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Eck  Cashier's check  COD AMT $ SHIPPER CONSIGNEE   CONSIGNED TO: SHIPPER: PHONE NAME PHONE NAME ADDRESS ADDRESS CITY STATE ZIP CODE SHIPPER REF. # CITY STATE ZIP CODE STATE ZIP CODE BILL TO: NAME PO # ADDRESS Freight Charges to be: Prepaid Collect Third Party CITY If left blank freight charges will be billed collect. No. Packages * H/M KIND OF PACKAGE, DESCRIPTION OF ARTICLES, SPECIAL MARKS AND EXCEPTIONS *WEIGHT (Sub To Cor) Class or Rate CK Col. .

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