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_fir VCr to Iuy Y1 'DuV <br /> Dillard Trucking, Inc. dba. SHIPPING ORDER <br /> AdardEnwronmentaCSemces FREIGHT BILL <br /> . PO Box 579 ENTERED 07474 <br /> Byron, CA 94514 +� <br /> Telephone No (925) 634-6850 <br /> Facsimile No (925) 634-0569 <br /> Date pp��JOB NUMBERS(S)f JOB NUMBERS(S) JOB NUMBERS(S) JOB NUMBERS(S) <br /> NOUC �_ NO ILER ` # U - _ V ll i # # # <br /> SUB b # # # # <br /> HAULER <br /> PRIME <br /> CARRIER CONSIGNSQf_4-A, i t <br /> GENERATOR(S) R DESTINATION L� 1 <br /> (� c ✓ 6 <br /> CITY <br /> CITY BEGINNINGILEA�GE�� ENDING MILEAGE <br /> MATERIA[S LOADING UNLOADING FUEL-GALLONS FUEL-VENDOR <br /> # � #2 #1 #2 <br /> tMANIFE,9T YARDS OR TIME TIME TIME TIME <br /> NO E CIA <br /> LEAVE <br /> tLS � 3� V�J Pik <br /> 2 61?oOFFICE USE ONLY <br /> 1117 1�'0o f�, a,� ZY !� TNSIHRSILDSlYDS <br /> 5 TRANSPORTATION UNITS <br /> 6 TRANSPORTATION RATE <br /> 7 SUBTOTAL: $ <br /> a 601 <br /> 9 DISPOSAL UNITS <br /> 10 / DISPOSAL RATE <br /> 11 ¢ SUBTOTAL: $ <br /> 12 CC 'C�� <br /> 13 BRIDGE-TOLL <br /> COMMENTS OQ MATERIALS <br /> ST STOP DEDUC NET <br /> o -2100 TIME TIME <br /> aRIVIVD DATE APPROVEQBY TOTAL CHARGES: $ <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 Caltfornia <br />