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[[preprinted form]]

BEMO SHIPPING CO.
CUSTOM HOUSE BROKERS - INTERNATIONAL FREIGHT FORWARDERS 
CARGO BLDG. 80, J.F.K. INTERNATIONAL AIRPORT
JAMAICA, NEW YORK 11430
TEL. (212) 656-6090-1

TO 
^[[Jacques Seligmann & Co.
5 E. 57th St: NYC]]

DATE ^[[6/19/68]] 19__
NO. BEMO REFERENCE ^[[K 5045]]
COD [[blank]]
MARKS AND NUMBERS
^[[Adr JSI/134]]

DISPOSITION | LOCAL TRUCKER | PARCEL POST | OTHER 
 | ^[[Via]] | | ^[[J&J]]

NO. PIECES ^[[ (1) ]] 
WEIGHT ^[[ 28# ]] 
B/L NUMBER ^[[AWS: 026-I-545-822]] 
AIRLINE - DATE ^[[Pan 6/19/68]] 
DESCRIPTION ^[[Drawings]]

ENTRY NUMBER [[blank]] 
SPECIAL INSTRUCTIONS [[blank]] 
EXCESS VALUE DECLARED [[blank]] 

RECEIVED IN GOOD CONDITION 
BY ^[[signature]] (CONSIGNEE'S SIGNATURE) 
DATE ^[[6/21/68]] 

AGREEMENT: Liability is limited to $50.00 per shipment unless a higher value is declared and applicable charges paid thereon. 

PICK UP ORDER (B)
[[/preprinted]]
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