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yr .... ko w)- aw <br />E <br />Dillard Trucking, Inc. dba. <br />1DiClard Environmenta(SerUices <br />PO Box 579 <br />Byron, CA 94514 <br />Telephone No. (925) 634-6850 <br />Facsimile No. (925) 634-0569 <br />�.� <br />Date <br />JOB NUMBERS(S) <br />JOB NUMBERS(S) <br />JOB NUMBERS(S) <br />JOB NUMBERS(S) <br />TRUCK TRAILER—# <br />NO. NO. �b <br />j <br /># <br /># <br /># <br />SUB. <br />HAULER <br /># <br /># <br /># <br /># <br />PRIME <br />CARRIER <br />CONSIGNE \1 <br />GENERATOR(S) R <br />L <br />DESTINATION <br />3� A cf L V <br />CITY Li v tom- <br />CITY <br />BEGINNINGILEAgGET^ <br />---GALLONS <br />ENDING MILEAGE <br />MATERIALS <br />LOADING <br />UNLOADING FUEL <br /># #2 <br />TIME TIME <�' CAI <br />E LEAVE <br />ViQf�J a2 <br />t <br />9'3 0 lo�ToA, <br />FUEL -VENDOR <br />#1 <br />#2 <br />NO <br />MANIFEST <br />YARDS OR <br />TIME <br />�W±S <br />TIME <br />%)36 <br />`9°moi <br />/ tip OFFICE USE ONLY <br />AM <br />a <br />31cl;D,E'� <br />jl!00 <br />j�2'o� <br />�� f6� TNS/HRS/LDS/YDS <br />5 <br />TRANSPORTATION UNITS: <br />6 <br />TRANSPORTATION RATE: <br />D <br />7 <br />SUBTOTAL: <br />$ <br />8 <br />9 <br />DISPOSAL UNITS: <br />10 <br />DISPOSAL RATE: <br />11 <br />' SUBTOTAL: <br />$ <br />12 <br />13 <br />BRIDGE -TOLL: <br />COMMENTS: <br />MATERIALS: <br />STAgTIV-0 <br />. 3 o <br />STOP 2 <br />®® <br />DEDU1 <br />TIME C <br />NET <br />TIME <br />APPROVED BY TOTAL CHARGES: <br />RIVE <br />REC VED DATE <br />Fs <br />TERMS and CONDITIONS <br />Payment terms are net thirty (30) days subject to a charge of 1.5% per month on all past due balances. In the event the account becomes delinquent and it is necessary to institute <br />legal proceedings, CUSTOMER agrees to pay DES' attorney's fees incurred in such proceeding, action or suit or in any appeal thereon. The parties agree that actions or <br />proceedings arising in connection with this agreement shall be tried and litigated exclusively in the courts located in Contra Costa County, California. <br />