| Shipper Signature on packing | Foreman Signature on packing | Shipper Signature on delivery | Delivery Driver Signature |
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Shipper:BELLEHSEN LESLIE ANN
10 Sep 2025 |
Foreman: Yoram Rosenzweig
A. Univers Transit Ltd. |
Name:____________________ Date _____________________ |
Name:______________________ Company:____________________ |