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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: 10/18/2019 Straight Bill of Lading B/L NO. 67991 <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 Type HM Description of Articles,Special Marks and Exceptions NMFC# Class Weight Subj Rete Charge <br /> Units to Correction <br /> 1 T/L SHRED AG 35820 lbs <br /> GROSS:73460 <br /> TARE:37640 <br /> N ET:35820 <br /> I - <br /> 1 Total for All Pages (Weight in lbs) 35820lbsl 0.00 <br /> Hazardous Material Emergency Contact: Freight Terms: aid <br /> C.O.D. Amount ❑ Prepaid <br /> ❑✓ Prepaid ❑ Collect <br /> ❑ Collect ❑ Customer Check Acceptable <br /> ❑ Third Party <br /> DECLARED VALUL: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 spocifimlly slated 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 /> RECEIVED,subject to individually determined rales or contracts that have been agreed upon in writing between the carrier and shipper,if applicable,otherwise to the roles,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 allreos to carry to destination,if on its route,or other wise doliver to another carrier on the route to doslination Every service to be performed hereunder <br /> shall be subject to all bill of lading terms and conditions in the governing classification on the data of the shipment.Shipper hereby certifies that he is hereby familiar with all the bill of lading terms and conditions to <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 lire abovu 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 Transpodalion <br /> SHIPPER COMPANY NAME CARRIER Trailer Loaded Freight Counted <br /> UNIVERSAL SERVICE RECYCLING UNIVERSAL SERVICE RECYCLING <br /> NEVADA 1 <br /> ❑ By Shipper ❑ By Shipper <br /> SHIPPER SIGNATU I DATE DRIVER <br /> ❑ By Driver ❑ By Driver/pallets said to contain <br /> ❑ By Driver/Pieces <br /> r , <br /> r <br /> ADI SmartBOL Classic 00.3.6 <br />