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RI M FROM & S

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4 4 4 4 4 5 5 5 5 5 5 5 5 5 5 6 6 6 6 6 6 6 6 6 6 7 7 7 7 7 7 7 7 7 7 8 1. TOTAL PRICE 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0

U I QUANTITY NS I S T

SUPPLES MENTARY E ADDRESS R

S I G

F U N D

DISTRIBUTION

PROJECT

P R I

R DD E EA QLT D E

A D V

RI

O C M / O G P N T D

UNIT PRICE

DOLLARS

2. SHIP FROM

3. SHIP TO

CTS

DOLLARS CTS 4. MARK FOR

5. DOC DATE

6. NMFC

7. FRT RATE

10. QTY. REC'D 11.UP 12. UNIT WEIGHT

8. TYPE CARGO

13. UNIT CUBE

9. PS

14. UFC

15. SL

16. FREIGHT CLASSIFICATION NOMENCLATURE

17. ITEM NOMENCLATURE

18. TY CONT

19. NO CONT

22. RECEIVED BY

20. TOTAL WEIGHT

21. TOTAL CUBE

23. DATE RECEIVED

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