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i nis iviemoranaum la an acRnumauynl t a oro ul Lawny nae ueen IabJutfu Linu la rim vnglnal <br /> Bill of Lading`nor a duplicate,covering the property named herein,and is Shipper No. <br /> Intended solely for fill g or record. WOM <br /> AdMVIIIII24W Chon[Cei Timspod <br /> Inc. Carrier No. <br /> Page of Date ==-z_ f r� <br /> (Name of carrier) (ECAC) <br /> On Collect on Delivery shipments,the lifters"CCD"must appear before constgnoe's name Or#&otherwise provided in Item 430,Som l. <br /> T0: Shipper Cote PaduVed Foul LU;Simktw <br /> Consignee Ad"llicelil ChyWcal Twepollits ft. (80) <br /> Street IW Et t'iirr0t or <br /> Street IDMission Pww <br /> Citi' Stockton State CAZlp Code <br /> city EsCondWo State CA Zip Code 92M 143W785-7225 <br /> 24 hr.Emergency Contact Tel,No. <br /> Route Vehicle <br /> . ... . .... Number <br /> No.of UnitaHM 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 (For Carrier <br /> Gallons,etc.) Correction) Use only) <br /> ) <br /> PLACARDS TENDERED: YES NO C:7 REMIT <br /> Note— 1 Whore the rale is dependent on value,shippers q C.C.D.SS <br /> O p ppom aro required to*tette Iherebydeclarethatteacon»ccoftele ADDRESS <br /> specifically In writing the agreed or declared uaWe of the property,es londwe�•Yee consignment are fully and accurately <br /> agreed or declared value of the property is hereby apocincally stated by the Shipper to deeeribsd above by ma proper shipping r_ C,O D FEE: <br /> benotexotadinp .per name and are classified, packaged, COD Amt: $ PREPAID [J(2)Where the applicable toriff provisions specify a Ifmltation of the carheva liability absent marked and labelled/placarded,and are COLLECT❑ S <br /> e release or a value declaration by the shipper entl the*hipper does not release In all respects in proper oonditlon Idr <br /> the cordaPs liability or doolare a value,the cardoes liability shall be limited to the extent transportaccgrding to applicable Subjoin to Section 7 of the conditions,it this andfmart-a to be delivered ro the TOTAL <br /> prevltlad by Such provisions.See NMFC Item 172, Intemaflonal and national governmental conslg es without recourse on ms conelgnor,tno consignor shall sign the CHARGES 8 <br /> (3)Commoditlea dulling special or addldonal care or attention In handling or stowing regulations.. toltow ng statamont: <br /> Tha oerrw Shall not make delivery of this shipment without payment of <br /> must be so marked and packaged as to ensure safe trensportaton.See Section 2(s)of FREIGHT CHARGES <br /> O freight and ell other lawful charges. <br /> 110th 380,81116 01 Lading,Freight Bills and Statements of Charges and Section 1(a)of FREIGHT PREPAID Check box d cnergu <br /> in*Contract Terme and Conditions for a list of such articles. Signatureexeeof when box at are to be <br /> (8101 of connor) npnt a e checked ❑ co!!act <br /> RECEIVED,subject to the classifications and tariffs in effect on the does of the Issue of this Bill of Lading, tinavon and as to each party at any time Irrarested In all of any sed propodyy,that every service to be <br /> the propery tlaacdbed some In appparent good order,*wool"noted(contents and condition of con• performed hereunder Mall be subject to all the bill of lading forme and condillongoverning Ohio <br /> In the goveoleo• <br /> tents o1 packages unknown),me K condoned,and destined as indicated above which saw carderstgcatlon on the date of shipment. <br /> (the wont center being understood throughout this contract as meenl,j any person or corporation In Shipper hereby coddles that he Is familiar with all the lading terms and conditlons In the <br /> posaaulon d the property under the contract)agrees to carry to he usual place of delivery at said stunt• goveming classification and the said terms and conditions are hereby agreed to by the shipper and <br /> fiasco,k on its roma,othorwles to deliver to another carrier on the route to Said destination.It Is mutu• accepted for himself and his assigns, <br /> ally agreed ss ie earl cx•cr of❑o or any of.Se`I property over all or any portion of sold route to dee• <br /> SHIPPER = __ _.._ LLC Sfix*#Ott CARRIER Ad n*.d`"il1n 1# . ( <br /> PER ", yam. •- , PER ` <br /> 11 / fJ JF <br /> DATE <br /> Permanent post-office address of shipper, n e o�;w,'ti`°"r= �cafaw STYLE CF376.4 020`12 LASELMASTEA® (800)821.6808 www,labolmaster.com <br /> I�,i�t'JtlKl- <br />