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6 Rates: (800) 942-9909 www.peninsulatruck.com PENINSULA truck lines, inc. TO: FROM: CONSIGNEE SHIPPER STREET AND NO. STREET AND NO. CITY AND STATE PHONE ZIP CODE ( CITY AND STATE ) PHONE ( ZIP CODE ) BILL TO NAME (If different than above) MAILING ADDRESS CITY STATE CAREFULLY AFFIX PRO NO. LABEL HERE ZIP Mark "X" in "HM" column for Hazardous Materials. NUMBER PACKAGES HM (X) KIND OF PACKAGE, DESCRIPTION OF ARTICLES, SPECIAL MARKS, AND EXCEPTIONS CLASS FOR CARRIER USE O.

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