Document MGNRpmBgG3kb69n3ZZvYbrkjM
DEPARTMENT OF
PUBLIC HEALTH AND HUMAN SERVICES VITAL RECORDS & HEALTH STATISTICS BUREAU AND OFFICE OF THE STATE REGISTRAR
MARC RACICOT GOVERNOR
STATE OF MONTANA
COGSWELL BUILDING 1400 BROADWAY
PETER S. BLOUKE, PliD DIRECTOR
PO BOX 200901 HELENA, MONTANA 59620-0901
November 2, 1995
Dr. Hasmukh C. Shah, PH.D., D.A.B.T. Manager, Vinyl Chloride Panel Chemical Manufacturers Association 2501 M Street NW Washington, DC 20037
SUBJECT:
RELEASE FOR TRANSFER OF DEATH CERTIFICATES Vinyl Chloride Exposure Study--Montana Reference Number (RPN) 95-007
Dear Dr. Shah:
Enclosed is the original copy of the release form I faxed to you this afternoon. Should you wish to contact us again concerning this project, please refer to your Research Project Number (RPN) 95-007.
Again, I apologize for not responding to your request sooner.
Bruce Schwartz
^b-aLieuiuiaii
Enclosure (1)
Birth/Death Certificates (406) 444-4228
Vital Records Administration (406) 444-3074
Tumor Registry (-106) 444-2618
Health Statistics (406) 444-4261
FAX (406) 444-1803
"AN QUAi OPPORTUNITY EMPLOYER"
CMA 120693
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^ CHEMICAL MANUFACTURERS
Prepnnt Format No. Origin
DCA |j3409444 j -r.
Street ASSOCIATION
2501 M ST NW
City
State
ZIP CODE (Required)
WASHINGTON
DC 20037
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3
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Airborne Customer account no.
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I__ | Receiver
Airborne Customer account no.
Bill 3rd
Party
Airborne Customer account no.
I--| Paid in Check I__I Advance '
Amount $
Billing Reference will appear on invoice
Service
Type Please indicate
service type by marking
one box with an "X"
Assumed Express service unless otherwise noted
City J t
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ZIP CODE (ReqLire
rNo of Pkgs
Check if
UtltiACi
55
Attention:; (Name/Dept)
Phone NI umber (Important)
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Description t
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LETTER |--| EXPRESS EXPRESS I__ I PACK
Special Instructions
Saturday (Extra Delivery m*rsi*>
**rf rMuti r tt'--
Lab Pack
Hold at Airborne
THANK YpU FOR SHIPPING WITH AIRBORNE EXPRESS .
Declared
Full Shipment Valuation
Sender's Signature
"tyafifr Value
Insurance
r $
Airborne Signature
Route No
Date
'Time
Received At
l~l Drop Box #
1 Terminal
SENDER S COPY
ABSENT A HIGHER SHIPMENT VALUATION. CARRIER'S UASlUTV 1$ LIMITED TO
SUM PER PACKAGE. OR ACTUAL VALUE. WHICHEVER IS LESS, SPECIAL OR
CONSEQUENTIAL DAMAGES ARE NOT RECOVERABLE SEE TERMS AND
CONDITIONS ON REVERSE SIDE OF THIS NON-NEGOTIABLE AIRBILL
SCAC-AIRB FED I D NO 91-0637468
/liRBORNE
PO BOX 662, SEATTLE, WA 96111*0662
DPI HUBS) W-H1
CMA 120694
TERMS AND CONDITIONS
DEFINITIONS
!-* , ;*
nw;t-N the terms we our and us are js=d Oh-this airbill' refers to aIrbqrEe expr$stts
=m^H=3 AND AGENTS WEN YOU AND YOUfl ARE USED, IT REFERS TO THE SENDER. ITS EMPLOYEES AND
LEGAL ACTION TO ENFORCE A CLAIM MUST BEE -B--R--O---U--G---H--T---V--W---T---H--j-N*O--f-^-E---0---)--Y----A---R--/-i-F--T- ER -------
H^fi,
TERMS OF AGREEMENT
,
!'
WHEN 'Ob GiV E J$ YOUR SHtPMEN r 0 DELiVEfi-YOU AGREeTo ALlThE l ERMS iN THIS NON-NEGOT1ABLE AIRBILL AND ih )UR CURRENT TARIFFS AND ScRVlCE GUIDE WHICH ARs AVAILABLE ON REQUEST IF AT^HE
IMEQ fHE Sm- M6NT ThtRE IS ACONFuCI BETWEEN THE VERMS AND CONDITIONS STATED iN THIS AIR0IU.
