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RETURNED GOODS REPORT 915840 <br />BATTERIES <br />° DEK.r-, BATTERIES PICK-UP NO. <br />"LAST LONGER" <br />RUCK OR EAST PENN MANUFACTURING CO., INC. <br />P A ILER NO. DEKA ROAD, LYON STATION, PA 19536 DATE 20 _ <br />PHONE (610) 682-6361 ORDER DEPT. HOTLINE: (610) 682-4231 <br />1 <br />ECEIVED FROM <br />3 " 7 <br />V\j.DDRESS"J ! i <br />THIS FORM MUST BE FILLED OUT COMPLETELY. ANY BATTERY WITHOUT DATE CODE LISTED HEREON ' <br />WILL BE CREDITED AS "SCRAP" <br />QUAN. <br />TYPE <br />UNIT PRICE <br />AMOUNT <br />ii <br />t <br />H.M. <br />TOTAL <br />QTY. <br />DESCRIPTION <br />TOTAL <br />WEIGHT <br />Sold to if different TOTAL III - <br />than received from <br />V <br />Battery Wet, Filled With Acid, 8 UN2794 PGIII <br />Recyclable <br />Battery Wet, Filled With Acid, 8 UN2794 PGIII <br />Battery Fluid Acid, 8 UN2796 PGII Packed <br />With Dry Battery <br />Battery Fluid Acid, 8 UN2796 PGII <br />lis is to certify that the above-named materials are properly classified, described, packaged, marked, and labeled, and are in proper condition <br />or transportation, according to the applicable regulations of the Department of Transportation. <br />CERTIFICATION SIGNATURES \,V <br />RECEIVED BY <br />"EMERGENCY CONTACT 1-(800) 424-9300 <br />3EORGE HILL SYSTEMS BOYERTOWN PA 19512 IN D. C. (202) 483-7616 <br />111833 -BS SM 1/00 <br />CUSTOMER'S COPY <br />