EFTA01223593.pdf

nos MEMORANDUM elm or . OPIICS.. connna 0.• 0."Pw loam boon i d_ 5 2/5-2.y„ l, ill•Mll. btx. slls•led mi.* a. ;lr: .....d. L.... 62" ca • SCAC Shipper's No. OWE at deleting's! neat V llera td)ibeen VINO WesIrt . en tots and al potato% stale sea NIS and the as ) tIppir.li a-. Carrier's No ( (( ( Ihit S I- 6 7 1IS clalealaillone i ,alea ha u ...,... "e rr ..w.......,b0..........., , date anal ,,..,..,.. sop r— kiss anaeon use from of Ce—t-3 a Oimmilll eV matealmarina a cinvnbli. ^ lamming Pietetlyawit Motel 0* Men in. , Maim ed Yid me b diallefe • ono* as b illnyll was at entrad—aa atom embalms deli aporacie aai re.n aseositany Ow vas coneola wee worm Uji rr iilVillerpliled Sloe maid. rodurbilille e and a le Schne items beam*Marian wowed IS lk, e/ ••••••••••••• 10 a oar, aims FM**. 00 eons* taietteras sae* vow himPair an Owe/ aralil•Wille lidnale ~I ion 1ba. 0e.a".lnkl i bl".." non T: sr .. Al ifiled b inns n lgair• lna••• 10 i s a ""na NSilid bl tior• Consign : •, c 1 7 I ) 1 FROM: OW Street SROPe C —A-1- De:ninon() Street - Rou - —te OVI1 /i p I Delivenn Carrier 1 `r {;' — umber end Type = ( kinharaffaill "4T-T of Packages HM Number Description of Ambles Hazard pk g. Total Quantity Weigel Class Grp mass„.. Caen. e - IWO at • T Ciass or . .,. Rate ____ __ 5 -— ..-...._-... ___. .__ __ 2,06)vi. .3...q_ 7,1_III_s___ ....__ .. Remit COI) tW BOW ID Satin 7 Address: • Sea it it te dramel Cele. II Mb a to ow covaramit COO .Iwo recourse: lk• eineienor, de AMT: COD FEE: City: State: WSW r,.. NO1E: Where de rale departed on Sue. Zip: seal rol NIS *Pe MOM tmlhoul pirrosill or boot Olt eta $ Frresed CI as net at extendlerem @Myers ate meted le site apace the properly. The weed a -- *rite ttharolui chino. Collect fp $ Sal anecdote Mated M Illa W a be Preleent le all/PPer tle lee nal.Panni $ Per TOTAL CHARGES: FREIGHT MIMES: MOM Uetetty Lbeltmien fer bee ec dam tendeXt0) mod Mi p In IS alepre rA resre be anisetta See 40 U.S.t. $ O Pn3pad Dead Tub cently that the ash" and labeled. and ate at prow the Dellartellilil TM/00MM Pet see popsy clitisliod, Olontect paelibeed. made] eetordy; to the spathe reguallers e4 i BY SOWER I SY CARPER SHIPPER: PER: • • ATE- PeR. EMERGENCY RESPO DATE- ... TELEPHONE NUMBER: 144ME OR CO R NUMBER 431 (Rev.3/17) CR OTHER U • DENTIFIER: EFTA01223593  i H Shipper WARREN ORentaf Agreement S20249 S l O R f. Customer 8855510 AMARILLO 806435-1:7 Contact Name Contact Phone Date 12/7/2018 13:26 Purpose Sale Pickup Address Delivery Address AMARILLO JAMES SCOTT VENABLE SV ENTERPRISES CPU Description Make/Model AA B HAMR ID C89641 Serial 0HHE01436 From AMARILLO To SMU In Quantity Out 0.0 Quantity In Ship Info KELLY TRANSPORTATIONS Note TEXAS j 66 CFC e cc' P : Qe_c Fuel Out Gasoline (Gallons) Propan (Gallons) Diesel (Gallons) Fuel In Gasoline (Gallons) Propan: (Gallons) Diesel (Gallons) _ If Damaged, List all Damage: EQUIPMENT HAS BEEN PROPERLY DELIVE ED AND RECEIVED IN GO signature OD CONDITION Name inlet. on Prickly naralWiNelf 7 7111A 1-77111 DM Au Fwan Pori Date . EFTA01223594