I certify that this shipment(s) does not contain any unauthorized articles including, but not limited to, explosives, destructive devices, or hazardous materials. I consent to a search of this shipment. I am aware that this endorsement and original signature, along with other shipping documents, will be retained on file for at least 30 days.

Signature: _____________________________________

Type of First Personal Identification Reviewed: _______________________________

Matched Photo ID? Yes______ No_______

Number Appearing on ID:___________________

Second Personal Identification Reviewed: ___________________________________

Matched Photo ID? Yes______ No_______

Number Appearing on ID:___________________

Reference Number: _________________________________

Please print and return signed copy to RSI