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Mercury Air Freight B 7841 CARC SERVICE BLDG #80 N.Y. INTERNATIONAL AIRPORT JAMAICA 30, NEW YORK OLympia 6-5400 ADS 65400 CUSTOMS HOUSE LIC. 1246 [[3 column table]] | FOR THE ACCOUNT OF | REFERENCE | DATE | | CASH | NAC 377859 | 10/29/63 | | PICK UP AT | DELIVER TO | | | SHIPPER | CONSIGNEE [[?]] [[?]] | | | ADDRESS | ADDRESS 33E74 | P. U. DRVR. | | ATTENTION | ATTENTION | DEL. DRVR. | LIABILITY LIMITED TO $100.00 UNLESS GREATER VALUE DECLARED PURSUANT TO AGREEMENT ON REVERSE SIDE Declared Value $ Shipper's Signature [[7 column table]] | NO. OF PIECES | DESCRIPTION AND MARKS | WEIGHT | RATE | PREPAID | CHARGES | COLLECT | | 1 | Box | 64 | | | OUR CHARGES | | | | | | | | ADVANCES | | | | | | | | Exess Value C.O.D. Fee | | | | | | | | | | | | | | | X X X | C. O. D. | | | | | | CASH | COLLRS | TOTAL | 1606 | Rec'd in Good Order and Condition, Except as Nooted. Drivers Must Collect All Charges Unless Credit Is Authorized by Mercury. MERCURY AIR FREIGHT Rec'd in Good Order and Condition, Except as Noted. By: Consignee: By: FORM T-114-1A 15M 7/64 ORIGINAL: DELIVERY RECEIPT (RETURN TO MERCURY) DUPLICATE: CONSIGNEE COPY TRIPLICATE: CONSIGNOR COPY ATLAS BUSINESS FORMS