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2009-07-06_INSPECTION - M1983090
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2009-07-06_INSPECTION - M1983090
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Entry Properties
Last modified
8/24/2016 3:48:28 PM
Creation date
7/7/2009 8:48:54 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1983090
IBM Index Class Name
INSPECTION
Doc Date
7/6/2009
Doc Name
Weed Mitigation-Email
From
Christopher Lang
To
DRMS
Inspection Date
11/5/2008
Email Name
ECS
Media Type
D
Archive
No
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<br />not provided at the time or delivery. <br />I fill. <br />9882 <br />.?dle <br />Entry IICM; Shoed <br />Total: i 42.68 <br />10;29;31 <br />lnv ?: 000882 I1par Code; 0? <br />; Wirt 0atch?: Nn <br />Omtower Ccav <br />tlW YOtii <br />?w <br />-?- _.?reelss? <br />ritaN,IR. <br />FZRTILIZZR A CRZWZCAIL. Co. <br />205 N. Parish Ave, ' P.O. Box 606 'Johnstown, CO 80534 <br />Office: (970) 587-5105 t <br />Fax: (970) 687-5107 • 1 <br />Commerical applicators are licensed by <br />Colorado Department of Agriculture. <br />Z4 0" PO. NO. <br />Share 1UNrr OF MFA9.1 QUANTITY <br />IPORTANT: IT IS ILLEGAL TO TRANSPORT MATERIAL MARKED AS OR KNOWN TO BE POISON (CLASS A OR B) <br />IN THE SAME VEHICLE WITH MATERIAL WHICH IS MARKED AS OR KNOWN TO BE FOODSTUFFS, FEEDS, OR <br />ANY OTHER EDIBLE MATERIAL INTENDED FOR CONSUMPTION BY HUMANS OR ANIMALS. <br />PRICE <br />SUB TO <br />RATE <br />Products listed hereon ere sold as Is with all <br />mdeting faults. There are no warranties w Nd1 <br />extend beyond the desm"on on the few of the <br />product label and seller makes no warrant, <br />express orImplied, as to the,,mdlentab0ltyof <br />the product. Having Inspected the same, <br />cuslomer assumes all risk of ion or IWIty <br />resulting from use of, or defects In, this products <br />listed and any equipment fumlehad, <br />K required bry 49 CFR 172.2D4 - This Is to certify <br />that the below named matarWs are property <br />classified. described, packaged, marked and <br />labdW, and are In proper condition for <br />transported=, according tothe appllcatlle <br />reputations of the department of transportation. <br />M rase of "Emergency". Spill, leak, accident or <br />fire at any hour, calf shipper of IMotrac (800-535- <br />5053) loll free. Isolate any spill, the cargo, and <br />the vehide Invdoved ung directions ere received <br />CHARGE CROP <br /> EXTENDED AMOUNT <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />TAL <br />TAX <br />TOTAL <br />Pd6%w agrees to all the leans and condldens of this sale <br />DATE 9141PPED OMIPPERMARRIER ORPJFA PRINT NAME <br />X <br />TERMS•BAIWk- E DUE ON RECEIPT Of BILLING STATEMENT. AFMNCECNAFtile.pftdeleperiodf.r t..r1112%per-nth(1113;.rmonlht.m -fNdxeek.reeldelft)whleh FamANNUALPERCENrAOERATEOF I11%(164A 1neeee <br /> of Nebraska reeldnte) wtl be ehwged on the eme.ntorlMo conaft g <br />uodd w dm tmru ee doh otsde Mslw.d a mek.q b. a Des's s.aA eeb,aenter. en i s„maa keie3ra brans ardlea b h.nv dso• treson M,snrs6 weak p d ser? eon. aeu <br />3
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