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UNIVERSAL SERVICE RECYCLING INC. <br /> 3200 SOUTH EI DORADO SREET <br /> STOCKTON,CA 95206 <br /> 209 944-9555 <br /> Date: 11/1212019 Page 1 of 1 <br /> Straight Bill of Lading BIL NO. 68376 <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 89701 <br /> Name: UNIVERSAL SERVICE RECYCLING <br /> Address: 3200 SOUTH EL DORADO STREET <br /> STOCKTON, CA 95206 <br /> P.O. NO. DAVID <br /> Name: SPECIAL INSTRUCTIONS: E] Master Bill of Lading <br /> Address: <br /> Hn%ing HU Type HM Description of Articles,Special Marks and Exceptions NMFCtt Class Weight Subj Rate Charge <br /> l-Uni s - - - - - - - - - - - - - - - - - - to Correction - - — 9 <br /> 1 T/L SHRED AG <br /> 1 T/L SHRED AG 41860 lbs <br /> GROSS:79440 <br /> TARE:37580 <br /> NETA 1860 <br /> 20.93 <br /> 2 Total for All Pages (Weight in lbs) 41860 lbs 0.00 <br /> Hazardous Material Emergency Contact: Freight Terms: C.O.D. Amount ❑ Prepaid <br /> Q Prepaid ❑ Collect <br /> ❑ Collect <br /> E] Third Party El Check Acceptable <br /> DECLARED VALUE.Where the rate is dependent on value,shippers are required to state speubcally in The cart or shall not make delivery of this shipment without payment of freight and all other lawful <br /> wriling the agreed or declared value of the property as follows charges <br /> The agreed or declared value of the properly is specifically slated by the shipper to be not <br /> exceeding per 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,it applicable,othonviso to the rales,classifications and rules that have been <br /> established by the carrier and aro available to the shipper on request.The property doscnbed above,in apparent good order,except as noted(contents and condition of contents of packages unkno.n),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 porlormed hereunder <br /> shall be subject to all bill of lading forms and conditions in the governing classification on the dab of the shipment Shipper hereby certifios[hat he is hereby familiar with all the bi'I of lading terms and conditions in <br /> the governing classification and the said terms and conditions are hereby agreed to by the stopper and accepted for himself and his assigns. <br /> This is to certify that the above named materials are properly classified.descnbed,packaged,marked and labeled,and are in proper condition for transportation according to the applicable regulalions of[he <br /> Department of Transportation <br /> SHIPPER COMPANY NAME CARRIER Trailer Loaded Freight Counted <br /> UNIVERSAL SERVICE RECYCLING UNIVERSAL SERVICE RECYCLING <br /> NEVADA <br /> SHIPPER SIGNATURE!DATE DRIVER ❑ BY Shipper ❑ By Shipper <br /> ❑ By Driver By Driver I pallets said to contain <br /> ❑ By Dtiver/Pieces <br /> 1 <br /> ADI SmannOL Classic v12 3 1 <br />