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upr000217-059
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^ ~ QOFX ^ 1 Form 4205-3 SHIPPING NOTICE No. 1 Storflkfipppr at 1*0# <ARg©le0 Date JftSU# SCI » l^SftjjRea’n • 1 qhipppd tn C* ia. B X & m eT At Salt lake nep’t Sleet* 1 Purpose tv e m L A foi* US® at Salt Lake Work Order... •*¥•»... .... | Quantity D E S C R I P T I O N 4 ' 1 Shipped New or S.H. Measure of Unit Extension Price Class No. Acct. No. Quantity Unit Quantity Unit Amount Unit g t?Q K«¥fi t&tilM Approved: Approved: Approved: 1 Svat-tirtoa Rnof*. tin. Sant. Tm* MTm« J£r.f?r>~ 1 .Title Signed: KJ P,m*»IS»»B .Title 1 Req'n irec'd by ,' r _ CONTAINERS W EIGHT I Shipped 1 , ) 19 . Bag. W R Nn Data Received 19 Bag. '
