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<br />~ Plaisted <br />~ ~~~\'!lR~~~~ <br /> <br />- . <br />j~\:) <br /> <br />Ft Ole 181 <br /> <br />P.O. Box 332 <br />11555 205th Avenue N.W. <br />Elk River, Minnesota 55330 <br />763.441.1100 <br /> <br />. <br /> <br />DATE <br /> <br />TIME <br /> <br />CUSTOMER <br /> <br /> <br /> <br />I <br /> <br /> <br />". ~ I i I <br /> <br /> <br />NAME <br /> <br /> <br />'In <br /> <br />The customer assumes all <br />responsibility lor damages <br />inside the curb or property <br />line to property or persons. <br /> <br />FREIQHT <br />TAX <br />TOTAL DUE <br /> <br />GROSS: <br /> <br />I ; i Ii i <br /> <br />'TARE: <br /> <br />~ 0, f';-tt, (7; <br /> <br />i ~>;, <br /> <br />ii! <br /> <br />! Ii; <br /> <br />il <br /> <br />NET: <br /> <br />/:. tj"j '~t?l <br /> <br />fl- " t:.,~? <br /> <br />DUMP INST: <br /> <br />Job <br /> <br />'# 0'70 )8Y <br /> <br />..' ra. ........... Plaisted <br />-, ~ ....... ...... Companies <br /> <br />INCORPORATED <br /> <br />P.O. Box 332 <br />11555 205th Avenue N. W. <br />Elk River, Minnesota 55330 <br />763.441.1100 <br /> <br />I"" <br /> <br />; j'. <br />I :r <br /> <br />:,. <br /> <br />DATE <br /> <br />TIME <br /> <br />CUSTOMER <br /> <br />'PRODUCT <br /> <br />HAULER <br /> <br />'" ,,'mU~K') <br /> <br />AXLES <br /> <br />P.O. II <br /> <br />,.,~, . <br />',)4.,' I <br /> <br />/ ;~~:Oll? <br /> <br />,"11 ("j ; <br />'{.!\.I J <br /> <br />1f!"',', <br />, L,I. <br /> <br />""+ ~ .' r t(-'tL. <br /> <br />:\/. <br />.i-; <br /> <br />POSTQM,ER NAME <br />-v...........: ................_.. . _.' <br />\,IE Xl' ,fJ.;' CCifiIPf'rI\\,;' <br />Ot~dl;"'l" no: <br />. Lo.;:~t.l;; f ()(.J .'.j' <br />, In )" T n II ':",;' : <br />" Pi' t).j ~) C) l/ <br /> <br />" <br />" <br /> <br /> <br />'PRODUCT PRICE AMOUNT <br /> <br />(:,l?i/t:~l"/;~:~/.I iFUH N GnF<j)I:i'l "I <br />DhL.11Jr..f'<V P[:Y '((Ifm <br /> <br />x <br /> <br />The customer sssun\es all <br />responsibility lor damages <br />Inalde the curb or property <br />line to property or persons. <br /> <br />FREIGHT <br />TAX <br />TOTAL DUE <br /> <br /> <br />GROSS: <br /> <br />POUNDS <br /> <br />. <br /> <br /> <br />""V,ic:'\!. <br /> <br />TARE: <br /> <br />NET: <br /> <br /> <br />DUM.!' INSI: _ <br />