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UNIVERSAL SERVICE RECYCLING INC. <br /> 3200 SOUTH EI DORADO SREET <br /> STOCKTON,CA 95206 <br /> 209 944-9555 Page 1 of 1 <br /> Date: 21112019 Straight Bili of Lading BIL NO. 63991 <br /> • 9. <br /> Name: Univeral Service Recycling Nevada <br /> Shipper No.00001 Address: 5855 Sheep Drive <br /> Trailer No. Carson City,NV 89701 <br /> Seal No. <br /> Name: UNIVERSAL SERVICE RECYCLING <br /> Address: STOCKTON, CA 9520600 SOUTH EL D0 STREET P.O.NO. PO#PER ANTHONY,RENO <br /> -. - - • SPECIAL INSTRUCTIONS: ❑ Master Bill of Lading <br /> Name: <br /> Address: <br /> 77 7, r + NMFOq class Weiphl$ub1 V � �8 < haro• <br /> Handling . HU type HM Descrlpdon,Ot Afticies,$peClal�lerke slid %C9g{iCQ@r �R <br /> Uncle J. i'. :.i2:: .r u:a . . _.n,r.^.; 4 s� ._1.. . . ?.r 29300lbs <br /> 1 TIL SHREDDER AGGREGATE <br /> GROSS:67360 <br /> TARE-.38060 <br /> NET:29300 <br /> POWER ANTHONY <br /> I <br /> - i <br /> , <br /> -- i <br /> r Total'sf +►11 a e ell`WNW!. 29300 lbs = o.00 <br /> Hazardous Material Emergency Contact. Freiah_ t Terms: C.O.D.Amount ❑ Prepaid <br /> Q Prepaid ❑ Collect <br /> Collect ❑ Customer Check Acceptable <br /> r] Third Party <br /> DECLARED VALUE:Where the rate is dependent on value,shippers are required to state spociftcaily 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 follows: <br /> The agreed or declared value Of the Property is specifically stated by the shipper to be of 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 tri wrung betweenpa exs�as applicable. <br /> a(co�ntenotherwise <br /> ��ditioon rates, <br /> of packagifications es unknown),mrules that ave rked, <br /> established <br /> n <br /> established by the carrier end are available to the shipper on request.The property described above,to apparent good to_ to <br /> sons be consigned,anddtc all bili f lading terms and which <br /> said <br /> carrier <br /> s in the agrees <br /> rrees to classification to defmnalloon Uw dale o the If on ft. shipmor ent Shipper r wise he ably certifies that he is herebyfamiliarwith ell the bill of ledmgoterrms and conditions in hereunder <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 /> classified,described. <br /> packaged.marked and labeled,arid are in proper condition for transportation accord <br /> Grg to toll apptfcable regulations f the <br /> This is to certify that the above named materials are property dce <br /> Department of Transportation. <br /> SHIPPER COMPANY NAME CARRIER Trailer Loaded Freight Counted <br /> UNIVERSAL SERVICE RECYCLING UNIVERSAL SERVICE RECYCLING ❑ BY Shipper ❑ By Shipper <br /> SHIPPER SIGNATURE/DATE DRIVER C] By Driver ❑ By Driver!pallets said to contain <br /> ❑ By Driver/Pieces <br /> i <br /> ADI SmertBOl Classic v10.3.e <br /> g{R <br /> 1 <br />€ <br />