Document 659gy65VRE8QepaZ8ernE65R4
C.P. P.O. Bo 608 Block lake. Quebec Conodo GON l AO
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Coble- LAQBESTOS -New York. NY IOOOS
Telex. 05-83x559
Tel (2131 732-9500 3.
SHIPPER s NO -j * % < 1
LAC d'AMIANTE do QUEBEC, LTEE.
0C$TtNrAIRE CONSIGNEE <u*n tDOtCiS *OI *0* PUBPOStS Of OflV|R>
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DESIGNATION 0E5 MARCHANOlSCS DESCRIPTION OF GOODS CLASSIFICATION GRADE
ouamtitE tiM0<ir Oiiantity shipped
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POIOS RRUT iCORRWll GROSS WEIGHT (CORRECTED!
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FIBRE D'AMIANTE "LAO" "LAO'' BRAND ASBESTOS FIBRE
NOUS CERTIFIONS LANALYSE DES FIBRES D'AMIANTECROUPE 6 A PIUS DE .0.0.5.11
ET/OU * MOINS DE
.0.0.8 8 ET GROUPE 7 A
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NtTitlC T0s$ AS5CST0J
ETRE A .0.0.5.11 OU MOINS
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3-PlT PULPASU PAPtft BAGS
WE CERTIFY ASBESTOS WASTE TO.TEST OVER
THE MATERIAL IS S.W. I LOADED ON
.0.0.SillJ;. AND/OR UNDER'^OIO.B.B AND
21 W00D2N PALLETS f 12A 9 21 LBS EACH
ASBESTOS+SHORTS TO TEST *,0.0.5. 11 v OR .LOWER.:..
MICH01867
SEE HEALTH WARNING ADVICE AND HANDLING
INSTRUCTIONS ON REVERSE SIDE
If CONTENU D CE CHARCEMfNT ESI CORRECTEMENT DECRIT. IE POIOS BRUT EXACT EST:
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THIS>SH1PMENT IS CORRECTLY DESCRIBED
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THE CORRECT WEIGHT IS:
SUJET A VERIFICATION PAR L'ASSOCIATION DU FRET CANAD1EN
(UGNE DE L EST) SELON L'ENTENTE NO 2255. .
SUBJECT TO VERIFICATION BY THE CANADIAN FREIGHT ASSOCIATION (EASTERN LINE) IN ACCORDANCE WITH WEIGHT AGREEMENT NO 22SS
SI lets FRAIS SORT PAYASlES DAVANCC L-INOIOUER
ICI ' PAYABLE I-------ffj "
liftey
if charges arc in il I inr un uniiT or stamp
HERE "TO IE PRT*ltrR` epaid
i L'fKPEDlTiUA INSCRIT LE MONTANT P.S.L
[SHIPPER SHOW AMOUNT DF mc.o.o- "
P C MONTANT 1 AMOUNT
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$ O FRAIS f FK
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RC?U RCCCIVCOSkPOUR L PAICMCNT O'AVANCl DCS FRAIS SUR TH MARCHANOISCS CI-OCSSOOS. TO APPLY IN PRCPAYMCNT Of TKt CKANCtS ON THE PROPERTY DESCRIBED KEREj*
AGENT OU CAISSIE AGENT OR CASMII
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VALEUR - VALUATION] VALEUR DECLARES
OW^S TO* LR.
| DECLAREO VALUE PAR / PER LRj
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CANADIAN CHRYSOTIIE ;? ASBESTOS . ' C 'NOTE:^CUSTOM'S ENTBY TEES . V,
EATABLE AT BESTINATIOnT,
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1 RESERVE AU VOITURIER FRAIS I POR CARRIER'S USE CHARGES
AVARCI OU AU-Dtli ADVANCE AND/OR IfYOND
%
divers
MISCELLANEOUS
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FRAIS INITIAUX RASK
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APIELC'UENITt VALEUR VALUt
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TOTAL
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du QUEBEC
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ORIGINAL . NO^ NfcOCUtlt ORIGINAL NOT NEGOTIABLE
PAN t PfN.
BLACK LAKE, P.O! AONCtit m lumpiiiih nimiin post oiti *tot o tiPM (CX COMMISSENCRT - CMfTRAT 0`affWTIM DmitSS DOTT Etke Mk( RAN fCrP^DITlVt f? LI VfMYUMOD
<txis aill of laowg - cvrcu smippmm contract is to re signu rt the rhifpcr awo carrier^