Rounders Transport, LLC 2374 Old Highway 60 Mulberry, FL. 33860 Phone: 1-888-Ovr-Load

1a. Truck # 2a. Load # 3a. Date: 4a. Time: 5a. Freight: 6a. Stock#

Rounders Transport, LLC2374 Old Highway 60 Mulberry, FL. 33860

Phone: 1-888-Ovr-Load

Fax: 863.425-8060

www.RoundersLogistics.com

7a. Pickup Location 8a. Drop-off Location

9a. Point of Contact (POC) :

10a. POC Phone #

1b. Time arrived at pickup location

2b. Time Departed Pickup Location

: :

4b. Equipment Info:

Model: ________________ Document #: ___________________

Stock #: ______________

Hours: ________________

Serial #: ______________

New Good Fair Poor

5b. Attachment Info (Additional Attachments or Damages):

Bucket: ________________ Tree Boom: __________________

Coupler: _______________ Rake: _______________________

Forks: _________________ Other: ______________________

Dispatch Supplied Info:

Driver Supplied Info:

9b. Signatures (Required):

Pickup Signature: ______________________

Driver Signature: _______________________

Customer Signature: ____________________

6b. Time arrived at Dropoff location

7b. Time Departed Dropoff Location

: :

3b. Idle Time Comments (Explanation required for delay

longer than 30 minutes)

8b. Idle Time Comments (Explanation required for delay

longer than 30 minutes)

Check here if this machine was preloaded early.

Check here if this run has a backhaul.If so: Enter the corresponding Load # of the other machine here:

:Start Time:

Total time spent on preloading:

Date of Preload: / /

Optional\Additional Info:

Driver Name

* Do this before leaving yard.

:End Time:

* Do this when returning to our yard or completing this run.

Date State(A) Beginning Odometer Vendor

(B) Ending Odometer

Gallons Purchased

Highways UsedMiles Traveled (B-A)

This Section is to be updated Whenever a state line is crossed or fuel is Purchased. Attach all Fuel Receipts to this Form!