Page 1 - Combined_124_OCR

United Parcel Service FROM (NAME AND ADDRESS): PRINTI
C O P Y PICKUP RECORD, C ^O A/O STAMP YOUR UPS J MB ER ABOVE

S H IP P E R MARK ANY SPOILED SHEET "VOID" AND GP DRIVER. ul ENTER EACH PACKAGE ON SEPARATE LINE
CUSTOMER'S Cl
HECK ACCEPTED AT SHIPPER'S RISK
ENTER WEIGHT ACC.OR&IHG TO DES r INA‘T|O N &ONE .
UNLESS OTHERWISE NOTED ON C.O.D. TU
INCREASE FRACTION OP POUND TO Nl XT FULL POU -O.
DATE WEIGHT 0.0. AMOU.NT.
ZONE "ZONE .2QNE TZON • 12ONt 4fc j . CP -CALL”
SALES MEM6. NAME STREET NUMBER STREET NAME_________________
7fr’£ ^^7 A
2ud CO

6s
i;—r~'/

■1 1
12
13
_4—’----- 41
l1
14
15
PKGS. NO. CALLS PKGS a CALLS I
PICKUP TIME | TOTALS 5
* (OFFICE
USE ?*> 3
ONLY,
r
Unless q great'/Q(‘Je is declared in writing receipt on the line below the entry for the package to which it applies, < ■ 1 ' . ^kreFTased voiue of
' package, or aitf; not enclosed in a package, covered by this receipt to be as follows: $100 for each package or article. Thu entry at a C.3.D. anwwiUj does not constitute sucfy
a declaration.