Shipper
Agreement S21036
Customer 8855510
Contact Name
AMARILLO 806-335-1511 Contact Phone
Date 11111201813:22
Purpose Sale
Pickup Address Delivery Address
JAMES SCOTT VENABLE
SV ENTERPRISES
CPU
quipment
Description MakelModel AA 212D2 XHP
ID C92119 Serial 0MD200983
From AMARILLO To
Current SMU 2.8 SMU In
Quantity Out 1.0 Quantity In
KELLY TRANSPORTATIONS
Note
Description BUCKET MakelModel AA SSL BKT74
ID C95191 Serial A418ABK23088
From AMARILLO To
SMU In
Quantity Out 1.0 Quantity In
KELLY TRANSPORTATIONS
Note
Fuel Out Gasoline (Gallons) Propane (Gallons) Diesel (Gallons)FULL
Fuel In Gasoline (Gallons) Propane (Gallons) Diesel (Gallons)_
If Damaged, List all Damage:
EQUIPMENT HAS BEEN PROPERLY DELIVERED AND RECEIVED IN GOOD CONDITION
;ignature Naive Date
intorimNrIft Nrornhor 7 NM 1.91.11PIAlwPPIR
EFTA01223595