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L� <br /> "'lI���Vrr- aLhVIl�1`.7 <br /> xOTIABLJE Shipper's No � <br /> tW Carrier's Na <br /> SLAC <br /> r FROM: <br /> Shipper <br /> Stree � <br /> ' Zp Origin <br /> r Zo5 a gQ 8� Vehicle umber <br /> 2436 4F:7-1 1 <br /> a e <br /> !i <br /> __ - - - ---- 4---- <br /> COD <br /> .i State Prepaid <br /> Zip AMT $ Collect ❑$ <br /> Plate by a Samar by wafer the law requires that the to Sw000 7 d aor�tlorta pas <br /> I a ippillatupera weryht" remoras de pr mr wv-pis consttjgr gM sw aw bio"tO be delivered VAM to ms r"Ift wnat � <br /> w are requned to state speairealfy in The MMM Shell rid man dsarery d pea arepment WOW paymmem or f^ <br /> IS hsy Specrfirally stated by pie Shipper �e acrd el asrp <br /> rb <br /> (Srgnawre of CWS grror) <br /> Sed 44ffa In OHW On the date of this Bid Of Lading the PmperfY dsarnbed mora in <br /> ` WCated above which sero company(the word Cam apparent good order except as noted(cargeras and <br /> pang ttserg wideralood throughout this contract as meaning any person or oorpan <br /> Of dahrary a said Mmuru oen d on its own road or i>s own:.W lora otharwtse o deliver to anodes cams,on the route to sari <br /> portion of said,cute to destination and as td each pally at arty pens Interested m"or any said property that Ovary <br /> pralled or written herein owdaLned(as apecdred in Appendi�t 8 to Ped 163.5)whlCtl are frenpy agreed to t1y pre nhrp 'Ca to bs <br /> med materials are properiy classified,deacnt�ed,packaged,marked and labeled ander <br /> ,tat an accordingto the applicable r ul is of the Department of Transportation PER <br /> r CARRIER <br /> DATE <br /> 7 <br /> 1^, MdNITOREp A ALL TIMES THE HAZARDOUS MAA <br /> _ INCLUDING STORAGE INCII3CNTAL TO TRANSPO '{ <br /> Y- - - <br />