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RECYCLING TAG # SERIES C <br />4 If:. <br />DATE <br />WEIGHED FOR OR ACCOUNT OF MATERIAL GROSS PT' Fr pri p—I1 PT1 NET/NET ONLY <br />OCCUPATION <br />' <br />PURCHASED FROM , i <br />VEHICLE LIC # TRAILER LIC # CHECK # <br />, <br />_ <br />Additional <br />Information <br />DRIVER'S LIC #'\ CAR MAKE & MODEL I! ' <br />, . <br />C'—'—D <br /> <br />SEX HAIR EYE HT WT W N OM HOUR <br />1 PT = Predetermined Tare Mixed, PT OF ORIGIN (M) = (E) = Each, (ME) = Mixed Each <br />ALL WEIGHTS IN POUNDS *** <br />WHITE - Accounting CANARY - State Copy PINK - Customer Copy <br />MATERIAL TYPE SCALE <br />WEIGHT <br />PAYMENT <br />BASIS * <br />SHRINKAGE OR <br />ADJUSTMENT ** <br />REDEMPTION <br />WEIGHT <br />UNIT <br />PRICE <br />TOTAL <br />PAYMENT <br />REDEMPTION <br />VALUE <br />SCRAP <br />VALUE <br />5 <br />, .. • ' <br />, + <br />' <br />' ' • <br />, + . <br />' PAYMENT BASIS-- (SW) SEGREGATED -- BASE PAYMENT ON WEIGHT (SC) -- BASE PAYMENT ON COUNT (C) COMMINGLED <br />— ENTER PERCENT SHRINKAGE OR ADJUSTMENT TOTAL: ALL WEIGHTS IN POUNDS UNLESS OTHERWISE SPECIFIED <br />: , <br />MODESTO JUNK CO. - WEIGHMASTER <br />BY DEPUTY <br />CASHIER / DRAWER # . <br />CASHIER SIGNATURE 5774 MJ-603 ; <br />WEIGHMASTER'S CERTIFICATE OF WEIGHT AND MEASURE • <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 <br />authority of accuracy, as prescribed by Chapter 7 (commencing with Section 12700) of Division 5 of the California Business and Professions Code, administered by the Division of <br />Measurement Standards of the California Department of Food and Agriculture. <br />BILL OF SALE <br />"ESTABLISHED 1920" MODESTO JUNK CO., INC. <br />HARVEY HIGHIET, CEO RECYCLING CENTER JEFF HIGHIET, OPERATIONS MANAGER <br />RC 3288 PURCHASER <br />WEIGHED AT: 1403-1425 9th St. • P.O. Box 1146 • Modesto, California 95353 • Phone (209) 522-1435 • Fax (209) 522-1891 • www.modestojunk.com <br />Bill of swat 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, that I am over..18 years of age, that none of the material was the property of a <br />public utility, transportation co., communictions co., or political subdivision, that It contains no hazardous material as defined by Federal or Sate law, and that for payment received in full, hereby acknowledged, I sell and.convey title of same to Modesto Junk Company. Also. In accordance with sections 609 (b) (1) and Goa (c) of the 1990 Clean Air Act, the undersigned certifies that a I CFC refrigerants have been properly evacuated from any and all recyclable material contained in this transaction. I delcare 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 attorney's fees, resulting from the,breach of any warranty hereunder and driver agrees to <br />be responsible for damages to vehicle during unloading. <br />SELLER'S SIGNATURE <br /> SELLER'S ADDRESS