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STRAIGHT BILL OF LADING-ORIGINAL-NOT NEGOTIABLE <br /> � //// Shipper's No. <br /> Carrier ftD5 6j&q 01J01E/]*LS CAC Carrier's No. <br /> AEC ENED,subject m lnd iduwyy dalermined rotas at mrmam lel Ham been agreed upon in wu uq between to carrier and shipper,If apinkable,otherwise m No rates.d ifirmareu and rues Drat batve been <br /> esmblched by Ne coder and em avnikMe to Ne Nipper,on fi,tx t;and all appwmNo state aM federal repulefionS; <br /> at date from .�4eGCU0 <br /> the Pmpedy described below.N apparent good amer,aucept u name(cement,and condition or coreenC of pactu% as unlawwn),nwkod,con pled,and desNwed to Indicated bekw,whoah sold <br /> (me word comparry being understood Nrmyttoul this anneact as hearing any,prewar or migrcmion In posaesslon of one pmpedy,under the contract)agrees M wry,0 dethmry at said destination,a on to, <br /> we oraerwlse N daYver k amanr®wrier en Dte route Ip Sok Msanmbn.His mubuwy agreed as toparr coder a dl or any al oak Pmpefy over a0 a arty podbn a bald mum m desNudon,and=W <br /> each party at arty,time Intemslad in atl or any at sak Property Net every Servke k ba performed hmeunder shoo be subject to all Ne oa dltloru not pmn169ed by law.whatnx printed of wMtun,herein <br /> cardonea,Including Ne cordtims on lee beck haroof.wtkh am thereby egrood U,by the Copper and etzepted fa'bimaNl and his assigns. <br /> TO: Va&�,f 55 <<A( So 'iSrJS FROM:,�Ot7i (,_S <br /> _DJD ii�6F SG' a L <br /> I Consignee Shipper c� <br /> Street �J /rvn,u// Street ���-"7 G /✓�-1-� <br /> l Destination er-zhI ,JOaU1) lfo4t, zip 94801 ; Ori in Garr, zip9s..2y-2— <br /> Route <br /> Delivering Carrier �tg =t,��b Vehicle Number U.S.DOT Hazmat Reg. No. <br /> Number aqd Type HNI N,I.D <br /> Description of Artici� Class Grp'l (,tA=1. <br /> of Packages rnber <br /> te <br /> wNf9$a L C�,.Ty . <br /> w��llsaes.�c. wr+s <br /> i <br /> �SeC:o� •vc 2 5rxAf11XL S r <br /> emit COD to: wrem.m e e :«ea ur o CDD FEE: <br /> imam ,<. ^^ me neloner, in. COD AMT: ❑ <br /> Address: meew+a�h•fmmM;mrm.,a @ Prepaid <br /> City: State: Zip: ehipmw Mu rev w�•^'°huh r'^e a" $ Collect ❑$ <br /> m,wwdmrhmw• <br /> NOTE:Were de rete is d unt of Hoon value,aTppam mea mruretl rr date ur of e p In property <br /> a TOTAL CHARGES: FREIG ARLES: <br /> h e agreed or dedatee value of Na pmo be The agreed or dackred value ml Ne pmpmM U 1 <br /> hereby apedacelly atautl by the Nipper to be not exceeding t Per ISpoaee m cvapan L1 Prepaid �Collect <br /> N6rE:t r.wgty Wnlmtlan for ku or damage in N4 shipment troy b r SPptlnble.See 49 U.S.C. �-e <br /> ad e t a erM a • s [IaY SHIPPER []9Y CAAAIEA <br /> Tele k to wmy out to amaua nwrrnt msur4le are M"dessmee,tee bed.pebagad,mrexeC <br /> andadated,and.In Proper condition ten U. poralon erdng b Ne app9ume m9u4tlmo d • s OAfVFAS <br /> are Depemaanr a Trwne, on.Per $ILII Fl <br /> SHIPPER' CARRIER: A <br /> ZIFFA <br /> PER: - DATE: PER: DATE: <br /> EMERGENCY RESPONSE ��y�,/ NAME OR CONTRACT NUMBER <br /> TELEPHONE NUMBER: ��� w�'Ty-S�"�/'� OR OTHER UNIQUE IDENTIFIER: <br /> — —— - —_ - <br /> 29-BLS-C3 969(Rev.9110) c`1 <br />