COD - BEAVER EXPRESS

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THANK YOU FOR USING BEAVER EXPRESS SERVICE PLACE PRO LABEL HERE freight charges : PREPAID COLLECT DATE PO NO. shipper NO. shipper (FROM): CONSIGNEE (TO): ADDRESS ADDRESS CITY, STATE, ZIP CITY, STATE, ZIP shipper PHONE NO. CONSIGNEE PHONE NO. BILL THIRD PARTY freight charges TO: COD AMOUNT NAME/COMPANY COD FEE PREPAID COLLECT IS CUSTOMER S CHECK ACCEPTABLE FOR COD? YES NO ADDRESS REMIT COD TO: CITY, STATE, ZIP ADDRESS ATTN: CITY, STATE, ZIP ROUTE HANDLING INFORMATION (SPECIAL RATES MAY APPLY) HAZMAT NOTIFICATION REDELIV ERY OVER L ENGTH INSIDE DELIVERY RESIDENTIAL DELIVERY LIFT GATE DELIVERY RECONSIGNMENT NUMBER SHIPPING UNITS HM* Kind of P ackaging, Descript ion of Articles, Special Marks and Except ions NMFC No. CLASS WEIGHT(L BS) SUBJECT TO CO RRECTIONS TOTAL PIECES DECLARED VALUE $ TOTAL WEIGHT HAZARDOUS MATERIALS EMERGENCY CONTACT NUMBER: Carrier Liability: Carrier Liability may be limited to $50 or 50 cents per pound unless actual value, if greater, is declared.

address address city, state, zip city, state, zip shipper phone no. consignee phone no. bill third party freight charges to:

  Charges, Freight, Shipper, Freight charges