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PLEASE DETACH ' REMITTANCE COPY" AND RETURN IT WITH YOUR PAYMENT.
30 PHONES 121 S) 269.1900 627-3615 j S-C-A-C C16A - 0-U-N-S 00-497-3897
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CHEMICAL LEAMAN TANK LINES, Inc.
CORRESPONDENCE: P 0. BOX 200 DOWNINGTOWN ,IA. 19335 * REMIT TO: P.O. BOX 8500 S-T 445 PHILA-, PA. 19178
I C C REGULATION: FREIGHT BILLS MUST BE PAID WITHIN 7 DAYS.
CUSTOMER'S COPY
FREIGHT BILL
IN ALL REFERENCES, PLEASE REFER TO FREIGHT BILL NUMBER AND DATE.
CUSTOMER !`;^q
NUMBER
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PLEASE DETACH "REMITTANCE COPY" AND RETURN IT WITH YOUR PAYMENT.
phones ,215. -269-1900 627-2615 s-c-a-c ciea D-U'N-S 00-497 2897
4i1 - "i j CUSTOMER CODg `PAUftl ! NUMBER t' NO. l -ncY ;'L
CHEMICAL LEAMAN TANK LIMES, Inc.
..'J'-TT: /.t. ; CCPY
CORRESPONDENCE PO SOX 200 DOWNINGTOWN PA 19335
RE.V'T to P.O. BOX 8500 S-1445 PHILA PA. 19179
C C REGUL*-Cn ={- Gu' H-
BF vVITMIN 7 DAYS
FRF'OHT BILL
IN ALL REFERENCES, PLEASE REFER TO FREIGHT BILL NUMBER AND DATE,
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FREIGHT BILL ^"NUMBER
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NnO I DAY | YR freight bill Date
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TERM 1 B'L NUMBER
ORIGIN CITY-STATE
DFSTlNAT.QN <,1T" STATE
MILES
SHIPPER'S NO
8,'L DATE ICARRIER TRACTOR TRAILER CODES .
> 1 T&.
CONSIGNEE NAME
RATE
rOUNT
ACCOUNTS PAYABLE COOING MEMORANI)
APPROVED FOR PAYMENT BY: INITIALS INDICATE WORK PER FORMED BY MARKING (X)
PLANT ENGINEER TECHNICAL SVP. PLANT ACCT. PURCHASING AGENT CONTROLLER
_____ ACCOUNTS PAYABLE 1. PRICE OK
_____ 2. QUAN. OK
_____ 3. TERMS OK
4. CHECK R.R,
______ __
QUAN.
5- EXT.1 OK
AUDITING
1. FRT. OK 2. CODES OK
3. APPROVALS OK
CHECK NO.
SHOP ORDER
liIALS
APPRO. NO
INITIALS
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CO. DIST. PROD. DEPT. ACCT.
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GENC 566 13
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AMOUNT
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PLEASE DETACH "REMITTANCE COPY" AND RETURN IT WITH YOUR PAYMENT.
PHONES 215 269-1900 627-3615 5-C-A'C CLEA O-U-U-S 00-49-' 3S97
CHEMICAL LEAMAN TANK LINES, Inc
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MO | DAY | YR freight bill Date
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