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Licensed Hazardou

s
to Hauler (# 2023)-
e Hauling .
s mmodities
W
~Ts
.LE
;O
P.O. BOX 41105 PHONE (661) 832-2635
BAKERSFIELD, CA 93384
P
CA 38334
E
.P.A. No
. CAD980887046
NO.
F- '20295
Job No.
20 .
1 -
buj
COMMODITY WEIGHT # MANIFEST #
LOADING
ARRIVE DEPART
UNLOADIN G
ARRIVE DEPART
4a25 ~?) ki /A 2' 416c) a
1
VA,
.
_
r
TOTAL
TOTALTONS RATE: HRS. 11 TON 0 LOAD K CHARGES
STARTIN G
TIME
TIME ARRIVEDT
O
DUMPLAST LOAD
FINISHED DUMP
LAST LOAD
ALLOWANCE FO R
COMPLETION LAST LOAD
ENDING
.~~TI O
DEDUCTIONS NETTIM E
I AGREE TO COURT COSTS. ATTORNEY 'S FEES AND A LL COSTTHATARISE FROM ANY
PROCEEDINGS FORTHE CO
LL
ECTION OF AMOUNTS DUE TO THE ABOVE CARRIER FO R
WORK DONE FOR THE ABOVE SHIPPERS WI
LL
BE PAID BY THE ABOVE SHIPPERS. NOTE:
DVER
jd"f
RECEIVED BY
P UC ngttites Payment for thew charges not later titan 15m of folbwig moth -Thew dtarpw . . . .
TERMS: All nts due and paysbl~ 1 sth of month f
ol
lowing purchase Past due after
actuds (1) fees to pay for regulation transportation companies b
y
the California Pub Ne t1111
i * h G
paid to exci 30 days
. E A serv ce charge of 13S
%
ER MONTH w ich is an ANNUAL PERCENTA
CcM othieonnds
e and I m p ose
. ( 2 )
tp ose
. az =p aid to Cali om ia dlfes instead
a
d ad o f of ex dw Of busYteas I cers faz es t hey
ry RATE OF 18
%-
w ill be charged on the unp aid balance of p ast due accounts.
uxdd
otherwise
HDMSP00026714
TERIAL POINT OF ORIGIN POINT OF DESTINATION

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