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UNIVERSAL SERVICE RECYCLING INC. <br /> 3200 SOUTH EI DORADO SREET <br /> STOCKTON,CA 95206 <br /> 209 944-9555 <br /> Date: 1/18/2019 Straight Bill of Lading B/L NO. 63633 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. HAROLD, PO#PER ANTHONY <br /> THIRD PARTY FREIGHT CHARGES BILL TO SPECIAL INSTRUCTIONS: ❑ Master Bill of Lading <br /> Name: <br /> Address: <br /> Handling HU Type JHM� Description of Articles,Special Marks and Exceptions NMFC# Class Weight Sub] Rate Charge <br /> Units to Correction <br /> 1 T/L SHRED AG 36680 lbs <br /> GROSS:76340 <br /> TARE:39660 <br /> N ET:36680 <br /> j <br /> I <br /> j 1 Total for All Pages (Weight in lbs) I36680lbsi 1 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 rate 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 /> willing Ilio agreed or declared value of the property as follows charges <br /> The agreed or declared value of the property is specifically slated 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 rates,classifications and rules Thal have been <br /> established by the carrier and aro 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 destination,it on its route,or other wisp deliver to another carrier on the route to destination Every service to be performed hereunder <br /> shall 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 lemis and conditions are hereby agreed to by the shipper and accepted for himself and his assigns <br /> This is to cert Ay that the above named materials are properly classified.described,packaged,marked and labeled.and are in proper condition for transportation according to the applicable mgulalions of the <br /> Department of Transportation. <br /> SHIPPER COMPANY NAME CARRIER Trailer Loaded Freight Counted <br /> UNIVERSAL SERVICE RECYCLING UNIVERSAL SERVICE RECYCLING <br /> SHIPPER SIGNATURE/DA DRIVER ❑ By Shipper ❑ By Shipper <br /> ❑ By Driver ❑ By Driver/pallets said to contain <br /> r <br /> ❑ By Driver/Pieces <br /> ADI Saii Classic 02 3 1 <br />