Castlepoint Handicap Bathroom Facility
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I.C.C. 94901
OFFICE LOCATIONS
NEW YORK, NY
NEWBURGH, NY
MILFORQ. CT ..;
FARMINnn,..~ NY
.1_lell'llll=-:t"_K'IW
E.#'RESS @
CORPORATE EXPRESS DELIVERY SYSTEMS
I ///;?ft7
THE COMPLETE CORPORATE DELIVERY SYSTEM
CUSTOMER SERVICE
1-800-669-3339
D.O.T. 9695
(212) 689-0099
(914) 564.7~J2
,l?I61' 249-5900
(914) 287-<)200
D.P.U.C. C1592
M.P.U.C.4377
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PICKED UP
FROM
SHIPPED
TO
PHONE
SERVICE TYPE:
UNLESS A GliEATER VALUE !~ DEClARED HEREIN MJ!) 11.1 TinE OF- (ALL fOR
SERVICE THE SHIPPf R AC,RcF::S AND DECI ArH,') THAT THr Vf,1 tH, OF THE PROP
ERfY IS THE ACTUAL VALUE OR Ie; lHE REI [A'-,LD VAlUl: 10 MJ Arl0LJNl NOT
EXCEEDING S 10000 FOR ANY SHIPr,l!' NT SEE RE VCRSE r 014 ( ONDI r IONS
VALUE
$
PREPAID 0
COLLECT 0
PIECES
WEIGHT
vi."
PICK UP TIME
ARRIVAL
WAITING TIME SIGNATURE
ti/5
DE~RTURE TIME
/ 'lIP
-J
DEL DRV NO DEL TIME ACTUAL
() )-1.:; "7
FOR OFFICE USE ONLY
AMOUNT RECEIVED $
SHIPPER'S SIG~ATURE
X
CONSIGNEE PLEASE PRINT
/1/1)
~/
I
X
CONSIGNEE'S SIGNATURE
CASH SALE D
X
ADDITIONAL SIGNATURE
AMOUNT RECEIVED $
ADMIN. OFFICES: 155 LAFAYETTE AVENUE
WHITE PLAINS, NY 10603
(914) 287-0206
SHIPPER'S COpy
MANAGER'S SIGNATURE
X
The Above Mentioned Goods Received In Good Order At Time Stated
SEE REVERSE FOR DECLARED VALUE CONDITIONS