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UNIVERSAL SERVICE RECYCLING INC. <br /> 3200 SOUTH EI DORADO SREET <br /> STOCKTON,CA 95206 <br /> 209 944-9555 <br /> Date: 3/2/2020 Straight Bill of Lading B/L NO. 69807 <br /> Page 1 of 1 <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 P.O. NO. DENNIS <br /> • SPECIAL INSTRUCTIONS: ❑ Master Bill of Lading <br /> Name: <br /> Address: <br /> Handling Weight Subl <br /> Units Type HM Description of Articles,Special Marks end Exceptions NMFC# Cless to Correction Rate Charge <br /> _ _ <br /> 1 T/L SHRED AG 42220 lbs <br /> GROSS:78620 <br /> TARE:36400 <br /> NETA2220 <br /> 21.11 <br /> II <br /> 1 Total for All Pages(Weight in lbs) I 42220lbsl 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:Where the rale is dependent on value,shippers are required to stale specifically in The 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 lollows: charges. <br /> The agreed or declared value of the properly is specifically stated by the shipper to be not <br /> 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 rales or contracts that have been agreed upon in writing between the carrier and shipper,if 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 properly 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,it on its route,or other wise deliver to another carrier on the route to destination.Every service to be performed hereunder <br /> shall be subject to all bill of lading farms and conditions in the governing classification on the dale of Ilia shlpmnt.Shipper hereby conifies[hal he is hereby familiar with all Ilio bill of lading terms and conditions in <br /> Ilia governing classification and the said forms and conditions are hereby agreed to by Ilio shipper and accepted for himself and his assigns. <br /> This is to certify that the above named materials are properly 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 <br /> E] By Shipper ❑ By Shipper <br /> SHIPPER SIGNATURE/DATE DRIVER <br /> ❑ By Driver ❑ By Driver/pallets said to contain <br /> '� �� ❑ By Driver/Pieces <br /> r <br /> ADI SmarIBOL Classic 02.11 <br />