Laserfiche WebLink
FORWARD LANDFILL -- <br />9999 3 AUSTIN RD-MANTECA, CA 95336 <br />TOMEIb09476 <br />HAMILTON, TERRY w <br />***PREPAY ACCOUNT*** <br />MODESTO, CA 95358 <br />Contract:4204170369 <br />Generator:RODNEY D GAEDE <br />SCALE IN GROSS WEIGHT 23,000 <br />SCALE OUT TARE WEIGHT 10,760 <br />SYS TICKET 1223594 CELL <br />WEIGNMASTER IN - Alexis M.OUT-Christina G. <br />DATEMME IN n/14/17 9:32 am DATTm13 1E/ 1QUr9 / 17 10:02 am <br />' VEHICLE HAMILTON 1 1 <br />CONTAINER <br />LADING 3689461 <br />NET TONS 6.12 <br />INBOUND <br />NET WEIGHT 12,240 INVOICE <br />MY. <br />Uwr <br />PAM af111111MIN <br />TAX 1 <br />70M <br />5.00 <br />6.12 <br />1.00 <br />1.00 <br />YD <br />to <br />Tracking QTY <br />SW -BENEFICIAL REUSE Origin:LODI 100% <br />ENVIRONMENTAL FEE 1 <br />FUEL RECOVERY FEE <br />The undersigned Individual signing this document on behalf of Customer acknowledges that she has and rma and gone <br />on the reverse Side and that he or she has the authaf ty to Sign this document on behalf of the urtoDNr. <br />(/ <br />TENDERED <br />GRANDE <br />CHECKS <br />RS-FO42UPR (07112) SIGNATURE �•^'� <br />