Railway express agency 
IKCORFORAT£:X» 
(Printed in U.S.A.) 
ORIGINAL (Form 5075) 
UNIFORM EXPRESS RECEIPT 
NON-NEGOTIABLE 
N!, 279-946 COLLECT 
NewYori^lLY. 
Received from 
Date. 
i 
/ / 
Address 
Article 
I 
r ,/ 
/ 
/■ 
/ 
A. 
\ % 
• 
Q 
• 
O 
• 
o 
Subject to the Classifications and '.griffs i 
Q Effect on Date of Issue 
Weight 
C.O.D. 
Service 
.Charge 
,/ 
ed to 
O " .. ■■ — 
J 
Number 
Value herein declared 
by Shipper to be. 
Street 
City 
State 
Dollars 
Which the Company agrees to carry upon the terms and conditions printed on the back 
hereof, to which the shipper agrees, and as evidence hereof, accepts this receipt. 
For the Company 
FnOM NEW YORK, N. Y. 
(5075) 
Date 
1 No. Pieces 
Weight 
Class or 1. C. C. No, 
C.O. D. 
C.O.D. 
Service 
Charge 
Declared Value 
NOTE 
The Company will not pay 
over $50, in case of loss, or 50 
cents per pound, actual weight, 
for an}^ shipment in excess of 
100 pounds, unless a greater 
value is declared and charges 
for such greater value paid. 
