EFTA00554743.pdf

I Cansuue 49 ZORRO RANCH ST STANLEY, NM 87056 5552c, JEFFREY EPSTEIN - NM 1401 MERCER AVE THE STORE ROOM 11091 WEST PALM BEACH, FL 90401 JANUSZ alacA.-110 Man..) er (SFStar /tali... M oo Cane' ALLIED VAN LINES. INC. 2980 Tuxedo Avenue P.O. Box 988 West Palm B ch, FL ailli.48801-0988 (F ?y d , 0.4, 4, bar . 8/1 8/2019. MC-15735. 50/2/2012 DOT-078235 1 /2012— roarlre 917/2012 u..... Storage This G WEE &AIDING PRICE PLEDGE is based al articles Md buries listed ki Me area unitown MlaTiorialivecirs ate requited to &Ma etevety. these costs oil: ben adcbSon to theamount stated below and Mite Merl to the "epee 30 can after cleIvery. Sum services and opphwtpte charges ant be blame upon Me tariff Mies Jr, effect on Me date of this estimate. The es me a va# for days from del* of Fritts/O. BaSeC10.1 TAM T P.G.. Effective 91620:2 TRANSPORTATION ( 3,000 lb, 1854 miles) CUSTOMER'S DECLARATION of VALUE (60 cents per pound per article) CARTONS, PACKING & UNPACKING ConLainer Mirror Carton Qty 9.35 T9 35 4t1 EXTRA PICKUP & DELIVERIES Packing Rate T7otal .20 Qty 17.20 : MISCELLANEOUS SERVICES 3 tL1.5MITZLRE CRATES Ai WAREHOUSE, LOCAL P/U 2+2 NRS+PVEL / 11 Mace Arid Sae" our ienwe footsie Sep 06 12 01:58p NOEL HOLLIDAY 551-683-5490 p.1 . . ESTIMATE/ORDER FOR SERVICE GUARANTEED AND BINDING PRICE PLEDGE Order 1+ 30 1 C-- ,.. 1 S i ) v 061 .friOnt "EirivItlainarhfer & Storage Co. 2900 Tuxedo Avenue West Palm Beach. FL 33406 06/21/12 FM4 0434 Unpacking Rate Total 8.00 0.00 $ 2462.27 0.00 Mfrrot 26.55 75.OO $ 122O.OO wpAckio Catir.) 1≤ eash04 TOTAL GUARANTEED PRICE $"--3,783.82) PROTECTION OPTIONS Maximum Level of Protection Cost for Protection Options $ 0 Deductible $ 20,000 S 237.0D $ 250 Deductible $ 20,000 $ 164.OO $ 50 Deductible $ 20,000 S 146.00 Basic Covera (6rcents per pound per article)) $ 1,800 $ 0 Total Move Price $ 4,020.82 $ 3,947.82 $ 3,929.82 • WARNING: If a moving company oses or arnages your goods, there are 2 different standards for the company's cnb, Amber liability based on the types of rates you pay. BY FEDERAL LAW, THIS FORM MUST CONTAIN A FILLED-IN /vd. L7,0er. ESTIMATE OF THE COST OF A MOVE FOR WHICH THE MOVING COMPANY IS LIABLE FOR THE FULL (REPLACEMENT) VALUE OF YOUR GOODS in the event of loss of, or damage to, the goods. This form may also contain an estimate of the cost of a move in which the moving company is liable for FAR LESS than the replacement value of your goods, typically at a lower cost to you. You will select the liability level later, on the bill of lading (contract) for your move. Before selecting a liability level, please read "Your Rights and Responsibilities When You Move," provided by the moving company, and seek further information at the government website "www.protectyourmove.got IMPORTANT NOTICE TO SHIPPER' The tobsiennotereat costs for adltenal senres may be Maine inele in route b at dlafeleiOIL You Web* Med for the tialeres Mee OMEN JO days lithacoewcry d these services ate pit:foal e your none! cc litre resureo in °Mum ICCOMpeith Shag cryourieSrAW YOJ an Otigad to Pay tre Wee* of IS 010.9es Mies T days of reccete oIlrivem SERVICE DESCRIPTION RATE ESTD1ATZD CHARGES EXTRA STOPS /Per Stop) 54 . 95 SELF-STORAGE / 14117Z-S DELIVERY (Flat Charge Weight Based) 58 . 50 OLUTIEG TIRE (pr Hour r Vehicle) 8 (per Sour - per roan) 24.30 1st DAY STORAGE--IN-TRANS Cwt 6.15 254.56 FACE ADDIT70S)AL DAY ST -IN-TRANSIT (per Cm: ' per Day) 0.23 8.70 per day DELIVERY ODT OF STORAGE-IN-TRANSIT (Flat Charge Weight Based) 689.50 I ammo .A !cow ripme As 3000* METHOD OF PAYMENT: COD PPD NAIL ACCT CREDIT CARD AT COD CAICOS aretoterpskun ce54 matt I check traveler's check or bath crack Ger win/ HERESY ACKNOWLEDGE THAT I HAVE RECEIVED THE FOLLOWING REQUIRED DOCUMENTS: -0 Your ROG anaRespansteges Mien You Move locker° netts Comp8thr a Mosey Hendke Finacecere Owc4e SOIVOMM PIOOntera Customer X Date, Agent X Abe/ ,i74/74.7 Date EFTA00554743