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UNIVERSAL SERVICE RECYCLING INC. <br /> 3200 SOUTH EI DORADO SREET <br /> STOCKTO;*CA 95206 <br /> 209 944-9555 Page 1 of 1 <br /> [Date: 9/20/2019 Straight Bill of Lading BIL NO. 67561 <br /> Shipper No.00001 Name: Univeral Service Recycling Nevada <br /> Trailer No. Address: 5855 Sheep Drive <br /> Carson City,NV 89701 <br /> Seal No. <br /> Name: UNIVERSAL SERVICE RECYCLING <br /> Address: 3200 SOUTH EL DORADO STREET <br /> STOCKTON, CA 95206 P.O.NO. PO#PER ANTHONY,JON <br /> • to SPECIAL INSTRUCTIONS: ❑ Master Bill of Lading <br /> Name: <br /> Address: <br /> NMFC# Class W°fight Subj Rate Charge <br /> ��] Hu Typo HM Description of Articles,Special Marks and Exceptions to Correction <br /> 41140 lbs <br /> 1 T/L SHRED AG <br /> GROSS:78460 <br /> TARE:37320 <br /> NETA1140 <br /> 1 <br /> Total for All Pages (Weight in lbs) 41140 lbs o.00 <br /> Hazardous Material Emergency Contact: Freight Terms: C.O.D. Amount ❑ Prepaid <br /> ❑✓ Prepaid ❑ Collect <br /> ❑ Collect ❑ Customer Check Acceptable <br /> ❑ Third Party <br /> DECLARED VALUE:Where the rate is dependent on value,shippers are required to state specifically in The carrier shall not make delivery of this shipment without payment of freight and all other lawful <br /> writing the agreed or declared value of the property as follows. charges. <br /> The agreed or declared value of the property is specifically stated by the shipper to be not Shipper Signature <br /> exceeding per <br /> NOTE Liability Limitation for loss or damage in this shipment may be applicable.See 49 U.S.C.-14706(c)(1)(A)and(B). <br /> RECEIVED,subject to individually detammned rates or contracts that have been agreed upon in writing bets apparent good carrier order,excend pt es noted applicable, <br /> ocherwise to ts d condi)ern rates,of clacontents Iifi ation$and rules tat,marked, <br /> been <br /> established by the carrier and are available to the shipper on request.The properly described above,in app g P <br /> consigned,and destined as shown above,which said carrier agrees to carry to destination,if on its roulo,or other wise deliver to another carrier on the route to destination.Every service to be performed hereunder <br /> e shipment.Shipper hereby certifies that he is hereby familiar with all the bill of lading terms and conditions in <br /> shall be subject to all bill of lading terms and conditions in the governing classification on the date of th <br /> the governing classification and the said terms and conditions are hereby agreed to by the shipper and acce pled for himself and his assigns. <br /> This is to comfy that the above named materials are properly classified,described,packaged,marked and labeled,and are in proper condition for transportation according to the applicable regulations of the <br /> Department or Transportation. <br /> SHIPPER COMPANY NAME CARRIER Trailer Loaded Freight Counted <br /> UNIVERSAL SERVICE RECYCLING UNIVERSAL SERVICE RECYCLING <br /> NEVADA ❑ By Shipper ❑ By Shipper <br /> SHIPPER SIGNATURE/DATE DRI ❑ By Driver ❑ By Driver t pallets said to contain <br /> ❑ By Driver/Pieces <br /> ADI SmarlBOL Classic v10.3.6 <br />