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Caror Vahida Mtlats and Number r ~,,-i .r h .>,,,5' * 1 'v,' Ass
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Payment Discount Amount
II Paid By
Sailer represent* that the good* or service* covered by this Invoice have been
Creduced or rendered in full compliance with the requirement* of the Fair *bor Standard* Act of 1938. as amended, including Section 12(A).
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Net Due
Total
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Seller warrant* that all good* or services furnished or supplied under thl* order ; were produced in full cornpllenoe with the Civil Rights Act of 1084 Executive - A. Order 112*8. and related Regulations as the same msy have been amended
in v o ic e COPY
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FRT. CHECK NO. AMOUNT
^jm STRAIGHT BILL OF L ING--SHORT FORM ORIGINAL--Ni 1 NEGOTIABLE
NMtitMN
SHAFERS OROC* NO.
*11-268017
CONSIGNEES ORDER NO
MCC 7710
v SHmRSNO.
X 59861
M/a.-i
/ CMILi#aKll
mmi twNh In H*ct m Mm 4u W few* M IM Mi M Mint
'VUr-:r .
FROM
KOrtMS OMAMCKMMMAlWUlS'
/
Iat CICERO
LINTS
____________
>/2/l PATE
fc v v theproperty deicribed below. h edonrom ydorder, ,e'cept pt noted fcontowtt and cowdRien ot content! of tfocfc,,-.
.......i....m...a..r..b..e..d...,..c..o..m...i.g.ned ond. d_ethned ot Indfro__te__d,befow. o
" <od company {the word coranony befog neaoiiMerf tbtowqhotd 0>b eontrgd b waning ony --non #r corporation In aonewion of the property under tbo control) aatoptfo entry M OvwwlJ ppflaoccee oatt ddeeflioveerryyaott wtaiddddoe!thrinnoohhoonn,, iat bbpp ih own toad or ittown water bao. othmite to dilirarto onofhor corneron the route to tod dettinotion. 0 w mwtuoEy ogree. otfoeech corner of oO ]
. ^../octnapnyypof Booidfopprofrp--er*ty---o--v--e--r--c-"i o---r-.-a--n--y--p- ortion of toid route to dowinotion. and ot to ooch potty at any hew Hreilod in 08 or pnyof *** ptopoity. that evoty eorvico to he performed hera
' mdrtdwl be w
ifobytheatyppep
pi foe jenplhem'not prohfcnedby low, whether piimj or mitten; heroin confound, focM**fl cfouiftraHen Mb of fon*ngcnditio*i,,ibhic*ie'betyby ograerf
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CONSIGNED TO .i. ' STREET ADDRESS
'AHEMCW CT
:^s#i T5TTT TREET
.-DESTINATION ~
tHTCABO
ILLINOIS 6062J
NAME OF CARRIER
ROUTE
ACME TRUCK
r
GUtOR.VEH.1N.ANO.
CONSIGNEE'S NOTIFICATION ADDRESS
. PACKAGES -HO/AND KIND
HM
; DDT SHIPPING NAME/HAZARD CLASS/DESCRIPTION OF ARTICLES, SPECIAL
(IF APPLICABLE)
/ MARKS & EXCEPTIONS
ADHESIVES, NOIBN (PART A) ADHESIVES, NOIBN (PART B)
, V
COLLECT
TO 8f PREPAID
WEIGHT
SUBJECT TO cot--CHON
CLASS OR RATE
V.
ADHESIVE, NOS/FIAMMABLE LIQUID/ADHESIVES,/NOIBN
CHEMICALS, NOIBN .
"S
__
CORROSIVE LK9UID, NOS/CORROSIVE MATERIAL/CHEMICALS, NOIBN ,
FLAMMABLE LIQUID,NOS/FLAAAMABLE UQUID/CHEMSAIS, NOIBN
'!
SODIUM SULPHATE
SODIUM SULPHITE
SODIUM SULPHITE, CRUDE
CARBOLIC ACID; PHENOL/POISON B
***>*&-
CORROslvE LIQUID, NOS/CORROSIVE MATERIAL/CRESYLIC ACID; CRESOL
r: CORROSIVE SOLID NOS/CORROSIVE MATERlXt/CRESYlIC ACID; CRESOL
1958AG !
PHtHALIC ANHYDRIDE. MALEIC ANHYDRIDE RESIN SOLUTION/FLAMMABIE UQUID/PLASTIC MATERIALS, LIQUID, NOIBN RESIN SOLUTION/FLAMMABLE LIQUID/RESIN (TANK TRUCK) RESIN SOLUTION/COMBUSTIBLE LIQUID/RESIN (TANK TRUCK) PLASTIC MATERIALS, LIQUID OR DRY, NOIBN
M EMPTY BAG WEIGHT II PALETLS
2*t758 i *
2bt(\ 578(i
L -1 > J3-4-I- Jo r'X't-ezr
fC.O.D. $ REMfTTO
DELIVER 4/20/81
TO BE PA BY Q
CERTIFICATE IWTH DRIVER
PLACARDED
TENDERED
-far f WEIGHED AT
GROSS
RATED
SHELL (GALS.)
CAPACITY__________
Subject to Soction 7 ot Condition* ot opplicobie bid ot lading, if fob thipmenr it to bo delxramd to TARE
tbo toMiypi without rocowno on tbo tontignor, tbo contignor tboM sign tho following ttotmtont: Tbo coiritf dial not wit SoBoory of thb Ntipniont wilhwit poywtont of fioight and oR
SHELL 'OUTAGE
f..,- , , Torms CONMNT, INC, ORGANIC MMOtMlS etour
ALINCE.
. DOME
(-c--) -- See it below
1HNAGE
NET WT.
TOTAL
NOTE; Vrtwio tbo rot* it dopondont on volwo. thippon on roquirod to ttoto ipocdkoRy in writing ttw pgtood or dodotod voiuo ot ttw oroporty. Tho ogtood 00 dodorod vofoo of t4>o prowiffy m
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fottoygodlitolyiioltf Ry tfotl^pot
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KRMAPCNTPOST-OFFICE AOMESS OF StOFPER: 430 SEVENTH AVENUE-PITT&MPGH, Fa. 15719
This it to certify tbot tbo obovo notnod *nototb oro property douified. dotcribod. poebogod. morbod ond labotod end ora in proper condition for ttomportotion according to ttw oppbeabio
t Shipper
EJC cortifiet that this thipnwnt it eorraetty detcribed; correct!
rogwfotiont ot ttw Deportment ot Trontportotion.
weight it thoAmond it tvbfect to rarificotion according to agreement with
XOPPttSI COMPANY, iINwC,*-< i-nwat-
the Weighing
inspection Rwraov hoving fomdiction.
PER
PStgiMitwraol Shipper'togent AONtobetw boHo intended oteaeewtionot Section 7. Signotwra obora teott appoer in longhond.
FOR HELP IN CHEMICAL EMERGENCIES INVOLVING SPILL,
T-432 REV. S tQM U-7S MADE R4 U5Jk.
LEAK, FIRE OR EXPOSURE CAU TOU FREE 800-424-9300 DAY OR NIGHT.
t FGT. WGT. FACTOR (*/G)
to oppty in prapofment ol the rho'gtn on the property detcribed hereon. PER______________________________ (The tignoture here ochnowiedget only
5- ORIGINAL -r
N9464.01
CY0002619
N9464.02
CY0002620