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--~ N W TRUCK BROKERS INC. <br />. . <br />• 339 NORTH COLUMB[A BOULEVARD • PORTLAND, OREGON 97217 <br />~ (503) 286-7999 • FAX (503) 283-2454 <br />CARRIER: ~ <br />-~j ~ ~~ /~ J" T/RUCK# <br />C. ' ~ TRAILER# <br />~ I~ STARTTfME . <br />INCLUDING P/T ~DdD A <br />PM DATE <br />~~ -Z Z `~ ~ <br />NW TRUCK <br /> <br /> <br />CONTRACTOR <br />JOB / PO# <br />ENDING TIME/ <br />TOTAL ON DUTY/ <br />ACTUAL BROKERS INC. <br />TO S S £~'7 L~ l. TRAVEL $~ FUEL ~~Q~ AM pM NOT DRIVING DRIVING TIME ~ N• ~uf~3 BIVd. <br /> <br />~ (TOTAL HRSlfIME) Portland, OR 97217 <br />BEG,INNING MILEAGE/ <br />~ 9/ , <br />~ ~ TONS TOTAL HOURS "Z (503) 286-7999 <br /> ' YARDS <br /> MILEAGE LOAD SITE ` coMnnooirr UNITS TIME IN TIME OUT DUMP SITE TIME IN TIME OUT DELAY/REASON <br /> a _ ~ <br />,_ <br />. ~ .x . ~ „ <br /> <br />< ;~ . .. _ ~ <br />_ <br />. , ,p <br /> <br />,, <br />, <br />f ,~.. ,~ <br />~~~ ~~~, ;~.~~ ` <br />, r > _ .n~~ <br />~ <br />1 2Q~ ;~'1-~- 2 t o: Ao I•~,' z s~~•~ " ~r~ z 7 / ~at s~`~~ <br />~A <br />~ 3 zz I:~~ ~ f ~~ ~ ~ ~ ~~ ~yU / ~ c ~~ j~o ,~zd <br />3 3 ~'i23Z ~ ! ~ , ~. R t237 ~ S' ~ ~ ~ r vY /la <br />4 ~~~ ~+3 ` t ~ ~ ~ ~ l z~ 3 ~~ ~~ Y ~ s~"a <br />5 3Syzsy ~~>> ~~ 1 ~ ~ ~n t~ ~t Z~ <br />~' 6 ~ GS` . ` . . . ~ ~ ~ 2 `,~Z 5'S` { < > ~ ..~/~ <br />~ ~ 2?6" ~ ` ~' ~ ~ 1 ~ 3~~ ~ 30` ~ ~ `` 15's` ~.~ <br />!a a2~7 ~ ~ ~t ~ ~~ t~e !o ~.~ ~ ~ yZ~ y~~ <br />9 <br />10 ,~.. <br />11. <br />12 ~:~ . <br />13 ~ ~,- ~_ <br /> <br />14 <br />- <br />- ~~. <br />~',, ~.:~:: 'a~ <br />; <br />- <br /> <br />15 ~ <br />: <br />i 6 '~~` <br />17 ~~ ^~~;~ : <br /> <br />18 ~ ~° ' "~' <br />A~. ~~,, ~ <br />19 ~ ~ s~ ~~_. ,,~° <br />; <br />20' ~~" "';x ~ <br />EN DING MILEAGE/ "3 ~~,f ~ OUT OF STATE MILEAGE: wA ID UT ~'`O~~ CE USE ONLY;;,. <br /> <br />"SPECIAL INSTRUCTIONS° <br />PRIVATE ROAD MILES T <br />~''~~ <br />~ '~ f AVE. CYCLE TM. MIN. <br />' <br />~ <br /> TOT. YDS/TN~f ~' X S = S <br /> <br /><- <br />: <br />,.r..- TOT. LOADNNLD. HRS. AVER. PER HR. S <br />~ <br />`~~ <br />~ ,,,~ <br />~ TOT. MILES FUEL GAL. MPG <br /> ~~ <br />~ <br />~ <br />~ ~ wsa~rcHn~e <br /> <br />TO ARRIVE JOB SRE <br /> <br />Aq7PA1 <br /> <br />/ <br />