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<br /> Dohvery Adtlress Haule�?ruck DoscriDUon
<br /> �1�� li+f�U : i-'.; 100��Q��F:���r��.�r;,:.f.-. t';'Er �.�HV_��l.�F:i:S.i�i�.1tF.'.,Lci
<br /> We�gnMascer
<br /> C�!i:IcrU-i:-S �C:�D ��iC"11�'�iJ�E �1�ER�TI E+'LttE�i, . �':?qt
<br /> Instmclions L'.'.. ..,?Z:!i. 1 C:+
<br /> . ,,,. =�,3�3L� �E.91 2'i.6�
<br /> ,. _. ��J�240 11.�0 i_.i?
<br /> .�i: 'Jrd.'120 1�.?I '4.:u
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<br /> LOAD � CUMULATIVE aOF PROOUGT PFO�UCT UNIT AMOUNT
<br /> QUMfTlTY OUqNTfTV LOADS CODE D
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<br /> SUB-TOTAL � 7qx � TICKET
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<br /> The undersi nod rpmises lo a all co5t,,inUutlin rea5onable vr.ev�aiv o.ri.cc an[�sc n����s�r.��t u��ouiv�a,�s�ocr�u«r+,�nc cu�eer�ei
<br /> 9 P � Y 9 omrGniome��.iram�o�do�srcw.noeaavm.yenact�sE¢�.vnrpu��q-avnnu-yq.�mwir+w�s�aw¢mdwvw
<br /> aitorney'slee;,incwretlincollectinganysum5owe4. mq�..++u„uin.mmnpoiomeo�«+..+.�s�W.4�u.wp�p,�ryxr.p,ra.v+i,.wi�m.�re...�.�..,on,�.n.un�,a.w�mmy
<br /> �u n v.ah'�Y�1 wa<an,WI m dror b tb M Vw bMi 6 rtC�Ntiq M'Y�J t9n IM15 REILA$E rM'Wn9 mm eriE tlnl�16{�M�Nn nry
<br /> All naouNs not aid wit�in 30 da :ol delive wdl bear iNeiest 'esm�.aor����.�r am.p.c,ai„w�m+�m r.,o�•�++�.�+w eG.um aynnr mm.q..aa+.nne.o�n.+.y..mm+.e•<W ne m�.lery
<br /> P Y �Y WPON'lNlydp�l1�011�1200%OONM$Ifum�MPl�R✓JIM1mMMM1yWMM�WOqVN'b�Y1NIL11�rp�pyq��PH1 r„m.�,..,
<br /> al IhC�ate oi 1B°6 Oa�annum. .nv:Q.i.s,.r��w,m.�rcr�vpna.vM+e��+'r.^e�^�'^+���a m:i��aro nn v�+o•w v.r.�n.0 m�.pe io
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<br /> Not Responsiblr,lor Reactive Aggregale or Cotor pualily No sior+co
<br /> Claim Allowod Unless Matle a1 Time IAateriai�s Deliveretl.
<br /> A 540 GO Sernce Charge and Loss ol Ihe Cash Drsc�unl will be ����x �a i('PJ.:Z'`�%,L 5�4�9�f T-]T-i'�T�9 4V�C�11 I�:ti 1i.13�:7 :i' �:S;I:Q:Ln I.fo)7(.�;�1',,�j 3.y1;ngi=]I
<br /> collacledonallReturnedC�etks + S�IT.:I�Y?= 9LT��1�.7'7'=f.G".iLl.�1��3�o^(,�q', l�W;t.{�,cryy • 7�L1��;III�
<br /> LOAD RECEIVED BY: OX
<br /> Standby �4f1MOR¢EO SiGHATpRE
<br /> Time Ini�ials The signature a0ove signi6es receipt and aaeptenco ol Iho listatl mele�ials and acknowlcOgamenl
<br /> ol antl 39�femoni lo IhB tefm5 dntl[ondilion5 on Ihe IaCo and tovOr50 SiQe 01��i5 fckpl.
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<br /> nuniveesn� ioca BATCH/OFFICE COPY
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