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X1 shipments are recetved tinder Cal State Xpress btll <br /> talk tomiS aM cai*1191* <br /> 14195963 <br /> 101�I7IIIl�l��iI�IIU11�Illl��MIIIIND <br /> STRAIGHT BILL OF LADING `$ C.H. ROBINSON <br /> WORLDWIDE. INC- <br /> e <br /> DATE: April 18,2014 <br /> "CONSIGNEE(DEBT .ATION) <br /> To: Consignee Intercon Solutions—OA4 399 <br /> Attention: <br /> Tamisha Howard Phone No. 708-756-9838 <br /> Street Address: 1001 Washington Ave <br /> City, State, Zip Chicago Heights, IL,60411 <br /> SIIIPPER(O0GIN). .: <br /> BILL TO-(M&ffi] ATG ADDRESS) <br /> CHR LTL <br /> From: Shipper SRI Sur ical/S nergy Health Beet 'Address: <br /> 1840 N. Marcey Street <br /> Street Address: 6801 Longe St Cit tate Zi Chicago, IL 60614 <br /> City, State, Zip: Stockton , CA ,95206 y> p <br /> Telephone: (209) 982-5800 Telep one: 800-428-5377 <br /> PIECES NMFC,: D <br /> OF PA GI1�tG� SCRIPTIO3N OF ARTICLES, (VEIGHT <br /> MARRS 4i'EXCE ' O1�F5 175 <br /> 1 Pallet 116030705 Misc. Electronics, Class 25 <br /> Intercon Load# QA4899 <br /> Ref: 140 lbs Use I Fluore cent lamipps <br /> 201 <br /> ***Delivery B t 0 1 *** MAY 7 <br /> 11 ill Jill, <br /> ENTAL HEALTH <br /> FREIGHT CKWIMENT <br /> COD AMOUNT: $ X 3rd Party PREPAID <br /> COD FEE: $ <br /> IS Customer's Check Acceptable for COD? COLLECT <br /> Yes F1 No O <br /> Declared Value: If the rate is dependent on value, ipper is equired to declare value of property. The agreed <br /> and declared value of the property is hereby stated t y the shipper to be not exceeding: <br /> L+ <br /> Carrier: Frontline Freight <br /> Shipper/Consignor: <br /> Tra king# 1 <br /> Date: �� <br /> Signature: <br /> Signature: �- <br /> Print Name: 1 Pri Name: <br />