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NON-NEGOTIABLE BILL-OF-LADING BILL NO. <br /> AND TRANSPORTATION AGREEMENT DATE <br /> CARRIER JOB# <br /> J � <br /> ADDRESS BROKER# <br /> CITY/STATE/ZIP PH, TRUCK# i <br /> UNDERLYING CARRIER TRAILER# <br /> (IF ANY) <br /> ADDRESS PH. r CA# <br /> SHIPPER 1 RECEIVER LI`�,✓�tl '% < <br /> ten _ 1 <br /> ADDRESS ` �- ADDRESS V I t w vG� I! <br /> CITYISTATEIZIP[r7.s p r CITY/STATE/ZIP '1�; -t .(, L r C14` <br /> POINT OF ORIGIN POINT OF DESTINATION <br /> ❑ SUPER TAG ❑ END DUMP ❑ FLAT BED ❑HOURLY ❑TONNAGE,4T"ER LOAD <br /> ❑ 10-WHEELER ❑ TRANSFER ❑ SIDE DUMP ❑ MIXER <br /> ❑ SUPER-10 ❑ DBL BOTTOMS ❑ TRUCK&PUP ❑ SWEEPER RATE @ $ I <br /> I <br /> 0 STRONG ARM ❑ SEMI-BOTTOM ❑ WATER TRUCK ❑ OTHER <br /> -LOADING UNLOADING <br /> DEPART I ARRIVE DEPART <br /> i i it • •'. <br /> I 5 <br /> ARRNE <br /> '° ruyt� l T: i <br /> � 5 <br /> )_)7—t <br /> B <br /> 7 I �� <br /> 8 <br /> 9 <br /> 10 <br /> 11 <br /> 12 <br /> 13 <br /> 14 <br /> 15 <br /> REPORTINGTIME ENDING TIME TOTAL TIME DEDUCTIBLE TIME NETTIME TOTAL TONS ACCESSORIAL OTHER I` <br /> S"T/ W NG ARRIVALTIMEAT END LOADING RUNNINGTIME • <br /> TIME LAST TRIP DUMP LAST TRIP LAST TRIP LASTTRIP I I I 111 <br /> I I I I I <br /> DRIVER SIGNATURE 4�7 SHIPPERIRECEIVER(AGENT OR DEBITOR)SIGNATURE � <br /> 1 <br /> M <br /> City Council ! - `1 — 697 5/21/2024 <br />