ec l -re. ,..,,vi •:..-.1. C„AeLi )1 :: . • • LI i irsfry-,ttive — (—thst ,A./U= 11- I 7f• ) - ,7/110 S- i' , i i . 7 _ r • 1 I ...1 I IYIECC fele t — .-7 /1 i IQ r TOTAL PACKAGE WEIGHT I hereby admowtedge that the above 9st represents all property taken from me and that I have receive