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This Memorandum la an aCknOWIedgmt a 13111 of Lading has been issued and Is not Original • Shipper No. <br /> Bill of Lading,nor a c duplicate,covering the.property named hereln,and is <br /> Intended solely for filing or record. <br /> Carrier No. <br /> ChwnkW Trwai ft. (sv) <br /> Page of Data ;C' <br /> (Name of carrier) (SCAC) <br /> On C011ect on Delivery shipments,the letters"COD'must appear before consignee's name or as otherwise provided In Item 430,Sec.1. FROM: <br /> To: Shipper -3 LLC Stockton <br /> Consignee Aftinciod C "Te �poirt <br /> Street ION F4 PkIal Dr <br /> Street ism callina 'a Road _ City Stun State <br /> CA Zip Code 9&7M <br /> City $ k!Fe Sgdm State CA Zip Code <br /> 24 hr.Emergency Contact Tel.No. <br /> Route Vehicle <br /> _ Number <br /> No.of Units r BASIC DESCRIPTION TOTAL QUANTITY WEIGHT CHARGES <br /> &Container Type UN or NA Number,Proper Shipping Name,Hazard Claes,Packing Group (Weight,Volume, (Subject to RATE r ,c h Fr <br /> Gallons,etc,) Correction) u,e Only) <br /> #){.M mnlaF Waste LAR",FkMocenit Lernpe(4FT Aft $) <br /> P ---- <br /> I -�-fvt L r HIDI,Liv Pfessim Sadwn,Metat <br /> P <br /> PLACARDS TENDERED: YES C1 NO Cm REMIT <br /> Note—(1)Where the rate Is dependent on value,shippersW y ADDRESS SS <br /> are,r sired to state l heron declare that ma contents M tele ADDRESS <br /> apeoltloelly In wilting the agreed or declared value of the property,ea follows;'Tho consignment are fully and accurately <br /> _ <br /> agreed or declared value of lhs property Is hereby specifically stated by the shipper to described above by the proper ehlppinaa C.O.D.FEE: <br /> be ria excseding per name end are classified, psokagetl, C3 Amt: $ PREPAID ❑ <br /> (2)Where the applicable tariff provisions specify a limitation of me carrier's liability abeeM marked and labolled/plaeardetl,and are COLLECT❑ $ <br /> a release or a value declaration by the shipper and the ahlpper doe&hot release In all respects In proper condition for <br /> the carriers liability or declare a value,the carder's liability shall be limited to the extent treneport according to applicable sublet to Beeson 7 of the conditions,H this shipment h to W delivered to me TOTAL <br /> Provided by such provisions.ase NMFC Item 172. Irnamatlona1 and national governmental eoneisnee without raeouree on the oonslgnor,the cenergnor shah sign the TNARIGES i <br /> (3)Commodities requiring spseull or Oddhlonal care or attention in handling or slowing ni uladons. follow no statement <br /> - 1 <br /> must be to marked and packaged As to ensure safe transportation.See Sedan 2(o of g The darner shall not make delivery of this shipment without payment of FREIGHT CHARGES <br /> ( freight antl all other lawful Cherpee. <br /> item Contract <br /> cels of Lading,Freight sine and atf such a ti of Charges and Section 1(9 of FpE16W1 PRC:PAID Check box kcnarpea <br /> me bontract Te me and Conditions for a list of such articles Signature axcappt when ato,At p'�I are n be <br /> 15'gnmar§ar COnelpnor right la checked W muted <br /> RECEIVE®,subfitd to the classifications and tariffs in effect on the data of this,issue Of this 8111 of Lading, dnAeon and 81 to each party at any time interested in all or any Bald prOperty,that every 69M ice to be <br /> the propsny described above In OppAmnt goOO order,except as noted(contents and condition of con, performed hereunder shall be tublson to es the 1501 of lading terms And cordillera in the governing das- <br /> Ients of packages unknown),marked,oongigned,and destined as Indicated above which sold carrier bificatlon on the date of shipment, <br /> (the word carrier being understood throughout this contract at meaning any pariah or corporation In Shipper hereby certifies that he is familiar with Oil the lading terms and conditions in the <br /> possession d the property under the contract)sorest to carry to its usual plies of delivery at said saes- governing classification and[ha said terms and OOnditlons are hereby agreed to by the shipper and <br /> Mahon,If On IU W6,otherwise 10 dellwef t0 another carder on the routs to sold destination,It is mute- accepted for himself and his designs, <br /> ally agreed As to each carder of As or any of,said properly over all or any ptMlon of sold routs to des- <br /> SHIPPER Do*Packaged Foods LLC Stockton CARRIER ChernicW Tfww4md Im, ( V) <br /> PER PER <br /> DATE t <br /> Permanent post-office address of shipper. • <br /> pO" tgKl STYLECF375.4 02012 LABELDWTEa® (800)021.5808 www.labelmaster.com <br />