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NON-NEGOTIABLE BILL-OF-LADING BILL NO. <br /> AND TRANS_ PORTATION AGREEMENT DATE Bi_ <br /> PRINCIPAL � 1 f <br /> CARRIER ! t \ "fG �e I _: ! '' <br /> . JOB# <br /> ADDRESS BROKER# <br /> CITY/STATE/ZIP PH. TRUCK# <br /> UNDERLYING CARRIER TRAILER# <br /> (IF ANY) <br /> ADDRESS PH. CA# Z <br /> SHIPPER Ap S )� LK <br /> RECEIVER T, <br /> ADDRESS -!2 rY ,0L r,; v e- ADDRESS <br /> i <br /> CITY/STATEIZIP I CITYISTATELZIP �Yf <br /> POINT OF ORIGIN P OF DESTINATION OINT <br /> • ❑ SUPER TAG ❑ END DUMP ❑ FLAT BED ❑HOURLY ❑TONNAGE,CI'PER LOAD <br /> ❑ 10-WHEELER ❑ TRANSFER ❑ SIDE DUMP ❑ MIXER 0 SUPER-10 ElDBL BOTTOMS ❑ TRUCK&PUP 0 SWEEPER RATE @ $ <br /> ❑ STRONG ARM ❑ SEMI-BOTTOM ❑ WATER TRUCK ID OTHER <br /> • s •• • •-♦ <br /> DEPART • <br /> r -p l :(?7 <br /> IVY k � _ r�. 0 3 W <br /> 4 <br /> 5 <br /> 6 <br /> 7 <br /> 8 <br /> 9 <br /> 10 <br /> 11 <br /> 12 <br /> 13 <br /> 14 <br /> 15 <br /> REPORTINGTIME ENDINGTIME TOTAL TIME DEDUCtIBLET1AE NETTIME TOTAL TONS ACCESSORIAL OTHER <br /> START DRIVING ARRIVAL TIME AT END LOADING RL#24MTM • <br /> TIMELASTTRIP DUMP LAST TRIP LAST TRIP LASTT" i <br /> DRIVER SIGNATURE 0 I PERIRECEWER(AGENT OR DEBITOR)SIGNATURE <br /> q � <br /> � a <br /> City Council 11 — 69` 5/21/2024 <br />