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E12 DIMENSIONAL <br /> UPS Day Air Saver' : <br /> R oollfm ie SHIPPER'S 1P <br /> aShipping <br /> COPY iP <br /> Document , <br /> I• <br /> I <br /> See instructions on back.Visit UPS.com or call 1460-PICK-UPS(800. $ <br /> 742.5877) '�sh-, a,. t z J'```s''�tg1^�t�'�-:��'� 3[ <br /> for additional Information. <br /> W 882 7YF 23 1002 5431 SATURDAY PICKUP $ Is <br /> e.SATURDAY <br /> NEIMMEM UPS ACCOUNT No. ❑ IMSURED VALUE £` _� $ <br /> lai <br /> ae ti"ve.re.lm a <br /> 8 8 2 7YF e.lee •tl�p,,r.wwr —AMOUNT fit <br /> C,O.D, <br /> Ra <br /> REFERENCE NUMQER .� ❑ ngon . ma. S <br /> Nc �r �iy� r9s� b �.,.nr �,., $ ;3 <br /> n/T/ un�av p p a= AMOUNT <br /> NA � MAddti lHad�ngCiss applies Ir<enln aaa <br /> NAME C ELEPHT� ONE S� ",y ❑ $ g <br /> /� hS.'"y u $ In Ims <br /> (001? ?/G .s�/�r� _ •y8 5S�2 $264P r <br /> COMPANY < -cwt �E ,P -T-x, MFr r ,4s °Keq S e�I <br /> CONOCQFHIL�IP5 C'910 LLIJY" <br /> t- BILL BILL BILL THIN CREDIT <br /> STREET ADDRESS 'Q)V SHIPPER RECnVER PARTY CARO American Express CHER 3Y:5 <br /> }E tr Rnnfa Club <br /> 7232 PARK ST RM 300 offeRYe ❑ � <br /> .,.)y A,.-, Masle6aid <br /> CITY AND STATE ZIP CODE LR[tavu[wnxo.WsrcrcxeJ Hex ag'E <br /> PASO ROBLES CA 93446-2294 RECEIVER'S/THIRO PARTY'S UPS ACCT.N0,OR MAJOR CREDIT CARD NO. EXPI TION g.B`All <br /> IL I i V I D <br /> NAAM}E�(�}/�J TELEPHONETHIRD PARTY'S COMPANY NAME $pt91 <br /> �7�—��� STREET ADDRESS a19• <br /> COMPANY R -1 <br /> '--1 SCS �O E� <br /> r.AND STATE ZIP CODE <br /> STREET ADDRESS /�,! o <br /> DE�LR ''T livid nllal l � 5 J <br /> v �Plffery 5 w m af}s&& <br /> ..�....vs.<.w..w.....w nn.a. .e�.a+r.�.�........ 6yggg...�•,.1 <br /> QNNTATE" SHIPPER=`S ""�•` / IPMENT g�E <br /> ^ I <br /> SIGNATURE, f 3 38A <br /> �II I�III IIIIIIIIIII'I�) IIIIIIIII (IIIIII II II II�II <br /> All eMpmenu•a eeNenaflol Leemram .1mme vsreraTeM Term= 020195254260961045 <br /> end Centllnem at soma,o and and eoellaalle m o or,11 and Iocal ups Ior <br /> nt, <br /> This form not needed with UPS Internet Shipping at UPS.com <br />