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NYPSC NO. 647 COMBINED CONTRACT, ORDER, RECEIPT FORM CIRKER'S HAYES STORAGE WAREHOUSE, Inc. 305 EAST 61ST STREET ・ New York, N.Y. 10021 ・ TE 8-5570 AM ...affiliates... Cirker's Moving & Storage Co., Inc 316-322 East 46th Street, N.Y.C. 10017 - MU 6-5200 Cirker's Gramercy Storage WHSE. Co. Inc. 316-322 East 46th Street, N.Y.C. 10017 - MU 6-5200 Cirker's Flushing Storage WHSE. CO., Inc 135-28 39th Ave, Flushing, N.Y. 11354-FL 3-3700 DATE 4/5 1968 JOB NO. CU. FT. NAME Jacques Seligman Inc PHONE NO. FROM 5 East 57th Street APT. NO. TO Whse PHONE NO. APT. NO. RATES STRAIGHT TIME: 1 VAN(S) 2 MEN @ Per Hour, Plus Hour Travel Time RATES OVERTIME: VAN(S) MEN @ Per Hour, Plus Hour Travel Time [[4 column table]] | MATERIAL AND PACKING | ESTIMATED | SUPPLIED | PACKED | | Barrels | | | | | Boxes, Wood | | | | | Over 10 C. F. not over 15 C. F. | | | | | Over 15 C. F. not over 25 C. F. | | | | | Cartons 3 C. F. or less | | | | | 3 C. F. to 6 C. F. | | | | | Over 6 C. F. | | | | | S. MATT. [[checkbox]] S. BOX [[checkbox]] | | | | | D. MATT. [[checkbox]] D. BOX [[checkbox]] | | | | | WARDROBES | | | | | CRATES | | | | | | | | | | | | | | | | | | | | BINS | | | | | Extra Labor Hrs. | | | | [[/table]] SPECIAL INSTRUCTIONS Several Shipments. Left Terminal A.M./P.M. On Job A.M./P.M. (Signature) Time Finished A.M./P.M. (Signature) Returned Terminal A.M./P.M. CARTAGE @ $ STORAGE PER MO. WAREHOUSE LABOR IN WAREHOUSE LABOR OUT PACKING MATERIAL ADVANCES SHIPPER DECLARES VALUE OF ENTIRE SHIPMENT to be $ INSURANCE @ TOTAL DEPOSIT BALANCE C. O. D. [[note on top of form]] for pick up of 20 Zimmer- 1 Kupfermar 2 Cartons [[/note]] It is agreed that this contract which includes terms and conditions printed on the reverse side hereof, shall constitute the entire agreement between the parties and no statement or promise not contained herein shall be binding or valid. NOTICE-Unless a greater value is declared liability is limited to 30¢ per lb. of and for each article lost or damaged. I have read this contract and the terms and conditions on the reverse side hereof and agree to all said terms and conditions and acknowledge receipt of copy herewith. All rates are in accordance with Metropolitan New York Movers Tariff. TERMS: CASH. DRIVER WILL COLLECT Signed Permanent Address Accepted by William J [[Casper?]] CIRKER'S HAYES STORAGE WAREHOUSE, Inc. RECEIVED ALL ARTICLES IN GOOD CONDITION Signed CUSTOMER'S COPY MILEAGE RECORD (For driver's use only) LEFT WHSE RET. WHSE