Document RJD05qJ1gv8OowQBJrZm9xjBv

7 t/'/A 9 * REQUEST FOR SHIPPER C> o r c.j "T.-.- S'. Z.61? $ Z.&79&6 k/U-fA C & n,!ir> our OROERNO. -&a&& /tfr^d&<&s22Ci/ SHIPPER OA n SHIPPER NUMUftK SHIPPING INSTRUCTIONS 0$4^%SKex>3 A-<-<f 7ft&. CU> (fa t - Pin Mu>'>t,r Order Entered Hi`<f.iti|iM| / Route Prepaid Collect Prepaid an<J Charge Customer ^<peued Date of Shipment 1 Atf.O'iritMig Department Approval QiMnlil/' Shipped Ni v- CC. 7~Z. ZKao^L S \ i' / ' ,'."f i' J l< '.SS; Send nilgin a) *n <i duplicate *> the Dept Vport i\ < i.uh > ot ihiphcjte wilt Authoming Oppattnu'ht So Chjrga Heins mf.st I.? i/iifn afii in body nt dooirneni. rnutnit <1 to 'V'J.J Date SignatWe of ptfvyjr> responsible for request HWCPI0001472