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i nis iviemorancium to an aunnuwleagm i a and or Lacing nas Dean Isisuea ane Is not ung)naI Shipper t$0. BIII of Lading,nor a r duplicate,covering the property named herein,and Is is Intended solely for till or record. D103 Challical TmnspW kcSV) Carrier No. Page of Date " 'f (Name of carrier) (SCA.C) On Collect on Delivery Shipment$,the lettere'COD'must appear before consignee's name or es otherwise provided in Item 430,Sec.1. TO: FROM: tI�a a Pwk Foods LLC Stocktav �'f9C�m 0f .tae' Shipper Consignee ,uC g �3i. Street low Ed Pini Dr Street City eStoddon State CATip Code City -_ State zip code 96133 t-89& r'726 24 hr.Emergency Contact Tel.No. Route Vehicle --- Number No.of UnitsHM BASIC DESCRIPTION y Y4 fOTAL QUANTITY WEIGHT CHARGES 8 Container Type UN or NA Number,Proper Shipping Name,Hazard Claes,Packing Group (Weight,Volume, (Subject to RATE (For Carrier -- Gallons,etc.) Correction) Use Only) y ..r ` CBS L EASCf fT 'UNI E r 2.f(EACH NOT �!/� � Y)CH"19% I f r PLACARDS TENDERED: YES C7 NO d REMIT Note—(1)Where the rate Is dependent on value,shippers are required W state I hereby dealer*that the contents of this ADDRESS specifically In writing tifo agreed or declared value of the propsny,se follows:„Tho consignment art b yfully and scouratsly agreed or declared value of the property le hereby specifically stated by the Shipper to described above )the proper shipping C O v....- C.O.D.FEE: be ria exceeding per__ _, name and are casaftal, packaged. PREPAID 0 (2)Where the applicable tariff provisions opacify a limitation of the carries liability aboard marked and Iabolled/plaaarded,and are Amt: S COLLECT❑ $ a release or a value declaration by the shipper and the shipper dose not role" In all respects in proper oontlitlon ror the eamlu's IlWirdy or d*etara a value,the eard*f*liability slob be limited to the extant trarnport according to applicable Goblet.to S..i.n]of the conditions,a this sh:'a ant Is to be delivered 10 IM TOTAL provided by such provisions.Sae NMFC Item 172, Inbmacana1 and national governmental donslges without recourse on the consignor.ghe consignor encu 1 A the CHARQE9 (s)Commodities requiring:octal or additional care or attention In handling or ska in regulations. follow np statement: must be so marked and packaged a to ensure safe transportation.Sea Section 2 r Tha cmrler shall not make delivery of this shipment without ■men.of )of freight and oil other lawful charge, payment FREIGHT CHARGES Nem Cwo,ontract Sills af Lading,Freight Sills and efofomenfo Of Cheryn end Seddon 7 a of rREIOHTPREPAID Chock box adharpes me Contnot Terms and Conditions for a list of such articles. Signature axcoot when box at are ro be fa natvra al Conn n*rj "UN-le dteWred ❑ dalleDt RECEIVED,oub;oal Ie the classification&and taring in offoct on pta data of the issue of this Sill of Lading, linatlon and as b esdt party at any time Interested In all or any osM property,that ovary service b be 0*propmrty desadbad above In apparent good order,except ea noted(Contents and condition of Don• performed hereunder shall be wblad to all the bit(of lading forme and contlillons In the governing d"- packages of packages unknown),marked,consigned,and Omitted so Indicated above which mid ander sifioauon an the data of shipment. :ants word carrier being understood throughout this contract es mesning any person or corporation In Shipper hereby Certlflsa that no Is familiar with all the lading forms and conditions In the possession d the property under the contract)agreae to carry to he usual piece of delivery at said deeti• goveminp claeslflaatlon end the aid terms and conditions are hereby agreed to by the shipper and nation,B on Its route,otherwise to deliver to another carrier on the route to sold dmflnatlen,It b mutu• accepted ror"meals and his aeslgm. lily agreed as to each carder d all or any of,said properly over all or any portion of mid route to dm. SHIPPER Lade Pieck"led Foals LLC Stoddon CARRIER Aa, PER .: r = '� r PER DATE ' Permanent poet-office address of shipper. A a.ata�s oar STYLECF375.4 02012 LABELMeASTER OD (800)821-8808 www.labelmastec.00m