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UNIVERSAL SERVICE RECYCLING INC. <br /> 3200 SOUTH EI DORADO SREET <br /> STOCKTON,CA 95206 <br /> 209 944-9555 Page 1 of 1 <br /> Date: 912712019 Straight Bill of Lading BIL NO. 67690 <br /> • <br /> Shipper No.00001 Name: Univeral Service Recycling Nevada <br /> Trailer No. Address: 5855 Sheep Drive <br /> Seal No. Carson City, NV 89701 <br /> Name: UNIVERSAL SERVICE RECYCLING <br /> Address: 3200 SOUTH EL DORADO STREET <br /> STOCKTON, CA 95206 P.O. NO. POWER ANTHONY,JOHN <br /> SPECIAL INSTRUCTIONS: ❑ Master Bill of Lading <br /> Name: <br /> Address: <br /> Handling Hu Typo HM Description of Articles,Special Marks and Exceptions NMFCN Class Weight Suhj Rate Charge <br /> Units p to Correctlon <br /> 1 T/L SHRED AG 40400 lbs <br /> GROSS:78000 <br /> I <br /> TARE:37600 <br /> NETA0400 <br /> I <br /> I <br /> I <br /> 1 Total for All Pages (Weight in Ibis) aoaoo lbs 0.00 <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 tire rate is dependent on value,shippers are required to state specifically in The carrier shall riot mai a delivery of this shipment without payment of freight and all other lawful <br /> wrung the agreed or declared value of the property as follows. charges. <br /> The agreed or declared value of the property is specie:ally staled by the shipper to be not <br /> 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 /> RECEIVEDsuulect to individually determined rales or contracts that have been agreed upon in writing between the carrier and shipper,if applicable,otherwise to the rates,classifications and rules that have been <br /> , <br /> established by the carrier and are available to the shipper on request.The property described above,in apparent good order,except as noted(contents and condition of contents of packages unknown),marked, <br /> consigned,and destined as shown above,which said carrior agroes to carry to destination,if on its route,or other wise deliver to another tamer on the route to destination Evory service to be performed hereunder <br /> shall be subject to all bill of lading terms and conditions In the governing classification on the date of the shipment Shipper hereby certifies that he is hereby familiar with all the bill of lading terms and conditions in <br /> the governing classification and the said terms and conditions are hereby agreed to by the shipper and accepted for himself and his assigns. <br /> This is to certify 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 of 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 DRIVE ❑ By Driver ❑ By Driver t pallets said to contain <br /> r / <br /> /, ❑ By Driver/Pieces <br /> C / <br /> -- -- ADI Smart©OL Classic v10.3.6 <br /> I <br />