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CCn-U/All STRAIGHT BILL OF LADING DRIVER PLEASE NOTE ® IF SINGE SHIPMENT CHECK BOX BELOW FS—HIP—Pi III�IIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIII��iIIII�IIIII PAID UNLESS MARKED COLLECT ❑ COLLECT tvkxs SHIPPING ORDER "Pisa ra,Ped,crier ma-wal/ a ab.IN q DATE P.O.NO. SHIPPER NO- awn®' CUSTOMER'S SPECIAL REFERENCE NUMBER SHIPPER(FROMQUALEX CONSIGNEE(TO) (\�1� 1y �r •,' STREET C / STREET 555 INDUSTRIALRARK BLVD \3A Q CIN,STATE/PROVINCE,ZIP/POSTAL CODE (TELEPHONE) CITY,STATE/PROVINCEnZIP/POSTAL CODE I (TELEPHONE) MANTECA CA 95336 MnNCX 6 vi, 3o t3 BILL TO CUSTOMS BROKER STREET STREET CITY,STATEIPROVINCE.ZIP/POSTAL CODE - (TELEPHONE) CITY,STATUPROVINCE,ZIPIPOSTAL CODE (TELEPHONE) ACCOUNT CODE - �S ❑COO L(/NS! f [!/Rib!DEFE !AB 5'�:ullif'Y1 S+t et -�ef3*"q= "`TE%LAL .rz t F 3m'C rg' LASSbIi� OHT _ -- PP1NDF KAG(NG, IPi10N OF NA'DCCI�RONS `� a RMFq d:+ f e sfil'O n'- .-43f COD AMOUNT: $ CO repaid REMIT COD TO Fee: act ADDRESS 11 LLS. ❑Canadian NOTE:Consignee's company check made payable to the Shipper will be accepted by CITY STATFJPROVINCE ZpprPOSTAL CODE Co Wey and forwarded to shipper unless otherwise directed to do so by the shipper. - Notice:Urdess the Shipper completes the requirements as provided below,Carrier's liability,shall brilmked as staled herein and In Tariff CNW V-199,which may be obtained by request.Carrier shad m no event be liable for loss of PrOK Incone,Interest,atomey fees,or any special,Mwrden al or ocrhsequeniat damages.Where the rate or NMFC classification is dependent on value,shippers are required To state specifically in wring the declared value d the property.For this purpose The declared valued the property Is hereby specifically stated by the Shipper to be not exceeding S Also.paragraph number 2 on Me reverse side of this Bit of lading sets loth released value terms and conditions. -Carrier rubitty with shipment origmatmg t61(hin the United States:Unless the Shaper declares excess value an the Bill of lading,requests excess liability coverage and pays an additional charge,Careers maldmon liability is$25 per pouIrhdiMdual lost or damaged piece within the shipment,subject to$150,000 maximum total liability per shipment and provided further that Carriers liability on householdgoods,articles other Nan newnd such as used and(or refurbished articles,or personal effects shat Wexceed ten cents per pound per Individual last or damaged piece wthin the id pment For this Purpose tie deciared value. I-ie property is hereby specifically stated by me Shipper m be$.and Shipper agrees to pay an additional charge for excess liability coverage.Tei declaredvalue may Trot exceed$6§0;"00 per shipment. Carrier liability with rif ipmenl originating within Canada:Unless the Shipper agrees to a Special Agreement.declares the value in the box below and agrees to pay the excess liability charge by vita ng where Mkated.Confers madmum liability is CANS2 per pound(CAN$4.41 per hologram)per Individual lost or damaged piece within it*shipment,subject to a maximum total liability per shipment of CAN$20.000.end proNdcd lurcher shat Carriers liability on household goods,used andror refurbished arndos,or personal effects shat Intl exceed len cents(CAN)per pared per individual rest or damaged Piece within tre shipment. SPECIAL AGREEMENT: Declared Value: CAN$ per pound. (Declared value may not exceed CAN $100,000 per shipment) Shipper agrees to pay excess liability charge: - (Shipper's Initials) COMMODITY DESCmPNON(S):By Signing this Bre of lading.I hereby declare that the conlints of INS cohsignimnt are fully and accraatety described above by the proper skipping name.and are dassified,packaged,marked and IabeleNplacarded,and are In all respects in proper condition for transport eccardiing to applicable international and national govetrvnertal regulations. Shipment Received:The shipment is received Subject to Tariff CMVY-199,Carr4Ms pricing schedules,tents.con aliors and rules maintained at Centers general offices In effect on the date of Issue of this Bill of ladahg,as well as the National Motor Freight Oassalcatas;the Hanardous Malertals Transportation Regulations(Title 49'—CRR,Subtile B,Cthapterl,Sub Chapter A-C),and the Ibpsebold Goods Moses Guide OiHGB 105 Series)for shipments originating in the united Stales;and the Canadian Motor VeNde Transport Act the Transportation of Dangerous Goods Act. and the regulations In force In the provincial jralsdulkn at the time and place of the shipment for shipments originatig In Canada.The Property described on this Bat of ladimg is In apparent good order.but only to the extent that it IS unconcealed and visible without further Inspection and except es noted or marked,The property Is consigned and destined sa thdrealed above.The wad Cartier Is defned throughout this contract as meaning anyPersorh dor corporation In possession of to property under this contract.Carrier agrees to carry the property to is destiation.t on as route. otherwise to deliver b another Cartier on the route to said estination t Is muluaty agreed as to each Cartier of all or any of sad property,over at or any portion of Said route to the destination and as fo each Party at any time Merestecrin all or any of said property,that every service to be performed hererxder shag be subject to at of INS Bill of Ladimg's terns and conditions;In effect an the date Of Slhpment,inducing,but not limited to,the Tenths and Conditions'listed on the back side of this Bill of lading. SHIPPE+a' ^ CARRIER QUALEX /J ❑CON- TAY TRANSPORTATION SERVICES.INC. j ❑CON VAY 9AIJAIDA EXPRESS.INC. rr +� AUTHORIZED SIGNATU A/ml R^ , DATE ��