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06120.'2003 09: 501 209 330979 MAIL & t40RE LLC PAGE 05!07
<br /> This Shipping Order must be legibl i in, in ink, lnd+aljbl9 Pencil, or in Shipper No.
<br /> Carbon,and re A by the Agent:
<br /> Carrier Na.
<br /> Page of Date
<br /> i
<br /> (Name of carrier) (SLAC}
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<br /> TIl FROM_ �f
<br /> CAnaign Shi0ow
<br /> Street F4� 6trcgr° G/� �
<br /> Cit Stat Zip Code
<br /> Cjt$,1�, � StafB Zip Cod (Q
<br /> 24 he,Emergency Contact Tel,No_
<br /> Rouse
<br /> Vehrd '
<br /> Numbere
<br /> No.of Unity ,e BASIC D✓ESCRIPTON TOTAL QUANTITY Conralnee T". HM '�'*. Proper Shipping Name,Hazwa Craw, (/FHA
<br /> (/FIGHT CHCCs
<br /> IdEntificaUOn mbar(UN or NA),Packing OYOUA Per 172,701.172.202,172.203 (Weight,Volume, (Suojea to RATE (For Carrier
<br /> Gallons,Ill' Correctfon) usepnly}
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<br /> PLACARDS TENDERED:YES E:j NO 0 REMIT
<br /> Nola-.ft)Y'Mam the rale IS dRD9000t on lialoo. Hpp"m ere w eget I neroby declare atarine Cdrllanl9 N lnra C-0-0-TO:
<br /> wacraCAay M wrafng ate agre80 or deNared valte or the property,as llo s,"The "nment are fully and aphrrylay ADDRESS
<br /> apem n<deCfa ed ydr�e of the prop'ty Is h eby ape0alr�lly etaQ by
<br /> a shipper to >ralbed abwa by the proper Snippingg
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<br /> 12)rirgfg Te aprAM .)t,r ,Mgiona ap¢�Nry a limwrlm of the ra!isoat rwxkaa and bbmied Iacwded, rj PREPAID q
<br /> ebe�Ytt a reAaeee a a value declaraaon b9 P,e supper end ate y rD rtn0 ala. O b Amt:
<br /> tnB CdrrteYS lghlll Or N no(rohsae 9a r 2P"in proper Condition for COUFL;T r;
<br /> b ionCe a value.C I Ca 172.rlaaiG thea t>o amrMrd tta atan anspr,t Wfdlrlg to appa�able o5 to aecttm i Of me condni r rc thg.ehvrnrnt la to be aen J
<br /> pdvrded IN 2trh Wovlsron8.See cr ad ortatem t 72. IMttrttntfonat and naaorral Qwwrnmemal cone ntte vdtnotR re0ouraa m ate ocns all 10i to the .
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<br /> etoat oa m rnadwa and D,Frei d a2 ro er,arlre tale lranrportntion:tree - rx1 atatanon ANGES: $
<br /> Of Kent on1 r7illa Or,iar Pre 6i4 and MAfernertta of Ch +.(e) ftr+e Cann 01 om Hol nuke dallies.01 fuse 5Npm8M wartWr payrnent CA
<br /> algae and «t t(al 4M arta an oLnar ravdla dtflryea. - fp EIGHT CHARGES
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<br /> e date of ate seas»trig bd of LAIN, taaaion ane as to each at
<br /> the MPOfty deaaDad above In apcerera gow orrrotcd(ronWnta end wrdaien d cnrw Party, any ttma rttereaued In all a ary aekl properly,tnar..e oenirx b ee
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<br /> 7irid Pq(ooapb�rtyy •.7 nY pervort or carpowlon in -skin per Certatea dut ne to farrdnu”all IN btu m t
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<br /> SHIPPE i
<br /> CARRIEr,
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<br /> t PER
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<br /> Permanent poal-otfiC6 address of shfpper STYLE F285-3®2042
<br /> va2rrFD Accv pv,t►Eit LABF2,i'"IASTUlk 0(800)621_1W8 wwtvJabelrnayler.com
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