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—%W%F a�a.aw a a %w a._ ww Ww. <br /> BILL OF LADING / DELIVERY TICKET <br /> 76!10 N. Mit,)CskE ROAD SHIPPERS NO.. <br /> LlfrLfi ON, CO. 80125 30 W' 3064 <br /> Dyno Nobel Inc. 3-791-1,229 <br /> SHIPPER CUSTOMER NAME SHIPPING/TRANS DATE PAGE NUMBERS <br /> BUCKLEY POWDER CO. <br /> J e <br /> SHIPPED TO/DELIVERY ADDRESS CITY STATE COUNTY CREDIT ISSUED <br /> VEHICLE&TRAILER <br /> BPC FED.ATF PERMIT NUMBER CUSTOMER FED ATF PERMIT NUMBER DRIVER NUMBERS <br /> S-C"35-20-8&OW67 <br /> BPC STATE LICENSE# CUSTOMER STATE LICENSE PERMIT It CUST JOB NUMBER CUSTOMER PO# <br /> 2-00"106 <br /> ATF DATE CODE NO.PKGS. OTY COMPANY PRODUCT DESCRIPTION PRICE AMOUNT <br /> ............... <br /> pull, <br /> L 7 2 <br /> . 09 -Z' <br /> 26 7 <br /> THIS IS TO CERTIFY THAT THE ABOVE-NAMED MATERIALS WERE RECEIVED IN GOOD CONDITION,I HAVE REVIEWED THE TYPE AND THE AMOUNT AND I AGREE THAT IT MATCHES THE <br /> AMOUNTS ON THIS PAPERWORK I HAVE RECEIVED A COPY OF THE PRODUCT MSDS SHEETS FOR THESE PRODUCTS.I UNDERSTAND THEIR WARNING AND I WILL FOLLOW THEIR <br /> INSTRUCTIONS. <br /> RECEIVER-CONSIGNEE <br /> SIGNATURE__- 7/ <br /> BUYER ASSUMES ALL RISK AND LIABILITY FOR RESULTS OBTAINED BY THE USE OF THE MATERIAL COVERED BY THIS ORDER.BUYER ACKNOWLEDGES THAT THERE MAY BE FEDERAL <br /> AND/OR STATE LAWS REGULATING THE USE AND/OR POSSESSIONS OF THE MATERIALS COVERED BY THIS ORDER AND BUYER ASSUMES FULL RESPONSIBILITY FOR COMPLIANCE WITH <br /> SAID LAWS. <br /> Bill to if different: Address:_. <br />