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ADDITIONAL DR IVEFDS-C1C #Th CAR MAKE & MODEL Thank You or doing business with
<br />INFORMATION -p - 99 / , I US.
<br />WEIGHEE2,FOR OR ACCOUNT OF OUT OF STA fi
<br />Will, ".)pLii0r, r 4,.:, ., - -...., ,
<br />C I -'w
<br />t ri Lis,
<br />HAIR / s. HT . WT VEHICLE LIC #
<br />4E72168
<br />OCCUPATION
<br />1
<br />rl
<br />1
<br />-0
<br />SEX EYE HOUR TRAILER LIC #
<br />URCHASED FROM PT OF ORIGIN
<br />... , ,.
<br />CHECK #
<br />Cosh
<br />ALL WEIGHTS IN POUNDS UNLESS OTHERWISE SPECIFIED NET/
<br />COMNIOD1M -„ " - •, SORT ' GROSS TAR -4*4- PT,i-ii"..;TAR PT NET ONLY -
<br />PMT*
<br />BASIS
<br />- G _GGXME,.-.- Riff -' , f TOTAL.
<br />-A '.._ ' EA 00 $7' -4
<br />; .,.),-ii, 0 4 sf,q Li _.... , % $ -1 6i "i. 0 fa $0,00
<br />.
<br />3"-1/rt kl• 4 : rt '
<br />LI r4 cy. $ tb
<br />ro. .... , cy. $ lb
<br />> . % $
<br />— U i % $
<br />, — , , Li % $
<br />U f....i % $
<br />r , 1:.; 0/0 $ i
<br />[1 % $
<br />,,- L ri ,..,.., % $
<br />'
<br />L I % $ '
<br />SORT Y = YES N = NO TOTAL
<br />' BASIS: SEGREGATED BASE PAYMENT ON WEIGHT, BASE PAYMENT ON COUNT, COMMINGLED
<br />S ii,1?-i , .0) 1)4.
<br />PAYMENT (SW) -- (SC) -- (C)
<br />
<br />- ENTER PERCENT SHRINKAGE OR ADJUSTMENT, MAY BE APPLICABLE TO UNIT PRICE ONLY, IF WARRANTED INVOICE ADJUSTMENT !
<br />otel St)
<br />MODESTO JUNK CO. - WEICHMASTER , CASHIER / DRAWER #
<br />r
<br />BY DEPUTY
<br /> CASHIER SIGNATU9E
<br />TOTAL $369,6
<br />PAYMENT
<br />PT = Predetermined Tare 1,
<br />(M) = Mixed, (E) = Each, (ME) = Mixed Each
<br />WEIGHIVIASTER 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 psrescribed by Chapt
<br />(commencing with Section 12700) of Division 5 of the:Calif0rnia Business and Professions Code, administered by the Division of Measurement Standards of the California Department of Fqod and AgrAculturd.
<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 />BILL OF SALE
<br />MODESTO JUNK CO., INC.
<br />SCRAP DIVISION
<br />PURCHASER
<br />SCRAP PURCHASER TAG # SERIES C
<br />A46077
<br />14-64,;•77
<br /> Aprit
<br />WEIGHED AT: 1403-1425 9th St. • P.O. Box 1146 • Modesto, California 95353 • Phone (209) 522-1435 • Fax (209) 522-1891
<br />COMMENTS
<br />Bill Of Sale: I hereby state that I am the lawful owner of .the material described hereon, that I have the right to sell same, that the above material is free of any claims„ thatil am over 18 yeareLage, Olaf none of the material
<br />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 payrrieht 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 qc 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: I, 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
<br />and driver agrees to be responsible for damages to vehicle during unloading. , , ,
<br />SELLER'S SIGNATURE SELLW„p4DDIFIESS
<br />6r0Wil ROM CA
<br />
<br />r.1 1017"111ACD
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