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Page <br /> Account g1 p4gg45442 <br /> 800-334-5000 Number <br /> ,,,�-Jlrac Call For A Picktip! <br /> FROM-(Com(Company) Date <br /> lv� <br /> AI; �TYnl O`:A2— <br /> (rIF t hl�l TI:__ - <br /> Street Address <br /> � G'If��,l � '.i�� �S�'Ftil �.1 �� l.l.'e. •�' ��I�!� � .----i-- -'- �I �II�I�II������I���I�I�II�I�III�I'�II'III�'llll <br /> I <br /> r �Pf ITLE1 I 1 11 <br /> Stateip Code(Required) Phone...... <br /> I_. '1'-t- ( +`�`'�,:�� !I—�-�"1 }' ...� (�� J a�iev+�ear+ �arw�sae� as. •�. veil ne'i�a�ed. <br /> ■ ❑SUNRISE=BY 16'30 AM' Bill Shipper's Account ❑ 8 oz.Letter <br /> ■ SUNRISE GOLD.,BY 8:00 AM" or <br /> TO(Company WE CANNOT DELIVER TO A P.O.BOX . ❑Bill Other Accf# <br /> i. ❑HEAVYWEIGHT""' L�. <br /> I 1'` "1 I. FFi ' ' ' Weight lbs. <br /> SVeet Address "' ❑Saturtla r Deli3O 4l axfra Chargg 9 <br /> " - i (�sp ouwaa s) ya M (Subject to <br /> ❑HOLUFOR PICkILI r verification) <br /> 1 4 W WA Dim weight charge'If greater than actual weight <br /> suns# ci l <br /> ❑DecareValue$ <br /> rnax <br /> L in. X W in. X H in. <br /> !' <br /> -225=— <br /> state .. Zip code Required) Phone Number ❑_C.O.D.Amount$,Limit$1 1,000 ❑Secured Payment <br /> I (ate e,o.D.mg�n p.Md.) (Money Order or Certified Check) <br /> C 1F5 +�. I 1 ��� ` , <br /> E]Unsecured Payment <br /> I i •m. '/ (Company 6�ieck or Personal Check) <br /> Rearent's Name �ShippeeLSignatufd,pI._E 1iI Cl I:V filEl I <br /> shipper s Ref.# ShIDDees Name <br /> r . <br /> �•::.,.�tYslef <br />