Document kDdaEoV4dO9zv1vBb1BGNDwBV

R i= A & X R R Es S S COLLECT UNIFORM EXPRESS RECEIPT NON-NEGOTIABLE Origin 752-F.TROY, N.Y. Cod* No. ? 1412 Deitinollon City, and Slalo NATICK, MASS. .--Code No. Rocolpl No. C 55-61-11 Conilgnee'* Name, Addrei* and Credll Account Nor, Date Shipped Advance* FORD MOTOR COMPANY ` BOSTON DEPOT . WORC TPK AT. SPEEN ROAB. Shipper'* Name ond Addret* THE BEND IX CORPORATION ' FR I CTl. ON .MATER I AL ' DTV j S I ON 12/21 1967 Paid In'Part Storage XX' | X X Priced, By, V I. Other- ". XX I XX Declared Value Value Ctrnrde* x x Txx No. Pc*. Commodity Oeicftpllon Vr 2 Cl NS ASBESTOS BRAKE 'f , :;W0N-FLE)<) Commodity Code BLOC KS " * ' Weight Rate Expreti Charge*' .. 3i Bail* XX | XX \ . Total !4 ? ' r. XX |x-x 1 '"I, C.O.D. . . . ---- *1 l, , i , ,* C.O.D. Service Chg, * ' 1 i XX |: X X SHIPPER'S COPY NOTE--The Company will not pay over $50, In care of loti, or 50 cent* per pound, actual weight, for on/ihlpmonl tn excou of 100 pound*, unluit o greater vatuo li declurod an</chorgoi for inch creator vatuo paid. Coir -Claw Collect Service Gig,Prom Conitgnoe? YES1' DNO .......... rorm-3001 (N65) Dato Number Piece* Hour 2-- A. M. P. M. for Railway f:xproit Aunncy, Inc. Recelvod ihlpmonl duterfbod truon, tubjoct to Iho Claiitncntloni and Tnrlfft in affect on the data hereof, which carrier agrnai to carry upon the tor/ntKttid ccndWom cl iha Uniform fxprott Receipt ol fortli In part on Iho rovorio tldo horoof and In full tn Iho oflodlvn Official Exploit Climlflcallon on lllu with Iho Inlentalo Commorce Commtulon and Iho reg. ulalory hodlet of llio ttaloi lo which tho thlppor agrvoi and at ovldnnco thuroof accopH title receipt. Value herein declared by Shipper to bo I hat ontored In tpaco Itoroon, loading "Declared Voluo". HWCPI0000661