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UNIVERSAL SERVICE RECYCLING INC. <br /> 3200 SOUTH EI DORADO SREET <br /> STOCKTON,:CA 95206 <br /> 209 944-9555 <br /> Page 1 of 1 <br /> Date: 9/30/2019 <br /> Straight Bill of Lading B/L NO. 67714 <br /> SHIPPER (ORIGIN) CONSIGNEE(DESTINATION) <br /> Shipper No.00001 Name: Univeral Service Recycling Nevada <br /> Trailer No. Address: 5855 Sheep Drive <br /> Seal No. Carson City,NV 88701 <br /> Name: UNIVERSAL SERVICE RECYCLING <br /> Address: 3200 SOUTH EL DORADO STREET <br /> STOCKTON, CA 95206 P.O.NO. JON <br /> PARTYTHIRD SPECIAL INSTRUCTIONS: ❑ Master Bill of Lading <br /> Name: <br /> Address: <br /> Handling HU Type HM Description of Articles,Special Marks and Eitceptlons. NMFCk ;ClassI'li6'Weight Subj Rete Charge <br /> Unita Pe� ;Correction . "8 <br /> 1 T/L SHRED AG 40780 lbs, <br /> GROSS:78440 <br /> TARE:37660 <br /> NETA0780 <br /> 20.39 <br /> � I <br /> 1 Total for All Pages(Weight in lbs 40780[bsl 0.00 <br /> Hazardous Material Emergency Contact: Freight Terms: C.O.D. Amount ❑ Prepaid <br /> ❑✓ Prepaid <br /> ❑ Collect <br /> Collect ❑ Customer Check Acceptable <br /> Third Party <br /> DECLARED VALUE:Vftre the rate Is dependent on value,shippers are required to state spedfically in The carrier shall not make delivery of this shipment without payment of freight and all other kWui <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 <br /> exceeding per <br /> Shipper Signature <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 determined rates or contracts that have been agreed upon In writing between the cafrtar and shipper,if applicable,otherwise to the rates,classifications and rules that have been <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 carrier agrees to carry to destination,If on its route,or otherwise deliver to another carrier on the We to destination.Every service to be performed hereunder <br /> shell be subjecl to all bill of lading terms and conditions in the governing classification on the date of the shipment.Shipper hereby ceftifies that he is hereby famlliar 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 <br /> By Shipper ❑ By Shipper <br /> SHIPPER SIGNATURE!DATE DRIVER ❑ <br /> ❑ By Driver ❑ By Driver!pallets said to contain <br /> ❑ By Driver/pieces <br /> ADI SmeABOL Classic v12-.31.1 <br />