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a <br /> a <br /> +r <br /> Ica BILL OF LADING <br /> 3909 Park Road, Sulte D <br /> a�19 <br /> AL SERVICES Benicia, CA 94510 <br /> GROUP (877) 74$-3040 <br /> Wenern Region <br /> ` DELIVERY DATE JOB 6h 1 19 ' <br /> iHIPPER/CUSTOMER POINT OF CONTACT <br /> 1OORESS PHONE# <br /> iL'I•� :i`�i+���r�r'� �� r.._}i^ _�:i Zk s� �,. 1.4 <br /> XTY STATE ZIP <br /> :ARRIER/TRANSPORTER PHONE# <br /> CONSIGNEE/FACILITY POINT OF CONTACT <br /> >DDRESS PHONE# <br /> r499 , htir_i r Rija t ' X113 19'3 <br /> ;ITY STATE ZIP <br /> WMM <br /> I <br /> 7 <br /> 0r <br /> ,pecW Handling lnstwcbon and Additional Information ` <br /> f <br /> ti hl�TYTT l` .i� 3tlL 7 � ., tIL ( 3 Res �, i C4 ts�y,, 1, <br /> rNY, p4a 6'A !*J t 15S »}r3 _ sr inY#r�}} i�73 r (ifi z4,,'gg �R <br /> r <br /> 1 y <br /> 'lacards Provided YES NO Emergency Phone#(677) 748-3MO <br /> SHIPPER S CERTIFICATION i hereby declared that the contents of this consignment are fully and accurately described above by proper shipping name and are classified,packed, <br /> narked,and labeled and ars in all respects in proper condition for transport by highway,vessel and rail according to applicable hAeiroational and national govenimerd regulations <br /> HIPPER)PRINT OR TYPE NAME/ _ SIGNATURE _ _hy MONTH DAY YEAR <br /> W"TRANSPORTEn)PRINT OR TYPENAME SIGNATURE " MONTH oar YEnR <br /> �. <br /> f <br /> X <br /> JEE/FACIUTY)PRINT OR TYPE NAME SIGNATURE , � i�Y- ' <br /> of RV 6/04 <br /> SHIPPER <br />