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LABEL HERE DATE: CUSTOMER P.O. ROUTE SHIPPERS NO. BLIND SHIPPER'S NO. TO: FROM: CONSIGNEE: SHIPPER: STREET STREET DESTINATION ORIGIN CITY-STATE-ZIP CITY-STATE-ZIP PHONE# PHONE# C.O.D. AMOUNT C.O.D. FEE PPD COL IS CUSTOMER'S CHECK ACCEPTABLE FOR PAYMENT? YES $ NO CONSIGNEE PHONE# NO. SHIPPING (X) KIND OF PACKAGING, DESCRIPTIONS OF ARTICLES, SPECIAL MARKS AND EXCEPTIONS WEIGHT LBS. UNITS HAZ LIST HAZARDOUS MATERIALS FIRST (SUBJECT TO CORRECTIONS) CLASS 0 SPECIAL I.

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