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ELS Tracking# |
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5192 Southridge Parkway |
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Suite 100 |
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Air |
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Atlanta, GA 30349 |
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Ocean |
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Telephone: (404) 767-1001 |
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Other |
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Fax: (404) 209-7262 |
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| HAWB# |
MAWB# |
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Date: |
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| From: |
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Deliver To: |
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Zip |
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Zip |
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Tel#: |
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Tel#: |
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| Third Party Billing: |
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Shipper
Tracking / Reference #: |
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Delivery Date
/ Time Required: |
Equipment: |
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Declared Value
(see NOTE): |
Payment Terms: |
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Tel#: |
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| Pieces |
Description |
Weight / pounds |
Def. Chg. |
Total $ |
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Other |
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Special |
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TOTAL |
$ |
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| ELS Driver: |
Date / Time: |
Delivery Exceptions: |
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| Shipper |
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Consignee |
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Date |
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| Signature |
Signature |
Time |
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| NOTE:
Received the described property in good order and condition as
noted. The property herein accepted
and transported subject to the terms and conditions of effective tariffs and
classification. Consignee acknowledges
receipt of all required documents with this shipment. "Unless Greater Value is declared
herein, the shipper agrees and declares that the value of the property is
released to an amount not exceeding $50.00 for any shipment of 100 pounds or
less and not exceeding 50 cents per pound for shipments weighing in excess of
100 pounds". |
| For copy of terms
and conditions, please refer to our website. |
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