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M 8. CONTAINER NUMBER(S) b. GRADE 7. TIME c. OFFICE SYMBOL 9. SPECIAL SERVICE ITEM (1) (12) (3) (13) (4) (14) (5) (15) (6) (16) (7) (17) (8) (18) (9) (19) (10) 9. SPECIAL SERVICE (11) (2) 8. CONTAINER NUMBER(S) (20) 10. RECEIVED BY a. NAME (Last, First, Middle Initial) b. OFFICE SYMBOL c. SIGNATURE d. DATE (YYYYMMDD) e. TIME b. OFFICE SYMBOL c. SIGNATURE d. DATE (YYYYMMDD) e. TIME b. OFFICE SYMBOL c. SIGNATURE d. DATE (YYYYMMDD) e. TIME 11. RECEIVED BY a.

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