Document 7M41Q1Ydpo4RvjxZdk1dE4wX6

------------ wmsaa'b>iaote T?7-f3 RECIPIENTS COPY From (Youf Name) Pleass Print sAwse*) Your Phone Number (Vary Important) wiTo (Recipient's Name) Please Print Redpienfs Phono Number (Very Important Company MAZa N XcSfcAftiM 1:%'. Slriaet Address A<yJi Ii'yC-1 4; < A a I Department/Floor No. Comoany / -* - DifOonCo, Exa&S&eQlA<KkQss(Weanno(D6ifmtQP.O.BomorPAzipQides.i CltitMj |M. ftsM BUl Department/Roor No. City......................................... ' gOL^EN ____________ __ State _ ZIP Required ____ _0_____i__,___-1 jJZk/Aft- OE ZIP, 77/o-UYOUmRmJNTTOERNNAALL BILLING RHEFEtRREENNtCEINFORMATION(opUofut) (First 24ctaracter$ Hillappear on invoice.) WUENT ipgBaSerder 2| | an fleepiwrt FadExtot. No. 3| ] B 3rd Party FedExAglFfo. 4[ IFHOLD FOB PICK-UP, PrintFEDEXAddressHere(Not ivaitible at all locations) Address City" ZIP Required SERVICES (Check only one box) Priority Overnight Standard Overnight JDihvybyjeitkminmnomiigt) ifMkwfbfnosMimfttonort 51 t I Economy Tw&-Day Government Overnight ff**niybrMca4buiiNSri.&yi) ffiaakutlloetuMttdpftnodT) *> V': 41 Q WEIGHT" tOMwy .. `bitrtrheommK. "CalbrdrfvxytcfMduh. INSTRUCTIONS (Mark appropriate botes) Dangerous Goods.as per attached jS] Shipper's Declaration C^gem^Goods Shipper's Declaration |~~] YOUtttmMED VALUE (j/M PICK-UP SATURDAY {2prf WEEKDAY an SATURDAY (EmciwB*) *L-J {{MwtfabicioMiiKBfiow) A DmmUSGOODSiBMctwi *0 6nw/Ee I--1 OangeravsGoods Shicpei's OteUrattao (wttoqwtd ri Total Tfotei l I \rt \Jf J. DIM SHIPMENT{Chargeable Weight) hyktaUNlMS.~.^s.___ X ____ tcg.W 7 0 OTHER SPECIAL SERVICE -.......... D .. ____ . lbs. 9 n SATURDAYPICK-UP t--^ (Extractarya) RaceivetfAt " --"V* ip-WguiarStop 30 Drop Box. Emp.No. Cash Received Return Shipment D Third Party Street Address City Received By: x Datefilme Received CargoAircritt orty 12 1 I HOLIDAYDEUVEBY oJ'wed) t~-Jtiaetaige) 2aOrvCaBStop 4Qtf^.C. sOStalion Date Chg. To bet. Chg. ToWgM State 2p FedEx Employee Number Federal Express Use Base Charges L. - Otherl I Other 2 Total Charges REVISION DATE&92 PART#137211 FORMAT *145 2/83 752ittawa SwiZoA/inevlft )fy fltfkftow S^tms,$o\xkf 0lA ) Ud 307/ 1 IH Orumx W 0 0mAJc <O>p&J Shl Pf /Jp-Qjf-x /3oi) Y7#-/#?& peldfyj Co *t~?7-93 DUP040001761