i- or-ivicu vir — i I V-AA --heti__ \J k-15 vwc) cpast .H.E sanitAisiven 4.-44-eNWIMSILqrie - '"If TOTAL PACKAGE WEIGHT I hereby achnoMedge Mal Ins above list represents al ixopellY taken horn me and that I have roCerved a copy Olin recap. I hereby acknowledge that the above NI represents at PO