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-"is Shipping Order must be legibly filled in,In Ink,In Indelible Pencil,or in
<br /> Carbon,and retained by the Agent.
<br /> Shipper's No.
<br /> Carrier tC kS(7W Carrier's No 2,k� "{
<br /> saealyao,wmroet w tna a.awcalbaa er tamY w ansa m iia eats a u.Yw.m tor.nm a wire. -
<br /> at
<br /> ti 6vYhmab bWmlWmax mme lmnmw r<naba a,mmm ayzewu ®K waar.renerobinerao� ser maesmA erowe.a ore wnamtama.voe wYpe wp - pmwam of e. amn
<br /> PiY Qb Y4, �p7pbPpfwoYPPryh�rmrsmnlpaatllf,VY mail bAnv,on.i m0.,muR,oM,x'®b mWYp,pswO,nM,YiILVEmtintlumuurY�r YYN fYiifalnv/nsl Par'IY.+YI prL a,atl k Ji WemexA oral irt/lirte
<br /> i �imaama ur."'iA v..nad:psu b�Aa l..aa„wbwnan mu m.rd mmiJw a�I,Wlna_OavAc.SmiAlual�srvm bAltlia uNvm rrcTlamntum ahnm eu tan wem`�mu u.nax.,aa w.x„n mem.minh�ne.wl.:u.mow
<br /> hveb,'4Hba Val M is Ie,Miiar wiM aB pe brnb wq Corr lilimg d Ve eaN ltiA d bEry,l4Mtl're Voff c0.bk Iferea.set Icrq in tle Nafirblbn d fy1X WYdi gaerrts ac Vampa'alm d Ills e1JgmM,aM IM saW leans aM a,dilbre
<br /> i be laaEy spam b b Ile wryer sd acaetE wr 1,'emK am la Psagn
<br /> Consigned to ,)/n
<br /> 11 ' 1 (Mail or street address of consignee—For purposes of notification only.
<br /> K )
<br /> Destination e-4�. A e ., f1-���S State Code County aY �. r0.
<br /> Delivery Address * S�S) n Sic
<br /> ( To be Hied m on when shaper res and nine Cann PreJde for ddn2rY 1Meat1
<br /> Route—T-4:::-
<br /> Delivering Carrier P Car or Vehicle Initials I No.
<br /> 1110. IW
<br /> Packages MAT Kind of Package,Desorption Articles,SPeool Marks,and Exoeptbre 'Weght Glaeem ss Cheek spml m sJ a Cmaeam a:eeaaa,r a rrq,
<br /> (Sub.to Co,.) or Rare Column Aft .b mkw m sa o+AaeAmmown mom...
<br /> a,a m n`umm,did w a.1 aw uur-A,
<br /> A 7
<br /> rb..,r aw ml m.Y mkary a so,mamml mao-a
<br /> II II pVaern a kyM atl a oew aMJ Nxpn.
<br /> r. S lSpnnwe a rel
<br /> F N s QoA tie, �. r aws,..mea Pwr,ata P 0..w lam.z.w
<br /> mor
<br /> fJPLACARDS PROVIDED FOR THI LOAD'
<br /> to certify that the abo a named materiels are properly classified,described,Packaged,marked and labeled and are in "aawawv a ar maP, wwe,Y xs,ea m
<br /> according to the ePplkable mgWatbnS d the Depannlent of Transportation.IMPORTANT!When shi props'condition ler transportation provided:ppirg hexallous materials this information must be provid,d:
<br /> EMERGENCY CONTACT: `k" 24 HOUR PHONE NUMBER: 1 t) 7 y-
<br /> •rc the ahprtent moues beMeen two ports by a canner by water,the bw repWres that Its bill of lading state whether t is"canieYs
<br /> a ahpper's wegW,
<br /> or the rate is depandent on v Iua amposar are required to slate specifically in writing the agreed a declared vaWe of /tel v Carew
<br /> thisThe spread or declared value of the property is hereby specifically stated by the shipper to be not exceadirg m
<br /> (Ih JPalue be M,ewMges u*h..perlJ
<br /> per
<br /> Ylle bre hoxes used ler this sh umenl conform to tte specdicatiams set forth in Me box make's certificate theman,and all ozena,0.e u..e.
<br /> titer r um nenas of Unilorm Freight Classification."
<br /> tSnipper's imprint in lieu of stanp;not a part of bel of lading appmesi by the Interstate Cgrrurerce Commission. y
<br /> ..ITA )-ot rte_Shipper, p / f 6 ' � Agent must detach and retain this Shipping Order
<br /> 1 wand must sign the Original Bill of Lading
<br /> Permanent poslronice add.of shipper
<br /> REDIFORM. 6S675/6P675 POLYPAK(so SETS) carbonless speed%set
<br />
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