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4 Cube (optional) 175 PO #:1417435 TOTAL WEIGHT 114 RESIDENTIAL PICKUP Total H/U: 1 H Mark X or rq in the hm column to designate hazardous materials or reportable quantity as defined in DOT Regulations. area code HM Emergency Contact Phone Number ( ) For international shipments please indicate below the name, fax number and phone number of THE broker. Area Code NOTE (1) Where the rate and carrier s liability for loss or damage may be depe.

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