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e RRPP <br /> aroiuA,L PS. <br /> 13567407 <br /> TakeAwayTM Recovery System Tracking Document <br /> Complete sections 1 through 5 on this.triplicate form.Kcep"Shipper"(bottom)copy of completed form for your records,place remaining copies in the plastic pouch on the outside of the box.For detailed <br /> instructions,information regarding contents,and training purposes,see Paekaging and Shipping <br /> instructions enclosed in this shipping boa or visit our wehsitc at www.sharpsine.com. <br /> All items below must be filled out completely. <br /> 1.shipper's printed name,cmplcte address 3lelephane: <br /> Lynda Dial <br /> "l. I <br /> 327 East Adams ' t <br /> Stockton,CA 95104 Product: 80501 <br /> 2.Descriplimn mf Cmnlcros:lscd HcahM1cam 9laleriels 3.Signature of Shipper(Firma) ' <br /> 5. weiehl of Packaged amx(Peso de le J.empaquefada) <br /> 0.Dale Shippd(Fecha de E.,im) •' <br /> TRACKING FORM (11ANIFF.ST)DIRECTIONS FOR SHIPPER ' <br /> Check above,everything nw,t be filled out completely.YOU MUST SIGN#3 ABOVE. <br /> Keep"Shipper"(bottom)cop) for your records. <br /> Make sure#3 is signed and is completed with the date container was shipped. <br /> Put this Tracking Form in the provided ziplock bag on the outside of box and seal. ; <br /> Comments <br />