AND UUR CURRENT TARIFFS THE PROVISIONS IN 'HE TARIFF WILL PRe,'AIL THE TERMS AND CONDITIONS OF .HE TARIFFS ARE MADE A PART pF THIS AGREEMENT A,NO NO ONE IS AuTHORIZEO TO ALTER QR MOOIFY HQSfc TERMS
DENIED IN WHOLE OR PART BY US
RIGHT TO INSPECTION
WE MAY AT OUR OPTION, OPEN AND INSPECT ANY SHJWENT FOfi ANY REASON WCfWHNG BUT limited TO VERIFICATION of CONTENTS PRIOR TO'oR AFTER ACCEPTANCE OT* meSHlPMEjIff TRANSPOffTATlON RESPONSI8JLTTY FOR PAYMENT
EVEN IF DIFFERENT PAYMENT INST^RU--C--T--I-O--N- S ARE---G---I-V-E--N--,--Y--O- -U---W----IU---.-A--L- W---A--Y-SBgPRIMARILY R| FOR ALL TRANbPORAmN&HiSAPROGIS---I-^--l-?---W---E--L- L A-S---C--H--A--R- -GES I--N--C--U---f-lR---E--D----------REpRNflQpi-"
RESPONSIBILITY FOR PACKAGING AND completing AIRBILL _YOU ARE RESPONSIBLE FO- R A--D---E--Q---UATE LY...P...A..C..K...I.N.sG TrHI"S S-H---IP--MENT AND FOR ACCURATELY COMPLETING
HIS AlRBlLi. ANY cRRGRS MAY RESULT N A REtJIUJNG fiY US TO YOU LIMIT OF LIABILITY
JMLc-SS -'OU DEC! ARE A HIGHER SHIPMENT `MLUAilON AND &AY iHt PEE OUR 1.1MIT OF LIABILITY IS THE lOWEPIGF THFROWING IA) ACTUAL VALUE -Bi 5100 PER PACKAGE WHEN LOST DAMAGED CR OTHERWISE ADVERSElv Aj -rCicD
J.-U MAY iuzl' '0 DECLARE A HIGHER SHIPMENT VALUATION THAN 5)00 PER PACKAGE 3Y DESIGNATING ON THIS AlPglLL T'-E DECLARED SHIPMENT VALUATION AND PAYMENT OF TnE FEE SUBJECTTO THE FOLLOWING tJEK A,v;'`?<-- 'NJ'1,i;fI?'ElS1RESSn!S!fM^T ai aral 0f* A jhlPMEUT LtF in A DEPOSIT STATION
YOUR SHIPMENT PENOWG --------
QUALIFIED ACCEPTANCE
WE RESERVE THE RIGHT TO REJECT YOUfl SHIPMENT AFTER ACCEPTANCE AND PRIOfl TO PERI
OF ANY PART OF THETRANSPORTATION SERVlGES, WHEN SUCH SHIPMENT MIGHT CAUSE DAMAGE OR
TO OTHER SHlPMENrS.-eOUiPMeNr Ofi PERSONNEL THIS W1U. ALSO APPLY IRTHE TnANSPORTAI>
YOUR SHIPMENT IS PROHIBITED BY IAWOR IS IN VIOLATION OF ANY RULES CONTAINED IN THIS Air
our tariffs,
--
CARGO ITEMS TENDERED FOR AIR TRANSPORTATION ARE SUBJECT TO AVIATION SECURITY COWtflU
AIR CARRIERS AND WHEN APPROPRIATE; OTHER GOVERNMENT REGULATIONS. COPIES OF All REU ShlPPlNG DOCUMENTS SHOWING ITWE CARGO'S CONSIGNEE. CONSIGNOfi DESCRIPTION, AND C
05Y,r(Y',r-'J1,V=ri TMN LETTER EXPRESS ANO ,Ci j24 999 ON ANY OTHER SHIPMENT If THE VALUE OF /OUR bhiPMEN < S 52S 000 OR MORE, THE TRANSPORTATION IS SUBJECT TO ADVANCE ARRANGEMENTS WITH
BlWEIGHTS AND CORRECTlSS^^^ N
UNT.iL'TH6
^ WR TnAWSTOflfATK^C
&'WJ.W.,MUST PURCHASE INSURANCE ON THE ENTIRE VAlUE UP FO A MAXIMUM OF KOODOO AND PAY THfc PREMIUM
On.TRANSPORTATION CHARGES FOR THIS SHIPMENT ARE BASED ON THE GREATER OF THE ACTUAL
,^E W!LrL NOr 9E '-iAfiLfi FOR YQUR ACTS OR OMISSIONS INCLUDING BUt NOT LIMITED TO
SECURING MARKING OR ADDRESSING OR FOR ACTS OR OMISSIONS OF THE RECEIVER
?.rt^irr9
HAVINGIAN INTtREST IN THE SHIPMENT WE WILL NOT 8.UA0LEif YQOR THE RECEIVER
/lUUVIbb ANY : tRMS OF THIS AGREEMENT
*
WEALSO ARE NOT UABLt -OR .Obb DAMAGE OH 0ELW CAUSED BY CIRCUMSTANCES OUTSIDE OF OUR ,0tmOU INCLUDING BUT NOT LIMI f EL TO ACTS OF GOD, PERILS OF Thb AiRWEATflER CONDITIONS ACTS
