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3301 Broadmore Street <br />Klamath Fells, OR 97803 <br />(541) 884-0882 or 888-423-2722 <br />f.- <br />PO N <br />Job M <br />Shipper's N <br />Shipper's S <br />Date <br />From <br />At <br />To <br />,r~ <br />N~ CIO <br />At <br />VC Q~4c, <br />t <br />TR <br />Gallons <br />Inches <br />Product <br />. <br />Gallons <br />Inches <br />Product <br />Gallons <br />TRL <br />Inches <br />Product <br />, <br />Gallons <br />Inches <br />Product <br />Gallons <br />Inches <br />Product <br />Total Gallons <br />SHIPRFi:~y Time Due <br />I~i'•~ rr <br />Total Hours Spread Time: <br />Gross Wt. <br />Gross Wt <br />Arrived <br />Total Hours Demurrage: <br />~ <br />Tare Wt <br />Tare M <br />:1 <br />Finished <br />Loadin <br />Driver <br />. <br />. <br /> <br /> <br />g <br />Net Wt <br />Net Wt. <br />Total hours <br />Delivering Driver <br />REMARKS <br />THE ABOVE COMMODITY RECEIVED IN GOOD CONDITION <br />SIGNED: <br />CIM". vnv Vvverwwve <br />