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-, .*i_ <br />o <br />�11�-1�` 3,r�ri�l"T <br />i affim, L' <br />Wr_��i 1 ��r r�� i, <br />Sender's Name "" i I t N-'•.`? , —, <br />Company [Ail Ar%Lj ASSOCIATt4 <br />Dept/Floor <br />Suite/Room <br />KANCI- a iLul{uLYA LA <br />i Recipients Copy <br />If 13 Service* <br />FedEx Priority Overnight ElFedEx Standard Overnight ❑FedEx 2Day <br />INem business morning) (Next business afternoon) (second business day) <br />❑FedEx Govt Overnight <br />(Authorized user only)' ❑ o -in -lo, <br />❑FedEx Overnight Freight ❑ FedEx May Freight <br />L—(For packages over 150 pounds Call for delivery schedule) <br />❑NEW FedEx First Overni�fit ry <br />(Earliest next business momng elveto select locations) •Delivery"n"rimempu <br />y <br />(Higher rates apply) be later in some areas. <br />Mr <br />Packaging <br />FedEx FedEx FedEk. FedEx Other <br />E] FedEx <br />❑ ❑ ❑ <br />Letter* Pak* Box Tube Packaging <br />•Declared value limit$500. <br />Uly State Zip <br />" �, .--� . 1 Special Handling • <br />© Your Internal Billing Reference Information Does this shi merit ■ <br />contain dangerous goods? �I�'No ❑ Yes app `res oeblatl..nI ❑ Yes (Sce <br />hhir wi e�gar,mn <br />To ❑ Dry Ice CA❑ <br />Dry ee,9 uNleaslu Only <br />x kg. 904 Cargo AircraftO <br />C, (Dangerous Gaads Shipper's Declaration not repo red) <br />Recipient's Name—j .Ir , + i + 1-� \ Phone " C � 4 -4 -La 6 — L'4 —7 <br />rY•"^�✓, Payment ❑Obtaiail&n a untNa <br />y <br />Dept/Floor ' I Bill�3enE�,� - - ❑ Recipient []ThirdParty ❑Credit Card []Cash/ <br />Company - "�—�a' + !.c �G a tr' _s. Suite/Room 1 -r •1 I \ to: Aeea °°°° p m Check <br />w . 7 <br />section vol` 'fled) (Enter FedEx account no. or Credit Card no. belovi <br />(adE et FedEx location, ^"� �'�.�.--• y. ,,,r� <br />AddrJESS printrint F0tV address here) �.rn •yf <br />city c � -�� -� �` �'r State Zip f =� •d 1 Total Packages T eight Total Declared Value* Total Charges <br />,, <br />For "HOLD" Service check here For Saturday Delivery check here $ .00 5 <br />❑Weekday ❑Saturday ExUa Charge. Not available to all locations) W u Aar en$100 per package, you pay additional charge See SERVICE <br />I (Not available with FedExFrst Ouernblhtltall locations) or FedNot Ex <br />andwithOvernight) <br />Frs Overnight CONDm lA VALUEANDDMIToF lU1aINTY sect on for further information. Cfedlt hard Authr <br />g or FedEx Standard OedU hU ' <br />Release Signature <br />n 4 <br />Fxpress to deliver this ship - <br />and agrees to indemnify <br />sdzooi_sny resulting claims. 2 3 2 <br />-WCSL 0895 <br />Rev. Date 7/95 • PART #147391 <br />©1994-95 FedEx • PRINTED IN U.S.A. <br />v,.. <br />• <br />• <br />• <br />