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RATN�pTri STER as eighed, escribed 3Ypivision Of
WEIGHMAditY was wCY as P d by the
L7121 r
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14023
THIS IS TO CERTIFY that the followingdescribed Commi of acCura drninistere -Ticket #
1 signature
nature is on'this
5certificate,
the California Burecognized
and P °f �s ins Code a pate
) of Divis o e t
t 0
the California Department of Food and Agriculture. -vime
e put:
Weighed at:
GRAND CENTRAL RECYCLING &
TRANSFER STATION INC. CITY OF
INDUSTRY YARD
999 HATCHER AVE
CITY OF INDUSTRY, CA 91748
Customer:
SELF -HAUL
999 HATCHETy OF USTRY CA
Customer #: GC-4
17Z3
Vehicle ID : SELFHAUL / SELF HAUL-CASH/CREDIT/CHK
License: 84568N2
Qty
4a33
1 . 00 Comment : $300 KENNY
Ori in
DIAMOND BAR
Material &Services
C&D
Driver Signature
Received by Weighmaster:
RUBEN NUNEZ
9174g1p16
_Gr=
2 19560 LB 1
4'29�4
3 i 17 :09PM
3.35:04PM
D
Lp A
INBLjuNEM GENE�TED
513
Tare 6 B 4.28 TN
85 60
11000 LB 4.28
Total Qty
Total Due � �513.60