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CY-RI 006588
LOSS AND DAMAGE
CLAIM
C VAJVA M ID
AMERICAN CYANAMID COMPANY
ISSUED JT -------4500 VH--15-th Ot.,--Chicago,--fir:--GO6-23
NOTICE; CnRHh.srn.SDESCC . SRN'O TO
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REMtTTASCE bt\|) TO CASHIERS tfFFTtt
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Whatley-White Inc. Post Office Eox 6 Dothan, Al. 36302
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TYPE OP SHIPMENT
TO CUSTOMER
INTRA-COMPANY
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FROM SUPPLIER
RETURN FROM CUSTOMER
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%CLAIM*-,' *i0 125
4sC*tPTI0N Of SHIPMENT
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-Cyaafcab 988 * 16166-Ib*. of Cyaafcab 563-both PVC------------ Panage-----------
6hmaA*!m Aia^lfrid-Company *500 n. 15thSt., Chicago/ II. 60623------------------------------------
sjjftAgftjfroM Chemical- Co*-D-iv.- 751 *.-Mal^fer,^|||p.f (eld, Ma. 0?043 uSillilTl~Marmfleld, H.I Hanf<eld, Ma.
eMh*fciaiw>ttEfatai Inc
PAIO FREIGHT BILL (PSO.) MO.
ot4j}lL.43^s4iffil?E>9r S A/v ?I^A^HOW AMOUNT CLAIMED IS DETEiBlWtetl
1/50 lb. bag of Cyastab 563 damaged in transit 8 .7256/lb. (PIGMENTS,BOI.WHITS LEAD DAT)
$36.25
THE FOLLOWING DOCUMENTS ARE ATTACHED IN SUPPORT OF THIS CLAIM
TOTAL AMOUNT CLAIMED
amCINM. BILL Of LADIHB
gORIGINAL PAID FREIGHT BIU
US A CERTIFIED COPT OF ORICIIUL CUSTOMER OR SUPPLIER'S INVOICE
A COPT OF OELIVERV RECEIPT, OVER SHORT OR DAMAGE REPORT OR INSPECTION REPORT.
THIS FOREGOING STATEMENT OP FACTS IS HEREBY CERTIFIED AS CORRECT.
BOND OIF INDEMNITY THS UHBESS1MO AttCES TO MRRMMFT TOK ABOYI CARRIER ANO ITS CBN* ECTIOHS ARAJHT SICONB PAVMBJf? BP CUM BT REARM OF KINO OMA1U TO PtOOUCI AT TOM TtMt TOT TOIlURt BWl OF UBWO AND/OR RECEIPT FOR FIIIBBT OKAAta PAID IB EOPPPRY OF TOtt CUM.
SIGNATURE / -
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CERTIFICATION FOR INTRA-COMPANY SHIPMENTS
Wt HEREBY CERTIFY THAT THE MICH SHOWN ON THIS CUIM DO NOT EXCEED* THC DESTINATION VIEW OF THE MATERIAL IN THE QUANTITY SHIPPED AND 08 r' NOT iNCUIDi UNEABNCB FBOFfT OR WAREHOUSE OISTRIRUTION. TRANSPORTATION* ' 0 OTHER EXPENSES NOT ACTUALLY INCURRED.
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INVOICE NO.
ACCOUNTING INSTRUCTIONS LDO. RUB. (NTEM MINOR m*r..curr. TC TER.. EM. e s p r o d u c t r m QUANTITY
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CREDIT INVOICE NO. (IF ANY) DAMAGED GOODS LOCATED AT
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FROM AJAERICAK CrAKAMIO COMPAKT
4500 W. 15th St. Chicago,12,. 60623
CONSIGNED TO
- AND DESTINATION
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c o n s ig n ee s NO. .43-29668
010665
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SHiwERSNO. 463-47141-00-0
CA8icrs #40. DATE SHAPED
--9/9/-g2____________________
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ROUTE AND CARRIER INSTRUCTIONS /
Whattley-Wbite
RECENEOAT
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Prepaid
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IN THE EVENT OF AN EMERGENCY INVOIVING THIS SHIPMENT,
ENDANGERING LIFE OR PROPERTY, CALL 'COLLECT'. DAY OR NIGHT: (AREA CODE 201) 835-3100
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430/50# Bags PVC
Cyastab 988
24240#
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320/50# Bags PVC
Cyastab 563
16160#
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PIGMENTS,NOI,WHITE LBSD DRY, IK BAGS, KXPC PKG. #934
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TEST SHIPMENT IN ACCORDANCE WITH NMPC ITEM 689
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AMERICAN CYANAMID COMPANY, Shipper
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AGNf~V^-^-^
THE AGREED OR DECLARED VALUE OF THE PROPERTY IS HEREBY SPEC IF 1C A llY
STATED BY
THE SKIPPER TO BE NOT EX CEEDING
Xk NR POUND
Pei_________ _______________;________________ Permanent Post Office Adores* of Shipper,
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CY-RI 006591
CY-RI 006592