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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









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                                                                                                                                                      i;—r~'/

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                                                                                                                    12
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                                                                       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.
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