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UNIVERSAL SERVICE RECYCLING INC. <br /> 3200 SOUTH EI DORADO SREET <br /> STOCKTON,CA 95206 <br /> (209194-9555 Page 1 of 1 <br /> Date: 1211612019 Straight Bill of Lading BIL NO. 68592 <br /> Shipper No.00009 Name: Univeral Service Recycling Nevada <br /> No. Address: 5855 Sheep Drive <br /> Trailer <br /> Seal N Carson Cfty,NV 89709 <br /> Name: UNIVERSAL SERVICE RECYCLING <br /> Address: 3200 SOUTH EL DORADO STREET <br /> STOCKTON,CA 95206 P.O.NO. JON <br /> 911112-A IN M.MON 00111111.1 I aSPECIAL INSTRUCTIONS: ❑ Master Bill of Lading <br /> Name: <br /> Address: <br /> Handling Hu Type NM l)ascripUon of Articles,special Marks.and Exceptions ° <br /> . NM-c# <br /> Class to ate` <br /> Units' <br /> eight SubJ - .R Charge�'- <br /> Coirectlon <br /> 1 1 T/L SHRED --- _ I I 411801bs� <br /> GROSS:79000 —_— !---�---- I- <br /> -- �TARE:37820-- <br /> _— NETA1180 ---- -- <br /> _.__ ——----- ------ t <br /> i <br /> Total for.All Pa es.iWei ht in <br /> 1 -IbS 41180 lbs 0.00 <br /> Hazardous Material Emergency Contact: Freiaht Terms: C.O.D. Amount ❑ Prepaid <br /> ❑Q Prepaid ❑ Collect <br /> Collect 0 Customer Check Acceptable <br /> Third Party <br /> DECLARED VALUE:Where the rate is dependent on value,shippers are required to state spedfmn in cThe harges, <br /> 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 properly as follows: shipper to tine not <br /> The agreed or declared value of the property pecirfoly by ppe 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,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 /> consigned,and destined as shown above,which said carrier agrees to carry to desluhetion,if on fts route,or other wise deliver to another carrier on the route to destination.Every service to be performed hereunder <br /> shag 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 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 the above named materials are property classified,described,packaged,marked and labeled,and are in proper condition for transportation according to the applicattie regulations of the <br /> Department of Transportation. <br /> SHIPPER COMPANY NAME CARRIER <br /> UN VERBAL SERVICE RECYCLING Trailer Loaded Frelaht Counted <br /> UNIVERSAL SERVICE RECYCLING NEVADA <br /> By Shipper ❑ By Shipper <br /> SHIPPER SIGNATURE/DATE DRIVER ❑ By Driver ❑ By Driver/pallets said to contain <br /> ❑ By Driver/Pieces <br /> ADI SmanSOL Classic v110.3.6 <br />