Laserfiche WebLink
' W HELP IN CHEMICAL EMERGENCIES INVOLVING SPILK, <br /> R EXPOSURE CALL TOLL-FREE 1-800-626-8300 DAV GHT <br /> THIS SHIPPING ORDER ""�~ Colleen,endi"' ivy lies ApwNationality'«� « " <br /> ' Shipper's No. <br /> ' Carrier'�NCARRIER: SCAC atoe <br /> —�- <br /> TO: FROM: <br /> Consignee L p;C t (o,/ Shipper uT <br /> Street ;5 fwRt `tel✓�/ Street <br /> � in_•J - '`r�' <br /> ' Destination _ / t Zip Origin ,—:,_i �•„L <br /> Vehicle Zip <br /> Route: <br /> Number / l? <br /> Description-.11 No Kind of Packages. <br /> territorial IV Vorramol <br /> >:irf UIELS REQUIRED <br /> HM (IF HAZARDOUS MATERIALS PROPER SHIPPING NAM CLASS folumaber [tub!If to RATE <br /> Az l <br /> /9 Ito <br /> Remit C.O.D. to: t,r�.,� C.O.D. FEE: <br /> Address: „r,o s-<. C., , .< ��'ff Prepaid ❑ <br /> ' City: ,; / State: (';,� Zip: w COD AMI:AmIY ST �_ Collect ❑ ; <br /> ROTE — When the rate Is dependent on Value, shippers are required to nate sNa llcsRly in "'”` FREIGHT CHARGES <br /> tromp the og,sednd"lared velua of the progeny.The sgrsed or declared Volvo of the Drogny '•"Yn��+'�+++ �^r+W wn..wrrrwws.... <br /> hereby specifically Rated by the shipper to be not..wwing 6 Par PREPAID COLLEC <br /> RECEIVED.lot,.10 IM dand¢nmm aM IUM,m an-,on I`:Mb of iYu.of Imr Brll of l<dinp.IM poperry OY[nlud ebov�m apYrml qw]other,art'epl Y role Icomamt uN cortlilm of conlmlr of ycyep+r uNrownl. <br /> mnYM,coMipnad,nW daninad Y iMKnad a00M wM1i[n Ytl clrri4 nM word[.rrn1 binq urMnnood throudMN this con1Y[I as ininvo 1p any tarso r in ceppranp in waYrYron 0 the ppgrry urWY IM cMlrMl Nrea to <br /> ' [t:,1.ns usual Placa of GLvary a1 Yd damm�gn.d on its out..mMrwrY 1.NIwY 10 another Y11.on IM IOW.to Yrd aaslmnwn R rs mutually ar.as Io eYn carne of all w any OI,Ytl WOpar1Y oYr all p any pprl�p <br /> of s.'d route to desoneir ane Y to each why a1 any time woantl in all w any Ytl relevant,IOn mry wvrt.to M p.rlxmM M1nauM.r their M sub,ot,10 all 1M bas or IoM Rema.Itl mdrlma m the <br /> Ydmanel on me dale nah,p,on ^e w,armn <br /> Shipper hereby cordata tM1 he a familiar who ell the bill of lasing toms ano wMllwns in 1M governing cLYllxalon anu IM Ytl lame.M cordrlona era hereby agreed to p the Nppn any,ettw Re hvnWl ed his <br /> onoution <br /> rat..a h.emh lel IM.m...Ym.a mnrw.ve p. hnYnlrY.t s...�o.a.Paan,nwrpw g1RNtyK(p BT G•tW <br /> pled ed m prop,[orWlgn Ia Iranywtnim do o M qJ reale repoylgry of 1M • • • ❑ yes ❑ND <br /> ' Gavarrenl w Territorial— lw • • . . a NNE SKMMTUN: <br /> SHIPPER: T/ CAR IER: <br /> PE PER: <br /> ' DATE: / :—Pay T • i > <br /> GRM N 7/86•A(3-PLY) <br /> evlSRgd 7/86 Re Are mean dtledl all team thin shi"OWN and wee upwin enrol NII d rdleF <br /> FOR HELP IN CHEMICAL EMERGENCIES INVOLVING SPILL,LEAK, <br /> FIRE OR EXPOSURE CALL TOLL-FREE 1-800-420-9300 DAY OR NIGHT <br /> 1 <br /> 1 <br />