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Q <br />TRANSPORTATION <br />E C I <br />i' rERVICE ORDER <br />Ecology Control Industries ^' <br />A FULL SERVICE ENVIRONMENTAL COMPANY <br />� SERVICE <br />ORDER# 240897 <br />Z7-6 7_'9 DATE: � Z _ 6).-3 ' <br />Cvi �) Yl @ E!c, M ct C <br />u Name: %t.%/4' LTn v� � Job Location: � -S �J <br />S <br />T Address (BILLING): ^ City: Zip: <br />O <br />E Ordered by: S W t L c a n #s U Company: P.O. #: <br />R <br />Name (PRINT): d -o %6 Signed: <br />RTruck #: ,I �-S `1 <br />I Trailer #: 3,�:-J Size/Tyl <br />V <br />R Services performed: �iG' �- VC-) 11Y Z o ✓1J a/7 /^D <br />R�c�� �+7 4/d <br />I <br />C <br />S 19/;2 -/s- <br />T MANIFEST #: DISPOSAL #: <br />I <br />M <br />If <br />E <br /># # <br />#Loads: <br />Qty: <br />BBL Gal: Tons: Yards: <br />PM Stop: do P^^ Gross Time: <br />MEAL AM AM <br />Start PM Stop: PM Less: Hrs. <br />Other Time: Total: �_Hrs. <br />Add/Deduct <br />S f34r /,2 <br />I Time In: —Time In: _ Time In: Stop Miles: <br />T Start Miles: <br />E Time Out Time Out Time Out Miles Driven: <br />D <br />E <br />S <br />C <br />R <br />I <br />P <br />T <br />I <br />O <br />N <br />11 <br />TOTAL <br />Authorized & Approved by: Title: FCHARGES: <br />If invoice is not paid within 30 days, int t all commence accruing at 1.5% per month. Should suit be commenced to collect any portion <br />of this invoice, Ecology Control Indu shall be entitled to any costs deemed reasonable by the court including attorney fees. <br />Original: Accounting Yellow: Accounting Pink: Customer Gold: Driver TSO -1 <br />QTY. <br />U.O.M. <br />RATE <br />EXT. <br />QTY. <br />U.O.M. <br />RATE <br />EXT. <br />Vacuum Truck <br />Disposal <br />End Dump <br />Washout <br />Roll -off <br />Roper Pump <br />Flat Bed <br />Bin Liner <br />Tank Mover <br />Surcharge <br />Driver Relief <br />Subsistence <br />TOTAL <br />Authorized & Approved by: Title: FCHARGES: <br />If invoice is not paid within 30 days, int t all commence accruing at 1.5% per month. Should suit be commenced to collect any portion <br />of this invoice, Ecology Control Indu shall be entitled to any costs deemed reasonable by the court including attorney fees. <br />Original: Accounting Yellow: Accounting Pink: Customer Gold: Driver TSO -1 <br />