SKMBT_60119012314441� Road North
55155
dfiU
8t" Stnee
455379
I"otal Quantity:
Manifest #
Owner's Narne:
Owner's Telephone:
Genexator/Contractor Contact:
Telephone:
Agency 'sTck�phone:
(651) 296-6300
Demfo/sTm|cphmno:
(3S2)44S-S755
7, Special Handling/Additional lnfo.�
8. Cen4
ontents of this consignment are fully and accurately described above by
pi-op(--,r s! Ind are in all rospects in prope, condition for transport by highway
accordini )s. I further certify that thie contents of this consignment do not contain
hazardoL
Discrepancy Inclicabon Space
T,
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/
White Copy -- Dem-Con Yellow Copy -- Generator Pink Cooy - Transporter
Dom -Con Land fiU
GATEMUSE
13020 00,10f011" Orivo
����,�
Noi8hed: Wayne
Dapns\t� Dan
BILL. TO: 620
Midwest Cmil Uunetmutma
100 S. Fullar 8treaL
Ghakupo* MN 55379
Vehicle ID*
Reforenca: GHOK[HDOV
E
T Al Q
N
Na
E
Dri9b'� HENNEPIN COUNTY
R
DATE M O8/V5/2O18 TIME IN:
12�01 �24
A
4. Wa
D0f U0; 09/05/2818 TlME 00:
»
IN8DUNn TIUQ( Number; 02-0022\!)M3
0
R
'^°==
8CALE 1 GkO88 Hl
58720 L8
MANUAL TAllL NT
28248 1 0
NET HEI8H[
3D48O LV
Qty Doyuriptiun
Mown It
� Road North
55155
dfiU
8t" Stnee
455379
I"otal Quantity:
Manifest #
Owner's Narne:
Owner's Telephone:
Genexator/Contractor Contact:
Telephone:
Agency 'sTck�phone:
(651) 296-6300
Demfo/sTm|cphmno:
(3S2)44S-S755
7, Special Handling/Additional lnfo.�
8. Cen4
ontents of this consignment are fully and accurately described above by
pi-op(--,r s! Ind are in all rospects in prope, condition for transport by highway
accordini )s. I further certify that thie contents of this consignment do not contain
hazardoL
Discrepancy Inclicabon Space
T,
y|
/
White Copy -- Dem-Con Yellow Copy -- Generator Pink Cooy - Transporter