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. . i <br /> PUGET SOUND TRUCKINr, LIN�S <br /> C� 615 13th Street <br /> � Everett, Cdashington 98201 <br />� � '�' . <br />, . . . , . . , i�t <br /> I .II.LS Itl r �a ���� rx tleli xiep <br />' � ... UELR[2 i0 tUCIESSNE�ONLY —. scicnly... ..... Sy: <br /> vECIFi�OEUVEqY (exlw feo roqul ed).. r� <br /> PS Farm _ <br />/� ,q��, is;� 3800 INSURqNCE COVfNAGE PpOV@ED— .. <br /> N�i �-n� Il:ifC!!n•p�.?r.i F'^J: <br /> � •t:VDF.2: (�.�: plrlr i«m� 1 an��, � <br /> o Add y��ur ��,Ias� in tlic <br /> 3 �i���crse "RGT(IRN TO" spoa an <br /> 1° 1. Thc (olluwin <br />� � S surcice is eeqi�rsted <br /> ,. � (chccA onc). <br /> • Sl�ow [o �.•7�om and date dclivcred......._... ISp <br /> z <br /> � � Show to �viiom <br /> . , da�c, ,4 address oC dclieery�.. 35e <br /> ;� ❑ DF,LIV6R OSLy TO :1UDRf5SEE ����i <br /> m show �o whom and datr dcliecred............ fi5o <br /> � DfiLIVER ONL,I' TO ADDRESSEC and <br /> show to whonL date, <br /> dclieen� . 1n� address n( I <br /> . .................. <br /> --__. _-- ._......_._. D��, <br /> �. ARiICLE t00RES5E0 TO: <br /> � Pu9et Sound Truckiny Lines <br />' Z 615 13th Street <br /> m Everett, [�lashington 98201 <br />� m 3, qpTICLE DESCR�FTION: -- <br />' � REGISTEqEL N0. CERTIFIED NO. I <br /> A INSURED NO. <br /> m o25640 <br /> " ---_ <br /> m (A�b�� �P. ature o/addresseo or agenp <br /> A I h:n•e received Ihc <br /> � SIGNATURE :lrticic dr�cribi� ��o�.� <br /> 1 �•.('� � <br /> N �/ C <br /> ` 4 \ \. � `��'� <br /> S OATE OF DEIIVEftY <br /> m — _ <br /> o p K— <br /> pa �j�� <br /> 5. AODRES--y ��omP�o�a oNy il«que � {}/ '�7 <br /> m l <br /> T • ����� ��/ <br /> 0 6. 11NqBLE TO DELIVER BECAUSE: ' `\, <br /> —FLERK 5 <br /> n � :,�,a�y�n�s <br /> � � <br /> ^G%'�'.19]9 .521-EW <br /> � <br />