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<br /> Boll of Lading,nor a copy or ouplicale.Covering the property named herein,and is --
<br /> intended solely for fee r record.
<br /> I 1 Carrier No.
<br /> Page--+_ Of rlCr.i `n<'r� �'7L it ; ,�:i tr
<br /> iName a career) t SCACI Date
<br /> a,cora worwt a.pwr,nwem'Car moa w..iw.� ..'.,vnaa.�bn.�Pwa.en liem.v0.sx, FROM:
<br /> TO: Shipper!_Cl"rA It i's
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<br /> Streeti City-, , i_� ��. State Zip Code •
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<br /> nee.Emergency Curved f al rvo
<br /> Vehicle
<br /> Bailie Number
<br /> BASIC DESCRIPTION TOTAL QUANTITY WEIGHT CHARGES
<br /> No.of Unita Proper Shipping Hams.Hazard Class p UN at NA Number,Proper Shiypirg Name. iWeight, Volume, iS..nlad io RATE IFor Carter
<br /> a Container Type H M UN or NA Number.Pnlung Group Hazard Class,Packing Group Gallonsetc) a lmnl Use Ont)
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<br /> PLACARDS TENDERED: VES o NO o ,REMIT
<br /> To:
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<br /> aa/Vend Y brei ms aY a eery a,iYa pmOl,b al,Y w l,y poem d ea mr b>
<br /> SHIPPER, , 1` — I � CARRIER -
<br /> i r\ i.._'JiIre-
<br /> PER f K �_16� PER
<br /> r '� DATE
<br /> Permanent poslotace address Of Shipper .�..��� STYLE F76060 C2003 LARELPIASTER a 1800/621 5808 www talMlmaster com
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