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9013 '.-("ART F•OR1A} "MO 7,
<br /> UNIFORM STRAIGHT BILL OF LAU$ G Original—Not Negotiable—Dom*tic Shipper's. 46732-A
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<br /> Haz Mat Trans Inc. P.O. Box 5129, San Bernardino Carrier Agent's No.
<br /> RECEIVED,sub}ect to the classifications and tariffs in effect on the date of the issue of this Bill of Lading,
<br /> at 1990 Piccoli Rd. Stockton from Unified Western Grocers
<br /> uarnornl r,.M.a,mwgrrn ane e.er,ae as.r,own p.ew,,.t:a,aero=«wem Im.ware camw^y ne:w mraerrwad mroudrom see carwaa u�+o any aaso�«oorparanea�ooeeaeaon
<br /> Srra VCMR'/h MeC WM R iGPr..�t G'�d o,tls..�c1N.5 n�1.6 tCMr a.W CO/M�r,d caMmis d Pkr.9°� eGMr.�M m GfvM t0 a1o,Mf ort1.,On tlr rout 10 S+id NaEn+a«,.R w M,SWI.Y N�..�.as to each Gfti'
<br /> d m.rvcaanv ena.r,M mno-.�l ryrn m carry m m uaw ah.ca a aaw.ry•�..a ea.sruom.w an.a own r.xrwa.we.v rye,nyawy roma«rano,«�,ti w.yory d as> y r>p.rarane. �,e se m,doar car r>��p M law,wrutlwr orroh.a a watrn,n.,.m mres,W.,eaadea
<br /> d a+«>nv d>.b wawro aer..«any oaruee w shwa�.m dam iw ht,�c+.a.iia n a,�nq,u.murnea m�i«ar+v a.w wwenvm.i...n'•�,or w e.ne•tormee n.r.mrau sn.r e.wyaa
<br /> m.�euaaaR,x Dock n.r.er,dw r,am nencr av'.•e,o ev er•ro.r
<br /> Mail or street address of consignee—For purposes of notification only.
<br /> Consigned to A.E.R.C.
<br /> Destination 30677 Huntwood Ave. , Hayward _State of CA Zip Code 94544 County of L.A
<br /> street city Vehicle
<br /> Delivering
<br /> Routing Carrier or Car Initial No.
<br /> Collect On Delivery C.0'11'dye Shite El
<br /> $ and remit to: to be paid by Consignee El
<br /> Subject to Section 7 of conditions, if
<br /> this shipment is to be delivered to the
<br /> Street City State consignee without recourse on the con-
<br /> signor, the consignor shall sign the fol-
<br /> Description of Articles,Special Marks,and Exceptions 'Wei �t Cts Check lowing statements:
<br /> PacNloca s Sub.t gCar. or late Column T� carrier shall not make delivery of
<br /> this shipment without payment of freight
<br /> h" and all other lawful charges.
<br /> 4, (Signature of(5onsignor.)
<br /> If charges are to be prepaid, write or
<br /> stamp
<br /> .. here,"TO BE PREPAID."
<br /> . � .. '� aXs>•y
<br /> a - .,..a•'i=..min w:•a_m ' L^e:.'=}Xtm..rc.#..-.k 'w' _ `:in"va,"z-
<br /> Received$ to apply to
<br /> prepaymeii of the charges on the
<br /> property described hereon,
<br /> t
<br /> Agent or Cashier
<br /> �d�� •/ �!' :� ' ,, �- ',x, k.' � ;:;�,.n rev_ - , .,.=`�'�.
<br /> .>.<. - ;�:sh➢u=ir"as�., .�e,."= :.aP`' «ro%= ..�.sA .�^roc�g,�: Per
<br /> .p;r
<br /> (the signature here acknowledges only
<br /> the amount Prepaid.)
<br /> "I}the shipment o ports by a crania by water,the law requires that the bill of lading shall stare whether it.5'canter's or shipper's weight" NOSE Where the rete is deoerhdertt Charges Adv
<br /> on value,shippem are required to state spesific+tly in writing the agreed w dedared value cr the propedy.
<br /> The agreed or declined value of the property is hereby ..
<br /> spscNimily :tared by the sthipper to be -01 rice" Per
<br /> e Shipper, Per Haz Mat Trans Inc-Agent, Per
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<br /> ane.poat.offioe address of shipper, Unified Western Grocers 5200 Sheila St. , Counerce► CA. 90040 i
<br /> (This Bill of Lading is to be signed by the shipper and agent of the carrier issuing same.) --
<br /> Bill of Lading
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