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UNIVERSAL SERVICE RECYCLING INC. <br /> 3200 SOUTH EI DORADO SREET <br /> STOCKTON,CA 95206 <br /> 209 944-9555 <br /> Date: 10/31/2019 Page 1 of 1 <br /> Straight Bill of Lading BIL No. 68170 <br /> SHIPPER •' • • <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 <br /> P.O.NO. DAVID <br /> • • SPECIAL INSTRUCTIONS: ❑ Master Bill of Lading <br /> Name: <br /> Address: <br /> H n jli g Hu Type Hal Description of Articles,Special.Marks and Exceptions TNMFC# Gess .Weight SubJ Rate Charge <br /> to.Coriection` <br /> 1 T/L SHRED AG j 41480 lbs <br /> GROSS:79020 - - - ----— <br /> TARE:37540 <br /> NETA1480 <br /> 20.74 <br /> i <br /> i <br /> i <br /> - <br /> i <br /> 1 Total for Ail Pages W®fight In lbs: 41480 lbs , 0.00 <br /> Hazardous Material Emergency Contact: Freitaht Terms: C.O.D. Amount ❑ Prepaid <br /> ❑✓ Prepaid ❑ Collect <br /> Collect <br /> Third Party ❑ Customer Check Acceptable <br /> DECLARED VALUE:Where the rate is dependent on value,shippers are required to state specifically inThe 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 specifrcalty staled 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 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 /> conslgned,and destined as shown above,which said carrier agrees to carry to destination,If on file route,or other wise deliver to another carter on the route to destination.Every&mice 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 certKes 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 hknsetl and his assigns, <br /> This is to certify that the above named materials are properly Classified,described,packaged,marked and labeled,and are to <br /> Department of Transportation. proper condition for transportation according to the applicable regulations of the <br /> SHIPPER COMPANY NAME CARRIER Trailer Loaded Frelaht Counted <br /> UNIVERSAL SERVICE RECYCLING UNIVERSAL SERVICE RECYCLING <br /> NEVADA ❑ By Shipper <br /> SHIPPER SIGNATURE/DATE DRIVER ❑ By Shipper <br /> ❑ By Driver ❑ By Driver/pallets said to contain <br /> ❑ By Driver/Pieces <br /> ADI Smanflt. lassicv12.3.1 <br />