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UNIVERSAL SERVICE RECYCLING INC. <br /> 3200 SOUTH EI DORADO SREET <br /> STOCKTON,CA 95206 <br /> 209 944-9555 <br /> Page 1 of 1 <br /> Date: 1/2912019 Straight Bill of Lading B/L NO. 63912 <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. HAROLD <br /> SPECIAL INSTRUCTIONS: ❑ Master Bili of Lading <br /> Name: <br /> Address: <br /> Handling HU Type Hb Description of Articles,Special Marks and Exceptions NMFCN Class Weight Subj Rate Charge <br /> Units ItoCarrectlon <br /> 1 TIL SHRED AG39620 lbs <br /> - - ---_ - ---....... -- -- -- <br /> GROSS:78500 <br /> i <br /> -' �TARE:38880 <br /> - ------_ <br /> NET:39620 <br /> HAROLD . <br /> ------------- <br /> 1 Total for.Ail Pages eight in lbs 39620lbsl 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 state specifically in The canner 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 follows: charges. <br /> The agreed or declared value of the property 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 /> RECENED,subject to Individually determined rates or contracts that have boon 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 avatleble 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 deafcnation,it on its route,or other wise deliver to mother carrier on the mute to destination.Every service to be performed hereunder <br /> shall be subject to all bin of Lading terms and conditions in the governing classification on the date of the shipment Shipper hereby certifies that he Is hereby familiar with an the bar of ledi g terms and conditions In <br /> the governing classification and the said terms and conditions are hereby agreed to by the sapper 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 applicable regulations of the <br /> Department of Transportation. <br /> SHIPPER COMPANY NAME CARRIER Trailer Loaded Frelaht Counted <br /> UNIVERSAL SERVICE RECYCLING UNIVERSAL SERVICE RECYCLING <br /> ❑ By Shipper ❑ By Shipper <br /> SHIPPER SIGNATURE/DATE DRIVER <br /> ❑ By Driver ❑ By Driver/pallets said to contain <br /> ❑ By Driver/Pieces <br /> ADI SmartaOL Classicvt2.3.1 <br /> i <br />€ <br />