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PLACE BAR CODED - Dayton Freight

City/ST/Zip Contact Name/Phone FROM Shipper Street City/ST/Zip PO No. BL No. BILL TO Third Party Street City/ST/Zip Contact Name/Phone FREIGHT CHARGES Unless indicated charges are to be prepaid. Prepaid Collect # OF SHIPPING UNITS *HAZ MAT DESCRIPTION OF ARTICLES NMFC # CLASS WEIGHT

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  City, Freight, Dayton, Dayton freight

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