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Per (name and address including ZIP code) OP-086 Printed in USA 08/15 2. YRC Freight PRO number Phone Number 3. Date *4. P.O. number (other references if applicable) ZIP Code 5. Ultimate consignee (name and address) Phone number *8. Purchaser s name and address (if other than consignee) 6. Consignee s IRS number 9. Purchaser s IRS number 7. Canadian Customs broker (name and address) Phone number *10. Currency of settlement 11. Bill of lading number 12. Canadian Customs clearan.

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