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BILL OF LADING <br /> F <br /> C I ea n E a rt h <br /> OEUYERY f)ATE ��b r <br /> -•- _ POINT OF CONTACT <br /> SHIPPER l C STU OMER '.. —_.. - PHONE — <br /> ADORE _ o <br /> r . _ �.:.x-'•'P:�"._. _..__._,_' PHONE 0 <br /> CITY STA P <br /> pOiNT OF CONrACT <br /> CARR}ER 1 - <br /> CONSIGNEE FACt _ vHONE 8 <br /> r _ <br /> AppRE;S <br /> CITY STATE Lip — - — <br /> ____.�.'.. <br /> -----it---- ti'arnr�. <br /> HIMHaaarU Class,and!O Number) No T <br /> t US OOT O�ero,onhn iairctuJrn4 pruf'Or Sn;pPr nr J <br /> B <br /> i <br /> _ I <br /> ID i <br /> r Spzc,ar Harnr g ^Svucr:nn and AddltiOnal IrtcrmaGon <br /> t <br /> P:'a tiros Pror ded YES_—NO Emergency P` ;8 7 7) 5 <br /> jSHIPPER S CERTFCATION Th,s,s to cert,ty that the abo,,e named materials are properly classified described,packaged,rnarlhea, labeled.and a, Inc t n <br /> ltranspertat,en acccio,ng to the applicable regulpt ons of the Department of Transportation <br /> (SHIPPER)PRINT OR TYPE NAME ) c_ SIGNATURE <br /> �(CARPI ER.TRANSPCRTER)PRINT OR TYPE NAME SIGNATURE <br /> t(CO S GNEE,FACILIM PRINT OR T,PE NAME SIGNATURE <br /> fie: �1 <br /> X X <br /> FORM NO 209 RBI 11.2,- <br /> SHIPPER <br />