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Ia,NIVERSAL SERVICE RECYCLING INC. <br /> 3200 SOUTH EI DORADO SREET <br /> STOCKTON,CA 95206 <br /> 209 944-9555 <br /> Page 1 of 1 <br /> Date: 2l112019 <br /> Straight Bill of Lading BIL NO. 63984 <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 /> lit- - - SPECIAL INSTRUCTIONS: ❑ Master Bill of Lading <br /> Name: <br /> Address: <br /> Handling HU Type HM Description of Articles;Special Marks end Exceptions FC,. Class- Weight Sub} Rate Charge <br /> Units to CorriicttOn <br /> 1 TIL SHRED AG 40060 lbs' <br /> GROSS:78980 <br /> TARE:38920 <br /> NETA0060 <br /> i <br /> 1 Total for Ail Pages:. et ht in lbs 40060lbsF 0.00 <br /> Hazardous Material Emergency Contact: Freight Terms: C.O.D. Amount ❑ Prepaid <br /> Q Prepaid ❑ Collect <br /> gCollect ❑ Customer Check Acceptable <br /> Third Party <br /> DECLARED VALUE:Where the rate is dependent on value,shippers are required to state specifically in The carrier shall not make delivery of M 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 /> RECEIVED,subject to individually determined rates or contracts that have been agreed upon in writing between the carrier and shipper,it 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 destination,if 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 terms and conditions in the governing classificalion on the date of the shipment.Shipper hereby certifies that he is hereby femilierwilh 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 stripper 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 /> ❑ By Shipper ❑ By Shipper <br /> SHIPPER SIGNATURE/DATE DRIVER <br /> ❑ By Driver ❑ By Driver/pallets said to contain <br /> ❑ By Driver/Pieces <br /> ADI SmartBOL Classic v12.3.1 <br />