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TAB 1 REV 8/75 PLEASE DETACH "REMITTANCE CDPY" AND RETURN IT WITH YOUR PAYMENT. PHONES (215) 269-1900 627-3615 j S-C-A-C: CLEA D-U-N-S: 00-497-3897 c * C 33798 I CUSTOMER" cope PAGE. NUMBER > ' NO. - CHEMICAL LEAMAN TANK LINES, Inc. CORRESPONDENCE: P.O. BOX 200 DOWNINGTOWN, PA. 19335 REMIT TO: P.O, BOX 8500 S-U45 PHILA., PA. 19178 I.C.C. REGULATION: FREIGHT BILLS MUST BE PAID WITHIN 7 DAYS. CUSTOMER'S COPY FREIGHT BILL IN AU REFERENCES, PLEASE REFER TO FREIGHT BILL NUMBER AND DATE. GENERAL TIRE 1 RUBBER Cfll CHEMICAL/PLASTICS DIV 0 BOX 68 iSHTABULA OH **0D* [JMBER 12 1A 77 Ftwom-Bn: iDATE MCP M9F PATENT NOS 3,0T6,30B AND 3,429.527 r;F-;- a' 00 TRAN, j N. ORIGIN CITY-STATE 0911991 ASHTABULA OH DESTINATION CITY-STATE TOLEDO OH MILES CONSIGNEE NAME 165 TEXTILE LEATHER COH^AHT TERM | B/L NUMBER SHIPPER'S NO. 038309836 CDA27213 038309636 C0A27213 B/L DATE CARRIER'TRACTOR1 TRAILER CODE5 1 COMMODITY 12027 665t) 9909921 050f*|RESIN 12027 ii ii ii ii ii 66509909921 ii ii ii ii ii 0501PUHP ii ii ii ii ii CHS. ACCOUNTS PAYABLE CODING MEMORANDUM QUANTITY *5000 RATE 755 AMOUNT 337.75 3.99 APPROVED FOR PAYMENT BY: PLANT ENGINEER TECHNICAL SVP. PLANT ACCT. INITIALS INDICATE WORK PERFORMED BY MARKING (X) ACCOUNTS PAYABLE AUDITING 1. PRICE OK J3- -L^FRT. OK 2. QUAN. CMC' 2. CODES OK 3. TERMS OK 3. APPROVALS OK JL_ CHECK RlR. E-5 I'M?VC- 7'1- PURCHASING AGENT CONTROLLER ( 5. ENT. mb [~~L / /JA-1 *" CHECK NO. f y INITIALS SHOP ORDEJf / APPRO. NO. 'T / m INITIALS 3*3.7* IV V CO. DIST. PROD. DEPT. ACCT. .SUB. LOC. 7(0 vjh tfr- j3 OTHER AMOUNT 53 111 ' 3224-ASH. 4-75 11 i_______ 1--------------1------------------------ 1------ PLEASE DETACH "REMITTANCE COPY" AND RETURN IT WITH YOUR PAYMENT. PHONES (215) 269-1900 * 627-3615 j J^^A-C. CLEA jU lH*S: 00-497-3897 + CHEMICAL LEAMAN TANK LINES, Inc. CUSTOMER'S COPY FREIGHT BILL "ICES, PLEASE REFER TO 4UMBER AND DATE. 33799 CUSTOMER NUMBER IS CODE NO f IZ 1* 77 m- vo 1 pay 1 1 Ftaranr-gnr date + TRAN, 0911991 ASK TERM | B, 038309836 938J309836 INEE NAME ATHER RATE 755 COMPANY /AMOUNT 339.75 3.99 MCP % MBF PATENT NOS 3,016,30B AND 3,429,827 \ QENC 56740 1 A 50 00 PAY 3*3.74 MANIFEST