PACKING LIST©

19Place and Date of Shipment

To

Gentlemen:

Under your Order No. ___________________________________________________________ the material listed belowwas shipped viaTo

Shipment consists of:

Cases Packages

Crates Cartons

Bbls. Drums

Reels

Marks

* LEGAL WEIGHT IS WEIGHT OF ARTICLE PLUS PAPER, BOX, BOTTLE, ETC., CONTAINING THE ARTICLE AS USUALLY CARRIED IN STOCK.

PACKAGENUMBER GROSS

WEIGHTEACH

*LEGALWEIGHT

EACH

NETWEIGHT

EACHHEIGHT WIDTH LENGTH

QUANTITYWEIGHTS IN LBS. or KILOS DIMENSIONS

CLEARLY STATE CONTENTSOF EACH PACKAGE

Form No. 30-036 Printed and Sold by 201 Circle Drive N, Suite 104, Piscataway, NJ 08854 (800) 631-3098 www.unzco.com

Copyright 2001 Unz & Co.