.' ;; <br />�I. UNIT PRICE NET PRICE HAUL CHG. SU$TOTAL TAX GRAND TOTAL " - <br /> E TRIP <br /> TIME <br /> wEIGHMASTER <br /> f. GRANITE CONSTRUCTION COMPANY (::►` RC) "(.-. F.�I-1A. MILES <br /> DEPUTY <br /> F ,FORM 156C REV.10190 LAST ORDERED 7-92 BFU 81,000 <br />