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CONSIGNEE TO SHIPPED FROM STREET STREET (On COD Shipments the letters COD must appear before consigner s name) ADDRESS (CONT) CITY ST ZIP CITY PHONE NO BILL TO SUITE ST PHONE NO ZIP CONTACT SPECIAL SERVICES: ADDITIONAL CHARGES MAY BE INCURRED (Payor of freight charge if other than shipper or consignee address above) INSIDE DEL STREET CITY ST LIFTGATE PICKUP LIFTGATE DEL NON-STANDARD DELIVERY APPT REQUIRED OTHER COD COD AMOUNT $ ZIP COD FEE IS: PO NUMBER T.

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