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NON-NEGOTIABLE BILL-OF-LADING BII-".o. i <br /> AND TRANSPORTATION AGREEMENT DAT A_ 91-8 7 9 7 5 <br /> PRINCIPAL" ., " <br /> CARRIER / JOB# <br /> ADDRESS BROKER# <br /> CITY/STATE/ZIP PH. TRUCK# <br /> UNDERLYING CARRIER �f f TRAILER# �k,`"L�� <br /> (IF ANY) � a; l <br /> ADDRESS° r-j.L`! . ,PH: 41 <br /> SHIPPER ' RECEIVER <br /> ADDRESS 4DDRESS } <br /> CITYISTATE/ZIP r� :r CITYISTATEIZIP <br /> POINT OF ORIGIN POINT OF DESTINATION <br /> Q SUPER TAG ❑ END DUMP ❑ FEAT BED a HOURLY ❑TONNAGE-Cr PER LOAD <br /> ❑ 10-WHEELER ❑TRANSFER 0 SIDE DUMP ❑ MIXER-0 SUPER-10 ❑ DBL BOTTOMS ElTRUCK&PUP 0 SWEEPER RATE @ $ <br /> ❑ STRONG ARM ❑ SEMI-BOTTOM ❑ WATER TRUCK ❑ OTHER <br /> UNLOADINGARRIVE <br /> •- <br /> •� • •- . <br /> 3 <br /> .4 t �. <br /> 5 <br /> 6 <br /> 7 <br /> 8 <br /> 9 <br /> 10 <br /> 11 <br /> 12 <br /> 13 <br /> 14 <br /> 15 <br /> REPOKIINGTIME ENDINGTIME TOTALTIME DEDUCTIBLETIME NE?TItv4E TOTAL TONS ACCESSORIAL OTHER <br /> >I T <br /> STARTORNING ARRNALTLMEAT END LOADING RUNNING TIME <br /> TIME LAST TRIP DUMP LAST TRW LAST TRIP LASTTRIP I I I <br /> WIN I i II ! I V 111 <br /> a � <br /> JOB <br /> DR R" ATURE �IREPJRE- 1VER(AGENT OR DEBITOR)SIGNATURE <br /> City Council 11 — 694 5/21/2024 <br />