C'\'L COMMOTIONS. OR ACTS OR OMISSIONS OF PUBLIC AUTHORITIES OUCH AS -USTOMS AND QUARANTINE OFFICIALS WHO HAVE ACTUAL OR APPARENT AUTHORITY
At ARE NO.Jw'AOLEiNANYgVENTi-OR 'NY SPECIAL rNCIDLNTAL OH CONSEQUENTIAL DAMAGES INCLUDING
"U;,
-U LOSS Cl PROFIT OR lOSS OF INCOME WHFTHR on NOT WE HAD KNOWLEDGE THAT
aUOt DAMAGE* MIGHT B INCURRED
INSURANCE
IF YOU TAIL TO REwflD TfCWHGHT Of, THE SHIPMENT ON THElAlfiBHl AT THE TIME OP T "" V"
MAY, AT OUR DISCRETION; APPLY EITHER A DEFAULT WEIGHT OR ^ADDITIONAL SERVICE CHA unacceptable goods
WE WILL NOT ACCEPT THE FOLLOWING ARJICLES^OR TRANSPORTATION, (A) COINS OF -----------ES (CUTOR UNdm, INDUSTRIAL DIAMONDS.\)l
- B-AT^CSMK^aS)AH1W0RKS WATCHESANDPARTSTHEREOF ORTIME-SEffem
MATERIAL (EG. BID$, CONTRACT PROPOSALS) WHEN THE DECLARED VALUE EXCEEDS *00 PS iQ BONDS. NEGOTIABIE SECURmESL-A- PROCESSED FILM WHEN-THE DECLARED VALUE' Xi
?AND (D) ANY OTHER ARTICLE LISTED AS L. ``CCEPTABLE IN OUR TAHFFS OR SERVICE GUIDE
WE WILL NOT BERESPONSIBLE ROR ANV LAOSccS nDAiUMAA/G:cE, rDvEciLAivY^iLIlAiaBIuLI--TY. OR -P-E--N--A--L--T-I-E*S RESULT!
To EXTEND YOUR PROTECTION BEYOND OUR w'ABII.'TV yQIJ HAY ELEC I '0 ^UHCHASE INSURANCE 3Y
DrSiGNATION-ON THIS AIRBILL AND PAY TrtF PREMIUM iUC.H .Nb% AANUE .'OVERAGE IS GOVERNED 3Y THE TRANSPORTATION'OB TO MODIFY OR WAIVE THE LIMITATIONS APPLICABLE TO THEM.
Filing a claim
SURFACE TRANSPORTATION THIS SHIPMENT MAY 3E TRANSPORTED UNDER THE SURFACE FREIGHT FORWARDING AUTHORITY OP
ALL CLAIMS rOR REIMSURSEMENi MUHi jt MADE >N vARl'iNG TO Jo NlThlN 'ircC-ic TIME PcnlODS AFTER AIRBORNE -ORWARDING CORPORATION A WHOLLY-OWNED SUBSIDIARY OF AIRBORNE FREIGHT CORPORA
| -:E DATE ON WHICH wE ACCEPT THE SHIPMENT AS FOLLOWS iA( TWO HUNDRED rGft) r ,J40> DAYS IF IT IS TION
...
\L.OvSSOR DAMACfe CLAIM m ONE ; --/A r \,\ OVERCHARGE CLAIM AND C. THIRTY "O' DAVS iF A CLAIM INTERNATIONAL SHIPMENTS
>,' v
"-OZR DlLA* r -- TcCElVEP HAS SiCV'--A.D' A l"t0Lr' jrEhRY '-R0EVC:EIPT WITHOUT ONR0ATLAL7Y'0WNITOHFINDPAQMRATGYEeOiGRWLTOjS&Sy
THIS AIRBILL IS NOT INTENDED FOR INTERNATIONAL SHIPMENTS HOWEVER. IF YOU INADVERTENTLY USE
i Jib AIRBILL FOR SUCH A SHIPMENT THIS AIRBILL WILL BE CONSIDERED TO 0E A SHIPPER'S LETTER OF
rOURS/iFriflDtJVERY iFTHE aniPVir: v la P"w|tsHA6Lfc AMD ,N V.'Rl nNG vVlTHiN 4 DAYS If VON PERISHABLE ^TRUCnON AND THE SHIPMENT M.L BE SUBJECT TO INTERNATIONAL RULES'AIMUABlUTV UNPER-THE
JHc RE'-ciVcR mCCcPTS YOUR aHiF-V'EN* Wp.HOuT NOT'NG an i ^AMAuE OR LOSS UN THE DELIVERY WARSAW CONVENTION
^
-c-OQRD, WE WILL ASSUME iHat 'HE .HITMEN', wAS DELIVERED 'N GOOD CONDITION TnE CONTAINEFi(S) V.KINOMAr=RI/L -NDCON'E . ^ vIL'S 0"MAOEAVAiL-icLc "ORiN`-rc"'T'l0\ AT'O'tn"T'.-R 3LOCATION
^{^cer^^u^t^d^i^cu^^^ces^we hay, act as an agent ofthe car^H, in which casethe
AIRBORNE EXPRESS iS A 1TIADE NAME AND TRADEMARK OP AIRBOhNE FREIGHT CORPORATION
9
CMA 120695