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141681
<br />SCRAP PURCHASER TAG # SERIES C
<br />DATE
<br />BILL OF SALE
<br />MODESTO JUNK CO., INC.
<br />SCRAP DIVISION
<br />PURCHASER
<br />r 14 1 ax (209) 522-1891 WEIGHED AT: 1403-1425 9th St. • P.O. Box 1146 • Modesto, California 95353 • Phone (209) 522-1435 •
<br />SfIltlra
<br />J P1 = Precletermineaare
<br />(M) = Mixed, (E) = EaCh, (ME) = Mixed Each
<br />SELLER'S SI ATUR SELLER'S ADDRESS
<br />.4:17
<br />rt ic`rn
<br />WEIGIIMASTER CERTIFICATE
<br />THIS IS TO CERTIFY that the following described commodity was weighed, measured, or counted by a weighmaster, whose signature is on this certificate, who is a recognized authority of accuracy, as prescribed by Chapter 7
<br />(commencing with Section 12700) of Division 5 of the California Business and F.!,rofessions Code, administered by the Division of Measurement Standards of the California Department of Food and Agriculture.
<br />"ESTABLISHED 1920" •
<br />ALEX HIGHIET, FOUNDER
<br />HARVEY HIGHIET, PRESIDENT
<br />JEFF HIGHIET, OPERATIONS MANAGER
<br />KEITH HIGHIET, ADMINISTRATIVE ASSISTANT
<br />RC 3288
<br />i
<br />ADDITIONAL DRIVER'S_LIC # CAR MAKE & MODEL
<br />INFORMATION _ , : Thank You for doing businet-:3 v ,,'..) :
<br />WEIGHED FOR OR ACCOUNT OF OUT OF STATE
<br />VUM "7- i'-'• 6 ;
<br />w HAIR ' W- ' ' ''' wT VEHICLE LIC #4
<br />A 177' -1 i
<br />01,'" .4
<br />.0 1 1(
<br />(r7,9:: 'rj ,OCa.TPATIbN i -' - -,;„
<br />....r
<br />ry
<br />SEX EYE HOUR TRAILER i'_i 71
<br />1 .1 -Re--v. rill d
<br />JRCHASED FROM PT OF ORIGIN CHECK # '
<br />MO 1 W
<br />041,-fielt.
<br />All W GHTS IN POUNDS UNLESS OTHERWISE SPECIFIED NET/ ,
<br />COMMODITY ' SORT GROSS TARE PT " TARE PT NET ONLY,
<br />PMT*
<br />BASIS
<br />SHRINKAGE / ADJUS -1-KrWttlr"" .
<br />UNIT PRICE
<br />REDEMPT.
<br />, VALUE
<br />SCRAP '
<br />VALUE
<br />TOTAL
<br />VALUE PCT REASON
<br />.
<br />% $ 1 141 011.J, Sh.iii
<br />,-, %
<br />ri % $ '-
<br />, CA
<br />0/0
<br />1....,
<br />$ 11 „
<br />... %
<br />1...e
<br />$ lb
<br />— ....., )
<br />cl 0 14-
<br />/0-
<br />4...,
<br />$
<br />a a % $ 11)
<br />. % $ h
<br />Q % $ ;1 - SORT Y =YES N = NO TOTAL -. - PAYMENT BASIS: (SVV) SEGREGATED - BASE PAYMENT ON WEIGHT, (SC) - BASE PAYMENT ON COUNT, (C) COMMINGLED %0 14 ‘-/i):4-:!.9i , I q q
<br />- ENTER PERCENT SHRINKAGE OR ADJUSTMENT, MAY BE APPLICABLE TO UNIT PRICE ONLY, IF WARRANTED INVOICE ADJUSTMENT
<br />___ _ .
<br />MODESTO JUNK CO. - WEIGHMASTER
<br />BY DEPUTY .12rad Pink prfon
<br />- Bill Of Sale: I hereby state that I am the lawful owner of the material de-scribed hereon, that I have the right to sell same, that the above material is free of any Clairis, that I am over 16-y-e-a.-rS'7of age, that none of the material was the property of a public utility, transportation co., communications co., or political subdivision, that it contains no hazardous material as defined by-Federal or State law, ,and that for payment received in full, hereby
<br />acknowledged, I sell and convey title of same to Modesto Junk Company. Also, in accordance with sections 608 (b) (1) and 608 (c) of the 1990 Clean Air Act, the undersigned certifies that all'CFC refrigerants have been
<br />properly evacuated from any and all recyclable material contained in this transaction. I declare under penalty of perjury that the foregoing is true and correct.
<br />Hold Harmless Agreement: 1, also known as seller, will indemnify and-hold buyer harmless from damages, demands and liabilities, including reasonable attomey's fees, resulting from the breach of any warranty hereunder,, and driver agrees to be responsible for damages to vehicle during unloading.
<br />r•tio.1 #4 PAYMENT I
<br />CASHIER / DRAWER #
<br />CASHIER SIGNATURE
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