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�. �is an acknowledgement that a Bill of Lading has been Issued and Is not the Original Bill of Lading,nor This Memorandum a copy or duplicate,covering the property named herein,and is intended solely for filing or record. Shipper's No. Haz :at 1"i Lice P..", fox al?9, gaa'i T;er-.aritao, CN, le' 5Name of Carrier Garners No. RECEIVED,subject to the classifications and lawth iy filed tariffs in eHeefon the date of the receipt by the carrier of the properly described in the Original Bill of Lading, at 199') P7.i qt ockt3-1 20 From U.-Al "haste l gra—cors the property d9scnbed below,in apparent good order,except as noted(contents and condition of contents of packages unknown),marked,consigned and destined as indicated below,which said tamer(the word carrier being understood lhroughota this Contract as meaning any person or corporation in-possession of the property under the comma)agrees to carry to 4s usual place of delivery at said destination,g on its route,otherwise to deliver to another carder on the route to said destination-It is mutually agreed,as to each canter of all or any of said properly over all or any portion of said route to destination,and as to each party at any Time interested in all or any of said property,that every service to be perrermed hereunder shall be subject to all Ila terms and conditions of the Uniform Domestic Straight i of Lading set forth(t)in Uniform Frani classification in effect on the dale hereof,if this is a rail or a rail-water shipment,or(2)in the applicable motor Cartier classihcafron or tariff if this k a motor carrier shipment. Shipper hereby certifies that he Is familiar with all the terms and conditions of the said bill of lading,set forth in the classification or tariff which geverne the transportation of this shipment,and the said terms and conditions ase hereby agreed to by the Shipper antl accepted for himself and his assigns. Consigned to A•F,•Q•Cl. (Mall or street address of eonsigoet—Fw purposes of notification only.) 30677taoo fere. �h, 045' TIN Delivery Destination State-Zip-county Address* 'To be filled In only when shipper desires and governing tariffs provide for delivery thereof. Route Layward Delivering Carrier Car or Vehicle Initials No. ND. HAZARDOUS DESCRIPTION OF ARTICLES PECIAt MARKS AND EXCEPTIONS *WEIGHT CLASS(SUBJECT TO CORK. OR RATE aSubject licah e1 to bAlllCt of lon 7lading,at conditions PACKAGES MATERIALS II ah pmmt is to be recourse to the ,` j 7� � jr �� y y 3 c lnsginx he tom recourse on the j 3, '3 r ]l const nor,the consignor*halt sign the r "' following ser shall n The shipment shwa not make delivery of this t and all without payment of firPeer !end all other lawful charges_ Per (Sigasture of Consignor) If_7 h S- s4mp ere 'To be es Pre to P paid Id,write or Received S to apply In prerjdn m of the charges on the property described hereon. Agent or Caahler. Per (The signature here acknowledges only the amcums prepaid.) charges advanced: SHIPPERS CERTIFICATION:This is to certify that the above-named materials are properly classified,described,packaged,marked and SIGNATURE TITLE S labeled,and are in proper condition for transportation according to the applicable regulations of the Department of Transportation. C.O.D. SHIPMENT 'It the shipment moves between two ports by a carrier by water,the law requires that the bill of lading shall state whether it is"carriers's or shipper's weight.' ^'Shipper's Imprints in Ifeu of stamp;not a part of Bill of Lading approved by the Interstate Commerce Commission. Note-Where the rate is dependent on value,shippers are required to state specifically in writing the agreed or declared value of the properly. C.O.D.Amt The agreed or declared value of the property is hereby specifically stated by the shipper to be not exceeding Collection Fee THIS SHIPMENT IS CORRECTLY DESCRIBED. '-The fibre boxes used for this shipment conform to the spec- Total Charges ifications set forth in the box makers certificate thereon,and al! Shipper r COfjRECT WEIGHT IS LBS. other requirements of the Consolidated Freight Classification. Per " 3 , J • / i r: Shipper, Per Age , Pell F . Permanent post office address of shipper