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NEW Package <br />Express US Airbill <br />Fe 8758 9767 071,8 <br />acking <br />Number <br />1 From Please print and press hard. <br />D�1 �71 2 Account Number <br />01 b Sender's FedEx <br />ate <br />5 TAT (5 OG a( a12, -;il <br />Sender's 303 E366-3567 <br />Name <br />&A4434-914 � Q (/4 Phone( 1 <br />RECLAMA1 10N MINING & SAFETY <br />Address 1313 SH)*RC=3AN ST STS: 215 <br />DENVER <br />` ��yy //�� /} Dept/Roor/Suha/acom <br />DENVER Neer CCS ... 80203-22417 <br />2 Your Internal Billing Reference <br />First 24 characters will appear on invoice. <br />3 To <br />Recipients /� ��/J IQT/RJl� Z.r%� <br />Name / l fiN' `^�/"]����� � Phonal <br />fmmnanv ..15t `�^ K <br />'5712 -5,1/��`A'HOLDWeekday <br />/v FedEx location address <br />Address ❑ REQUIRED. NOT @vadanlr t.,. <br />FedEx F at 0 emighc <br />We cannot deliverto P.O. boxes or Pn ZIP codes. DBpt oor/Sgfteraoom <br />HOLD Saturday <br />FedEx location address <br />AddressREQUIRED <br />❑ Fedex Priority Mem,gaand <br />Use this line for <br />�tha �H0UD llooccationn address <br />soor for continuefton of your shipping adtire a. Fed�E, ZDeyto select locations. <br />City {.A %r L(l T t ' � State � ZIP �, v7 <br />0437817000 <br />e <br />D'o 0 21, 5 <br />4 Express Package Service-Temamlocation, . Packages up to15olbs. <br />Farpeckegesawrl501hs. se rhe new <br />4�- Fad& Express Freight US Airhill. <br />a . fffffffffffl%!rf'FT:�I°? e -: <br />FedEx First OvernightNEW FedEx 2Day A.M. <br />Eadiestnexthusinessmammgderverytoselect ❑ Second business mominA.' <br />locations. Friday shipments will be delivered on Saturday Delivery NOT available. <br />Monday unless SATURDAY Deliveryis selected. <br />❑FedEx Priority Overnight <br />Nextbusines. morning' Fndey shipp mems Will be <br />delivered on Monday unless SANRDAY Delivery <br />is selected. <br />❑FedEx Standard Overnight <br />Nee business eftemoon- <br />Saturday Delivery NOT available. <br />❑ FedEx Way <br />Second business afternoon.- Thursday shipments <br />W11 he delivered on Monday unless SATURDAY <br />Delivery is <br />feedlot. <br />E]FedEx Express Saver <br />Third business de Y. <br />Saturday Delivery NOT available. <br />5 Packaging - Gooiest value 1, mit 5900. <br />FedEx Envelope* �'I FedEx Pak* ❑ FecdEx Tube ❑ FedEx Other <br />6 Special Handling and Delivery Signature Options <br />SATURDAY Delivery <br />NOT evadable for FedEx Standard Overnight, Fad Ex 2Day A.M., ar FedEx Express Saver. <br />nature <br />,Q <br />No Signature Required Direct Signature 11nooneisndirectavaTaisatreciip,erns <br />CI Package maybe left without ❑ Som eoneetrecipienrs address ❑ address, someone ate neiAhooring <br />obtaining asignature for delivery, may sign for delivery. Fwepplhe address may sign for delNery, For <br />residential deliveries only. Feeapolisa <br />Doesthis shipment contain dangerous goods? <br />.s o huc ken. <br />No ❑Asap tteched E]SBper's Declaration 1:1Dry lCe <br />Slhpeels Decleeoo not required. Orylce,9,UN1849 x kA <br />Den musgoods(including dry i caot be shipped in FedEx packaging ❑ Cargo Aircraft Only <br />or placed in a FedEx Express Omp Box. <br />7 Payment Billie: <br />Ender FedEx Acct. No. or Credit Card No. below. <br />r-- <br />Sender _ <br />Acpt No.ill section <br />1 Wall be billed [7 Recipient ❑ Third Parry Credit Card <br />, —_. <br />❑ Cash/Check <br />a�b p38 b' <br />12 <br />Case <br />Total Packages Total Weight Total Declared Value' <br />— be. $_____ .00 <br />tOurlieb,IhyishmhedWSlOO un less you declare a hlghervelue See beck for details. By using this Airhill you <br />back A,rb,ll In the Fad& Service Guide, including u mrs <br />611 <br />gree to the service conditlons on the of this and current <br />that limit our liability. <br />Rev, Date I U10 • Pert /193134 • 0)1994-2010 FedEx • PRINTED INU.S.A. SRS <br />