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UNIVERSAL SERVICE RECYCLING INC. <br /> 3200 SOUTH EI DORADO SREET <br /> STOCKTON,CA 95206 <br /> 209 944-9555 <br /> Date: 1/30/2019 Straight Bill of Lading B/L NO. 63940 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. POWER ANTHONY,RENO <br /> • SPECIAL INSTRUCTIONS: ❑ Master Bill of Lading <br /> Name: <br /> Address: <br /> Handling HU Typo HM Description of Articles,Special Marks and Exceptions NMFC# Class Weight Subl Rete Charge <br /> units to Correction <br /> 1 T/L SHREDDER AGGREGATE _ 40840 lbs <br /> —�GROSS:78820 -- - — - — -- - — - - <br /> TARE:37980 �— <br /> NETA0840 I i - <br /> PO#PER ANTHONY <br /> 1 Total for All Pages(Weight In lbs) I 40840[bsl 10.00 <br /> Hazardous Material Emergency Contact: Freight Terms: C.O.D. Amount ❑ Prepaid <br /> ❑✓ Prepaid ❑ Collect <br /> ❑ Collect <br /> E] Third Party ❑ Customer Check Acceptable <br /> DECLARED VALUE:Where the rete is dependent on value,shippers are required to state specifically in The carrier shell not make delivery of this shipment without payment of freight and all other lawful <br /> writing the agreed or declared value or the property as follows, charges. <br /> The agreed or declared value of the properly is specifically slated 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 /> 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 thal 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 dashnod as shown above,which said canior agrees to carry to destination,if on its route,or other wino deliver to another carrier on the route to destination.Every service to be performed hereunder <br /> shall be sub;ect to all bill of lading terms and conditions in the governing classification on the dale of the shipment Shipper hereby candies 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 materiels 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 /> SHIPPER SIGNATU E/DATE DRIVER 1' By Shipper ❑ By Shipper <br /> ❑ By Driver ❑ By Driver/pallets said to contain <br /> / ❑ By Driver/Pieces <br /> 6 <br /> ADI Smar180L Classic v10.3.6 <br />