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UNIVERSAL SERVICE RECYCLING INC. <br /> 3200 SOUTH EI DORADO SREET <br /> STOCKTON,CA 95206 <br /> 289 944-9555 <br /> Page 1 of 1 <br /> Date: 10/4/2019 Straight Bill of Lading BIL NO.-67796— <br /> SHIPPER <br /> •• • • <br /> Shipper No.00009 Name: Univeral Service Recycling Nevada <br /> Trailer No. Address: 5855 Sheep Drive <br /> Seal No. Carson City,NV 89709 <br /> Name: UNIVERSAL SERVICE RECYCLING <br /> Address: 3200 SOUTH EL DORADO STREET <br /> STOCKTON, CA 95206 P.O.NO. POWER ANTHONY,DAVID <br /> THIRD FREIGHT CHARGES TO SPECIAL INSTRUCTIONS: ❑ Master Bill of Lading <br /> Name: <br /> Address: <br /> Handling Weight Subj <br /> HU Type HM Description of Articles,Special Menke and Exceptions NMFC# Class Rete Charge <br /> Unita Ito Correction <br /> 1 TIL SHRED AG 41120 lbs <br /> GROSS:78640 <br /> TARE:37520 <br /> NET:41120 - ----�--;-----j <br /> i <br /> I I <br /> 1 Total'for All Pa es(Weight In lbs 41120 lbs 0.00 <br /> Hazardous Material Emergency Contact: Frelaht Terms: C.O.D. Amount ❑ Prepaid <br /> Q Prepaid ❑ Collect <br /> Collect ❑ Customer Check Acceptable <br /> Third Party <br /> DECLARED VALUE:where the rate is dependent on value,shippers are required to elate 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 <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 /> RECENED,subject to individually determined rates 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 /> 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 other wise deliver to another carrier on the route to destination.Every service to be performed hereunder <br /> shell be subject to all bill of lading terms and conditions in the governing classification on the date of the shipment Shipper hereby certifies/hal he is hereby familiar with all the bill of lading terns and conditions In <br /> the governing classification and the said forms 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 property classified,described,packaged,marked and labeled,and are in proper condition for transportation aocording to the applicable regulations of Ute <br /> Department of Transportation. <br /> SHIPPER COMPANY NAME CARRIER Trailer Loaded Frelaht Counted <br /> UNIVERSAL SERVICE RECYCLING UNIVERSAL SERVICE RECYCLING <br /> NEVADA ❑ By Shipper 0 By Shipper <br /> SHIPPER SIGNATURE/DATE DRIVER ❑ By Driver ❑ By Driver/pallets sold to contain <br /> ❑ By Driver/Pieces <br /> ADI Smar80L Classic v10.3.6 <br />