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• :t } X <br /> Tr tk ng 810 0 2 519 1015 r,xm 0 215 <br /> Express Nwnber M No <br /> 1 from 4 Express Package Service -To ae,ufacadana <br /> i <br /> Date t!` lf <br /> Senders j" , "6 FedEx First Overnight FedEx 2DayAM <br /> Name —_ _ Phone - -----_ -- _ `, Earliest next burners or Ong drorety m select _i Second bosness acrmng <br /> loaf cos Friday sh recent.1 be de',vered on Saturday Delivery NOT av <br /> M'oday"es-s Saturday Da"""se'!erted <br /> t <br /> Com an FedEx Priority Overnight FedEx Way <br /> d,irv—rnessmurmnglc,s ay Sshopmentawel be i S;-d'u Laos,,essa M-e <br /> M doYvered on Munday unless Satuday D�.very ebe del•vered on Mend <br /> co s sn'ected Do'b"y is selected <br /> FedEx Standard Overnight FedEx Express SO <br /> cMo Address __ _ _ _ Neahaanesemen:onn' ihmbnenessday. <br /> mot' _ SEP T DeH4Wour/Su to Poem Saturday Daevery NOTava,'able Saturday D,I,ay NOT e, <br /> CD 5 Packaging •Declared value lmet= <br /> CIY________ ___ State ZIP_ _ _ _ <br /> LU <br /> X DiVI ION OF RECLAMATION LY; FedEx Envelope* FedEx Pak* FedEx <br /> CD 2 Your Internal Billing Reference MINING AND SAFETY -Box <br /> 0 3 To 6 Special Handling and Delivery Signature Options Fees Ana <br /> °0 Recipient's <br /> Name Phone Saturday Delivery <br /> �--' ------- - - — ---- - -- --- - — - - — - -- -- -- NOT—labile for Fed&Stendanl 0-mi:14•Fnrl&20•y AM,.,FedEx Exp—savro <br /> E <br /> O No Signature Required Direct Signature <br /> U Comity___• ' _ _ Packapemaybe left wtheet _� someen�at9•rrp�entsaddlesx <br /> - - -- - Hold Weekday -Does G1514naaeernrdnl,eey ay,wnar7dal, y <br /> — -- ------ ----- - -- -' dswro,floew ayleNafar -' this shipment contain dangerous goads. <br /> i p F rd.loreuan address <br /> O Address r-REQUIRED NOT Co'haxr;e.the • e. <br /> • vy� ------- --- Frd&Frst Over ht <br /> Wecennotdeir—to PO boxas.1PO LPcodes OenTIo Hold SaturdayNo per attached I sepuera oer.larana„ Dry Ice <br /> FeA&IocaYon address Sh poor,Dacloo ehon '-- notregwrod -- Dry,re,9,UN 184 <br /> -REOUIflED M•ariede ONLYfer <br /> Address _ _ _ _ _ _ _ Fed&Poomy Uernyhtaml Rest,,cuonsapptyf,ndangerousgoods—snethecurrent Fed&Service Gin —�rle Da <br /> Use this line for the HOLD location address or(or continuation of your shipp aq address FedEx ZOaym se'ectPocanons <br /> . } 7 Payment Bill to. <br /> city _ State _ _ZIP _ _ _ Eater FedEx Acct No.or Credd Card No.below __ <br /> — - SenArrt der <br /> urn <br /> L,1-11.b"etl J Recipient Third Party _F-j Credit <br /> Total Packages Total Weight creddcanla <br /> Iris <br /> tour babsuy Is hmaed to USSI00 un ess you declare a h•ghe...lite Sae the current Fed&Service Guide turret, <br /> 8100 2519 1015 <br /> I' ' 10•{1-c�F:, rd.'I'E'1'11'I•'..ni" <br /> Few. MON - 12 SEP 10:30 <br /> TRK# $1@@ 25191015 PRIORITY OVERNIGHT <br /> 0215 <br /> 80203 0DEN <br /> DENA XH � <br /> FID 5675347 09SEP16 GWSA 539C1/A053/37E4 <br />