SCRAP PACKING LIST - Rio Grande

Scrap Packing List PLEASE PRINT SEND SCRAP RETURNS TO: Rio Grande Attn: Returns 7500 Bluewater Road NW Albuquerque, New Mexico 87121-1962 USA

Customer Number: Company Name: Street Address: City, State and Zip: Phone Number: Email Address:

IMPORTANT: All scrap is physically altered during processing and only melted when necessary to determine the purity for your maximum value. Please check the appropriate boxes below to indicate: a) how you would like us to process your scrap, and b) how you would like non-precious materials handled.

q Yes, Rio has my permission to melt my scrap as needed. I understand returned scrap will not be in the same condition it was when sent to Rio. q No, I prefer that Rio does not melt my scrap for processing. I understand all of my scrap will be returned to me at my expense if its purity cannot be determined without melting the metal.

q Please return non-precious metal material to me at my expense. PLEASE INDICATE THE TYPE OF MATERIAL ENCLOSED BY PLACING AN “X” IN EACH APPROPRIATE BOX. WE DO NOT ACCEPT ORGANIC MATERIAL. WE ONLY PROCESS THE METALS LISTED BELOW. MATERIAL TYPE

q q q q q q q q q q q q q q q q

WEIGHT

CIRCLE ONE

OFFICE USE

Segregated fine silver (.999 purity)

dwt. ozt.(troy) oz.(avdp) gram

Sterling and mixed silver (.925 purity)


Silver-filled (1/10 and 1/20 purity)


Cadmium-bearing silver


Clean silver filings/swarf


.999 fine silver medallion/bars


Coin silver (90% silver)


Gold-filled (not watch bands)


24K gold (.999 purity)










.999 24K gold medallions from Rio


Platinum


Palladium


SIGNATURE: By signing this form you are confirming that this scrap was legally acquired by you. SETTLEMENT OPTIONS:

q Credit on Rio Grande Account q Refund Check* - Make Payable to: qACH Transfer* To Your Bank:

* For international customers W8-BEN or W8-BENE must be on file with Rio Grande.

DUE TO PROVISIONS OF THE PATRIOT ACT, RIO MAY REQUIRE ADDITIONAL IDENTITY VERIFICATION.

Phone: 800.545.6566

Fax: 505.965.2329

Enter a contact number; we will call you to get the necessary bank info.

q Use previous information on file Web: www.riogrande.com/scrap