DELIVERY SLIP / 13YLL O LADING <br />_ � �r CASH CHG RETURN <br />28d 10 Milliron IZoad <br />.7unciinn City, Oregon 97+18 <br />(5 998 -1I21 <br />FAX 998 -1620 <br />SOLD TO 4.` 'J DATE_�+.f <br />SHIP TO_ <br />Shipped by: ❑ SCFS Cl Customer <br />APPLICATOR NO <br />PURCHASE ORDER NO <br />NO. <br />SIZE <br />CIUANTITY <br />coMMODITY <br />ITEM CODE <br />PRICE <br />TOTALS <br />I <br />This is to certify that the above named materials are properly classified, described, I certify that: i) I nave reau tnis invoice ana in cone ;ue1a11un U1 , b �a o, aj — packaged, marked and labeled, and are In proper condition for transportation, according terms thereof: 2) 1 have been offered for display on my vehicle, four <br />to Ilia applicable regulations of the Department of lransporlatlon. <br />placards. <br />SUM Crop Farm Service SHIPPER By ` Signer] _ <br />IMPORTANT NOTICI!+ ON BACK <br />