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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: 10129/2019 Straight Bill of Lading BIL NO. 68138 <br /> • 0 <br /> Shipper No.00001 Name: Univeral Service Recycling Nevada <br /> 5855 ShooDrive <br /> Trailer No. Address: Carson City,p NV 89701 <br /> Seal No.- <br /> Name: UNIVERSAL SERVICE RECYCLING <br /> Address: 3200 SOUTH EL DORADO STREET <br /> STOCKTON, CA 95206 P.O.NO. POWER ANTHONY,JOHN <br /> III aill=111 I SPECIAL INSTRUCTIONS: ❑ Master Bill of Lading <br /> Name: <br /> Address: <br /> NMFCM Class Weight SubJ Rete Charge <br /> HandlqHU Typo HM Description of Articles,Special Marks and Exceptions to Correction <br /> Unit <br /> 1 T/L SHRED AG 40460 lbs <br /> GROSS:78060 u <br /> TARE:37600 - <br /> NETA0460 <br /> 1 Total for All Pages (Weight in lbs) 40460 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',Wnere the rale is dependent ort value,shippers are required to state specifically in Thecarriershell not make delivery of this shipment without payment of freight and all other lawful <br /> writing the agreed or declared value of the properly 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 determined rates or contracts that have been agreed upon in writing between the carrier and shipper,a applicable,otherwise to the rales,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 porformed 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 file 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 property 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 DRIVER ❑ By Driver ❑ ey Driver I pallets said to contain <br /> ❑ By Driver/Pieces <br /> ADI Smar1BOL Classic 00.3.6 <br />