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s- <br />C <br />U <br />S <br />T <br />O <br />M <br />E <br />R <br />D <br />R <br />I <br />V <br />E <br />R <br />S <br />E <br />R <br />V <br />I <br />C <br />E <br />S <br />S <br />I <br />T <br />E <br />D <br />E <br />S <br />C <br />R <br />I <br />P <br />T <br />I <br />O <br />N <br />ECI /// <br />Ecology Control Industries <br />A FULL SERVICE ENVIRONMENTAL COMPANY <br />i <br />TRANSPORTATION i•i,• <br />ERVICE <br />ORDER <br />O. ,R. <br />e <br />SERVICE <br />DATE: <br />(� ORDER # 240893 <br />('_ � Z, —� 3 <br />N am e:e / • • • • 71LF11��sLrIL/��:.ter <br />Address (BILLING): <br />°City: <br />Ordered by: <br />QTY. <br />44 <br />Company: <br />EXT. <br />Name (PRINT): Gr <br />-TO 917-5 <br />©?l <br />Signed: - <br />Zip: <br />P.O. #: <br />Truck #: /4<0S-3 Trailer #:. 5 —U <br />Size/Type: <br />Services performed:1�� / X �QO �A%%y1 �i s� % �D y--` �, •� <br />MANIFEST # DISPOSAL #: <br /># 2 Z Na o. 3 # <br />ra <br />#Loads: <br />Qty: <br />Start 220 PM stop: AM I Gross Time: U ° Hrs. <br />AM /MDQ AM <br />Start `s-�� PM Stop: PM Less: - Hrs. <br />BBL Gal: Tons: Yards: I Other Time: <br />Time In: 10 00 Time In: <br />Total: 'f 6 <br />Add/Deduct <br />Time In: Stop Miles: ZZ U-7--Z— <br />�`�® Start Miles: 2 0 /9 7 <br />Time Out Time Out Time Out Miles Driven: /-5--< <br />OTY. <br />5 -- <br />Authorized & Approved by: TOTAL 4 <br />Title: CHARGES: <br />If invoice is not paid within 30 days, interest shall commence accruing at 1.5% per month. Should suit be commenced to collect any portion <br />of this invoice, Ecology Control Industries 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 />L <br />Driver Relief <br />Subsistence <br />Authorized & Approved by: TOTAL 4 <br />Title: CHARGES: <br />If invoice is not paid within 30 days, interest shall commence accruing at 1.5% per month. Should suit be commenced to collect any portion <br />of this invoice, Ecology Control Industries 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 />