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NtoSt revof ALKAL-INE 43ATTF•�y :50jja1? ,F1\fT <br /> n_ Yen ackn.`dg,wwrd Uwt.tel W latlinp Ms bwn l sm rW w nw Na w"nol Bluer WlnA rof amry l <br /> THIS MEMORANDUM .rd�Ib...ma ,n.. .IM1.m aln�aa.ddY n glln,, .mb. Shipper's No. 22SC <br /> s I <br /> Carrier ! l =r e• 7. ! ::=:n r ECAC Carrier's No. " <br /> RECEIVED,mbled W indviduellydekrmllled rekaormmracls fhb en agre pan inwrilitg lo"m the rarverandslippeAaWlia0le,olhermsetothe aswc. lassirvaficns andrUesl"thwwbeen <br /> established Me eanler and we aYaiWbb,oam sh' <br /> z e by Ipper,on ;a all applicable slam and ratlerel regulazors; <br /> at date from <br /> r.Prm.m•a Tea caw..Y eNamrama«mnareas eamled(eanmar wwomamnmmlmmdpwpc unavn),a.nma,mneme,ad mdrwas e�xame hefty dnm sale w.l.'HOne wawmwmlAap awYawcann<91un ms <br /> m'Ea4aemwiro arypwaw�«a�parYfwlbl>awa L,o,T+pWr�I✓�alrlMttM�ad)gwslo urryba,llw/meeiadurv6onon brouq or vealAmmmry mullet rmirmiremW,lp.epamlbelaa nla b.W xrdhbe much <br /> arbralal.r mer'd aed Pwpmowr al«aypaam N stye rano m MiMbnwd u m s.N paty el mY Wx Abnrea b Y wmyd rsi Repay IAYmH.wwom M gdwvra Fawn,dx aW baadM mp11M mnAlbn�Pmbl.a b,aw, <br /> Hmaarpraba«xmamh.anmmanea,squaretiaaar;aawlro lahtanol rMYm.nxar 3saamly m..lppw.m.walna,«hliwram Ye s.lys , <br /> TO: veo I rcA FROM: ��' k F a -PE L.L,.t <br /> onsignes Shipper 4 a <br /> Street �7� L-o. Je-47- c.vjry > sA� Street .: �( u. 1 !� �!' • Fx <br /> Destination 7 Zi !�� Origin `_ ttCkt'OY I Zi C: T I <br /> Route <br /> DeFiverirt Carrier °r°�b.ro�.r � na,°rm°m'er�111B' <br /> of PaQlkagps ri Description of Articles <br /> -� i 1 'Y YI-i sft� utivL <br /> xv z <br /> EAit-{-t-'G YI t' .�. >YL�I :trn I•C.,1 i, r r-. ! <br /> r / ,µr , ovl-L'Y IC. - 't.W Y. ii�l•:. y K G z. J _)' ' <br /> rem , i oti ?„rhv/r 5 -UAu ✓C7X S/ r Z O �° S <br /> b6asa", " '°"`,'" COD FEE: <br /> Rllt COD t0: Zh .la'w t.a dafwthe to,M mnapn.. <br /> wa N11 nnaamv cn the conm9nor, Ifi. COD aMT: . <br /> Address: mn.vR d,Wvyn,nhmxilNdeamM: Prepaid ❑ <br /> mrrcrdal cal ratty mlirerydlhi � i� <br /> City: State' Zip: dp**emwaAnpl R}me t of he phr aV all Collect ❑ <br /> NOTE!Where Ile mail depentls4 on value,shipyers are repuired b slalo specftaly n writing TOTAL CHARGES: FREIGHT CHARGES: <br /> ft agreed or declared slue of the property.The agreed or declared value d the property is @@ i <br /> hereby apadrealy staled by the shipper to be net eme m, S Per (StprrWm W(.bmtipndl `Y ❑Prepaid ❑Collect ` F" <br /> r� NOTE:Llabilky LimNSUoa for toes or damage In thle elrlpmeed may be aPPliCAW See w U.S.C. � •! - <br /> r 16706 c 1 aM I ,• ! 11 BY SHIPPER �BYCAfdiIER <br /> TA's b to Delay def Ite abouenpmd mmelratc am prowdy et.,wed,pYSwbed,parhapetl,lradmd <br /> ll <br /> aad YImYd.aw ere m pap,mrduen for lraWpomium asaoN g b the applicatie legulafone a ! I DRIVER'S <br /> iI Sa D.Pamrera OT m Per SIGNATURE <br /> 0 <br /> SHIPPER: , - - ! CARRIER: <br /> r PER: -y,:i Ji:�:'..: `-4ATE: !T IE PE - �'- DATE:. <br /> o <br /> EMEAMICYRESPONSE NAME OR CONTRACT NUMEI i <br /> TELEPHONE NUMBER: OR OTHER UNIQUE IDENTIFIER: <br /> 29-BLS-A3 967(Rev.9/10) G� I -- <br /> � _VSS <br />