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UNIVERSAL SERVICE RECYCLING INC. <br /> 3200 SOUTH EI DORADO SREET <br /> STOCKTON,CA 95206 <br /> 209 944-9555 <br /> Date: 12/16/2019 Page 1 of 1 <br /> Straight Bill of Lading B/L NO. 68590 <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 P.O. NO. DAVID <br /> SPECIAL INSTRUCTIONS: ❑ Master Bill of Lading <br /> Name: <br /> Address: <br /> HUnl�ls g HU Type HM Description of Articles,Special Marks and Exceptions NMFC# Class Weight Sub) Rate Charge <br /> _ to Correction <br /> 1 T/L SHRED AG 41460 lbs <br /> GROSS:79160 <br /> TARE:37700 <br /> NETA1460 <br /> 20.73 <br /> r <br /> 1 Total for All Pages (Weight in lbs) 41460 lbs o.00 <br /> Hazardous Material Emergency Contact: Freight Terms: C.O.D. Amount ❑ Prepaid <br /> ❑✓ Prepaid ❑ Collect <br /> ❑ Collect <br /> ❑ Third Party ❑ Customer Check Acceptable <br /> ULCLARLD VALULWhere file rade is depundent on value,shippers are requued to state specifically,in the carrier shall not make delivery of this shipment Without payment of treight 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 /> 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 /> RL=CL=IVLU,subject to individually determined rales or contracts that have been agreed upon in writing between the carrier and shipper,if applicable,otherwise to the rales,classifications and fules that have been <br /> established by the carrier and are available to the shipper on request The properly described above,in apparent good order,except as noted(contents and condition of contents of packages unknown),marked, <br /> consignod,and destined as shown above,which said carrier agrees to carry to destination,if on its routo,or other wise deliver to nnolhor carrier on the route to destination Every service to be performed hereunder <br /> shall bo subject to all bill of lading lorms and conditions in the governing classification on the dale of the shipment Shipper hereby certifies that he is hereby familiar wNt 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 himself and his assigns <br /> EDepartment <br /> histhe above named materials are properly classified.described,packaged.marked and labeled,and are in proper condition for transportation according to the applicable regulations of Ilia <br /> ponahonPANY NAME CARRIERTrailer Loaded Frelght Counted <br /> SERVICE RECYCLING UNIVERSAL SERVICE RECYCLING <br /> NEVADA <br /> ❑ ❑ <br /> SHIPPER SIGNATURE/DATE LL� DRIVER By Shipper By Shipper <br /> ❑ By Driver ❑ By Driver/pallets said to contain <br /> i <br /> ❑ By Drivet7Pieces <br /> L <br /> ADI SmanI30L Classic v10.3.6 <br />