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~C~C~ ~T5~A2r~1~~~1 TNUm6er 5454224786 From (please print) Dat~t~~~ ........_.~ Sender'sFedExAccouMNumher I 146-9654 4__ __ \ ' ' l/~,M,~^J,~, ~'~^ ~/~ Q ?~ Sender's & W.~3~2~W-1_. __/i~rk~N W.[.J-- u.~~hone ~ s.~!.~._ ~ SJ~..~../~ / Name ~ DeptJRoorySuite/Room Compan~ ..~''~~RION _COUIVTY: _MAIL ROOM Address _31 SO LANCASTER DR NE __~ _,. SALEM stace OR __. z~p_ 97305 __-_'- __.__~ IIy -'____... _._ . ..............__~ _ . . _.. ~ Your Intemal Billing Heference Information (OPtiona111Frs[24charecterswilleppearoninvoice) __..___._ ......_._._- .................~.~. _....... ..___ . _.___ To (please print) J~ Reci errt's ~~~ ~n ~ /~ R , A _ ~ _ Name _ ~~ Phone-~".Y,c~'_ W"~~._ J~~! V Dept/Foor/Surte/Room Company / ir ~ .! („) (L-{.~-L_1...~.iw~ _ ...`^^ ~~ ~-.. -._.~ - ~_ _. _ -- - _ __. _ _ Address v 1 w`~. ___ v 1 1.~,[ ~_1 -- --- . ___. 1ro'HO~D'acFedExiocacon,princFedFxaedressnerel~ (WeCannot0eliver oxesorPO ZipCodes~ City ~Kl.._.'~~I~ _ ___-..__ ._ State_~1L _ Zip ..._~110....... _ For HOLD at Fe Location check here Por Sawrday Deliv check here HoldVlleekday Ho1dSeWrdey (Notavailahleetalllocanonsl (EmaCharAe.Notava'lebleroalllacanons) ~~NO[eveilablewith ~INataveilaDlewithfedExFrs[Ovemightor ~INotaveilablewithFeAF~FrstOvernight FeUExFrrtOverniphq FadFxStnndardOvernight) arFadExStendardOvemightl SerriceCondifiorm,psekndVelue,andlimilofliehiliry-ByusingthisAirbill, actuallossinatimeNmannecYourngMmrecover6omusforairylossincludesintrinsic you agree to the service condroons in our current Service Guide or U.S. valueofthepackage,lowofsales,irneresLprofi[,attomey'sfees,costs,andotherforms Govemment Senice Guide. Both are availahle on request SEE BACK OF of damage, whether direct incidental, consequeimal, or special, and is limaed ro the SENDER'SCOPYOFIHISAIHBILLFORINFOHMAlIONANOADDITI0NAL7HiMS. greaterof$100orthedeclaredveluebutcannotezceedacwaldocumerrtedloss.The We will not be responsible for arry claim in exceu of 5100 per package whether mazimum declarad value for any FedSc Letter and Fed6c Pak is $500. Federal 5epress me resuh of loss, damage, or delay, nm-0elivery, misdelivery, or misinfarmalion, mey, upon your request and witl~ some limdefions, relund all transportaUOn charges paid. unleu you declare a higher value, pay an addNOnal charge, and documerrtyour See lhe Fed6e Service Guide tor furtlier details. SPL23 00~~~3851 ~ Sender's Copy Delivery commmnent mey ExpressPackageService PBC~(B~JBSUIIdB1~~~d3. 6eleternsomeareas ~FedEx Prioriry Overnight ~ FedEx Standard Ovemight ~ Fed6c 2Day" (Nextbusinessmorningl INe:thusinesseRernaon) ISeconE~usnessdayl ~ ~ NEW FedEx Frst OvemiqM ' FeUEx Lener flate notavaila6le. (Earliestnaz[OUSnessmorningdeliveryroselectlocatians) Minmumcharge: (H~ghsr rotes epplY) One pound FedEx 2Uay rete. , , oelivervcommroneMmey ExpressFreightService Pedcayesove.~5o~e~. helaterinsomearees. ^FedEnOvernightFreight ^fedE~c2DayFreight ~fedExExpressSaverkeigh[ INeztbusiness-dayservice (Secondbusinessday IUpto3business-daysrvice foranyArstance) serviceforanyEStence~ EaseduD~ndistancel e (Call for delivery schedule. See hack for detailed descriptions of freight products.) Packaging ~ FedEx ~ FedEx ~ Bo ~ ~Tu6e ~er Let[er Pak L Ueclared value limit 5500.~ ' Special Handling u~~~.=~ ~~~ Does this shipmeM coMain dangeraus goods? ^ Yes ~4 ~ ~ Yes ~~ ~ Drylce CA~ CargoAircraftOnly Orylce,9.UN1815111___ x .k9~~4 ioa~eem~scooessnPVa~:o iaano~6ot,ea~~~eai Payment Bill ~ender ~Recipient ~ThirdParty ~Credi[Card ~CasfU tp; IAcco~rrcno.i~ I ~ Check cn 1 will be hilled) 1~ ~Enrer FetlFx account no. or Cretl~ Card no. below~ FedEz Account Credlt Card No. E:p. Date~_ - Totel P ckages T I Weight Tatsl Declared Value' T~6Charges ~.__ I~ S 00 S -- _ --- - 'Wh declanngavaluehigherlhen5100p shipment,y Dayanad0aionalcharqe.5ee5ERVICE CONDRIONS, DECIAREO VALUE 111011MR OF WBIIITY sectian br lurther information. ReleaseSignature SigntoauthorizedeliverywithoutobtainingsignaNre. Your signature authorizes Federal Express to deliver Mis ship- ment without obtaining a signeture and agrees to indemnity andholdharmlessFederalF~cpressfromanyresukingclaims. ~~~ ~UBSlIOIIS~ ~ Call 1•800•GO•FedEx (1-800-463-3339) ~ ~ ~ ~ ~j , , ~, ~ ~ ~ + ~ • i • • • ~ • • ee~ oa~e si~ PAFT t147956 ~0199d-96 FeOEs PflIMED IN I1.S.A. • GBFE SN7