Shipping Label and Packing List

From: ___________________
	To: UMCOR Sager Brown Depot PO Box 850 131 Sager Brown Road Baldwin, LA 70514-0850

Kit	Quantity	Total Value
Health Kits	________@$12	$________
School Kits	________@$11	$________
Layette Kits	________@$35	$________
Sewing Kits	________@$18	$________
Bedding Paks	________@$50	$________
Flood Buckets	________@$55	$________
Estimated value for bulk items	___________	$________
Supplies for Health Kits	___________	$________
	___________	$________
Supplies for School Kits	___________	$________
	___________	$________
Supplies for Sewing Kits	___________	$________
Supplies for Layette Kits	___________	$________
Supplies for Flood Buckets	___________	$________
	___________	$________
Other	____________	$________
Total		$________