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n s stems, inc. E945997 <br /> Safiety-Klee y <br /> A Clean Harbors Company DATE ' <br /> 601 Riley Road East Chicago,Indiana1 9)%91.6685 <br /> Sa'E'u,N�een .Telephone(21 9)397-1131 <br /> CUSTOMER'S NAME <br /> i <br /> ADDRESS L �� <br /> REMARKS <br /> COMMODITY <br /> CARRIER `I <br /> ai LBS. GROSS <br /> *_'� `r 0 LBS. TARE—DRIVER ON— OFF1 <br /> br LBS. NET @ PER LB.PRICE <br /> y s <br /> SHIPPER <br /> WEIGHER o-1013011131 <br /> FAIRBANKS SCALE CAT.NO.083906 <br />