1. From (Collection Address) sene.ecsAccoun No._ _ CD: S2015.2 _ - — . - - _Spon.c:ce:c..cacq- . - - - - -- MOM Tne woincen_csollie- - - - - - - - - - - co.; tp:itt.Piff :Ipo-suirto- -jot; _Cv-21.1•li-J- IMEMINIEUNIIN etorreco____ __Cquetry: entita. tilltacle4 - - Caltadalikne.L.37sa_cascatteLl TtONce_ _ _ 2 To (Receiver) Name:. 1421 ctvb - - - - " _ __41.041 Rest _Wok nearle..:3-51.0.efir 9 _ . . _ _ . - Ca _Ss. nava _ _ _ _ _ _ _ . _ .PoNaterpCode:_Qpill _ Procince _ _ _ CotantY,V1 c3 Wow 3. Cootie: Nerds: — - Gemini Ocialplak. dock . _ _ _ - _ _ • if Kw hem orquity. (lease coca. en Murtha: GE552340710WW . _ ----- A. Del ry Address &Wren:. PrOVirta: Contact Name. S Dutiable Shipment Details ReCetreFSVALWO/BMISIVISZ.No. - - . Posialilio.Cooe _ - - Cosntry . ^ • - • - • - - • - _ Chick_ _ .• C. Special Delivery Instructions Totrfackaoes:_l___Iotelyvegfc.6...001Ege_Total_voistroe::).::S.C_r1._ _ _ . _ . •1 Set** t.COtiral SOCE.1- - - MON DAIIMICKIS 0=1 . . . . - . . . SEN:(EI 7ATS . • - _ • - • - Senders Sinnalues _ _ _ . •toactt Ot Wt. On. !Mt :IF v.. voitsa:m.i. div:Is • tr.w: a irony.; in• '.‘n ;rms. 'so. -on: 117.1.VLIKI -1. :0 MIA '1'1 41 a. tr.t... it vow. mi. .nnv ; :r auvit:.fre um* >mum Y111 ctc,r -iv ors. O Costcrner Reference F. Involce Receiver (Receiver...Account number) Anaid by TNT tellNamr. Oro Tune : VISIOPC•out Receiver Copy EFTA_R1_01217926 EFTA02316906