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