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rSTRAIGHT t TILL OF LADING—ORIGINAL—NOT NEGOTIABLE <br /> 1 <br /> Shipper's No. ___ <br /> Carrierm[�SEx�1�T �•J/f9 SPiC+ <br /> aecETVEv,subJBN{a imrddny d CAC Carrier's No. <br /> y elemtkm,rota,Cr W,On to Nat head a P e cabW pon in d fee ena] ,g,n the center an,shipper II oPPrr O,Daren.% In p,e rates.des ,OIIWna anti mlea Net have been <br /> eEicaved W Ne nanlerand Br0 avallahU m Na anppN,on rBm+e.,c and au epplkxhre yeta ane Iaeanl rapweuonr <br /> at date fro OSv� <br /> the Prepnty eewtLvd Celmv,U eppvrent pone elver.eenepl ee noted(awafertls and w dVm Cf CNttenta CI pedmpes unkro ),marked,mrulpned,and dent6tee e9 Udnate0 below,whkh company <br /> (m0 woN mmpetry hemp uMeyna,Ned e¢a cronbacf as mewing arty pPuon Cr mrporuttan N pasaesabn of the <br /> mNe,N olh¢rwUe b dealer re BrrelMr®rtler on the reme W eyd Oeatinetlpn.I[U PmP"under the oemmct)agrees b cant'm dei"al aAid desenapon.H on IU <br /> aan perry el erN sena Uletmyd U an a any M oa9 Ptoppry Not oven xtvke nb ba tlperlparmed�j�erouneBr yup pa ec�b el Piny 0fe l°r Prry fwdlCn of eeW mule N tlegtlnatbn.ultl ea 0 <br /> epnNNeq IntluSmg Ile wndb-n-on fire back hared,whiyt are epme,fo by the zh r std for hkneell eine hU assi nOf p ONOeN by IAw,whewe,Pdme,I pr wrMen,hemin <br /> TO: � ��� Sa FROM:40b,• u-S� <br /> Consi nee 1/� Shi er <br /> Street , . . Street <br /> <' <br /> Destination ZiOrin <br /> -' <br /> Route y9 Zit qcw —� <br /> Delivering Carrier Vehicle Number U.S.DOT Hazmat Reg. No. <br /> e <br /> SSS �✓/�e- <br /> 3�t <br /> Remit GOD to: •° C E <br /> Address: unam nmun• on'h. .. .IInaI h <br /> `n.o= i de •°en"" Prepaid ❑ <br /> Ci!y: State: Zip: mpma ..uno ..ymmt of Inlueia I Collect ❑ <br /> NOTE:Where eu rete U depemlent on value,ahippere are inquired In yya apedlkaly In wdpnp TOTAL CHARGES: <br /> MB epmee Cr d exi veiue of Na pmpery The epee,or,,demi value of Itm pmperry In dFREIGHT CHARGES: <br /> hereby spaririratysmtedbylheehlpperb ne trot BTCeednp 5 Per (9Net•ad^ .p P id Collect <br /> NOTE:WCIIIIy LJmhadon for lase W danWP In NU MI nrn t may Ce applicable.Sae 4B BS.G <br /> 1A'yp6 <br /> (OKI A ems B -. <br /> TFL h m mrtlly Net w ee,;.&d meteeete ue crapedY do khl,de.bK papyay.n,nAmd •• ••I I BV SHIPPEN eY GABaIEp. <br /> and Iah W.end are In proper o Ilon IN tnia poeeum ecm g m Ne W11OnNe repo ,,one of a <br /> fMDepeunmtol TrwpmNm Per Da1VE7i5 <br /> BIGNATB E: <br /> SHIPPER • -S DC. CARRIER: <br /> P DATE: PER: _DATE: 1 <br /> TELEPHONEYRESPON MBER:SE 7�b qZ NAME OR CONTRACT NUMBER <br /> OR OTHER UNIQUE IDENTIFIER: <br /> 29.8LS-C3 969(Rev.9/10) <br />