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ALTERNATE STRAIGHT BILL OF LADING-SHORT FORM Shipper No <br /> Original—Not Negotiable ,r_ A /_ Carrier No <br /> ,� l/ / (Narne of Carrier) <br /> TO M <br /> �/1! f"� ��� RO <br /> Consignee , r//� Shipper C <br /> Street /rJC f1' Street If <br /> Destinatio Zip Cade Origin .p <br /> Route Vehicle No <br /> No Kind of Packaging Description of Articles Wafght <br /> Shipping 9 P (Subject to RATE CHARGES <br /> Units Special Marks and Exceptions Correction) <br /> / � L <br /> REMIT C O D FEE TOTAL <br /> COD TO PREPAID ❑ $ <br /> ADDRESS COD Amt $ COLLECT ❑ CHARGES <br /> Nate—Where the rate is dependent on value shippers are Subject to Section 7 of the conditions it this shipment is to be FREIGHT CHARGES <br /> required to state specifically in writing the agreed or declared value delivered to the consignee w+ ut recourse an the consignor the can <br /> of the property signor shall sign the f i Cement Check Appropriate Box <br /> The agreed or declared value of the property is hereby specifically The r sh no a liver t <br /> S�hppm.ntithout pey <br /> stated by the shipper to be riot exceeding re of r ch Collect <br /> Freight prepaid ❑$ per <br /> ISrgnsture of Consignor <br />(0 RECEIVED subject to the classifications and lawfully filed tariffs in effect on the date of the issue of this 9111 of Lading the property described above in apparent good order except as noted(contents and condition of <br /> contents of packages unknown)marked eons�gned and destined as indicated above which said camer(the word carrier being understood throughout this Contract as meaning any person or corporation in possessenof the <br /> property under the contract)agrees to carry to its usual place ofdelivery at said destination if on its route otherwise to deliver to anothercarner on the route to said destination It is mutually agreed as to each carrierof all or <br /> anyof said property overall or any portion of said route to destination and as to each party at anytime interested in all or any of said property that every sernce to he performed hereunder shM desubfeet to all the hill of lading <br /> terms and conditions in the governing classification on the date of shipment <br /> Shipper hereby certifies that he is famlhar With all the bill of lading terms and conditions in the governing classification and the said terms and conditions are hereby agreed to by the shipper and accepted for himself and his <br /> assigns <br /> SHIPPER CARRIER <br /> PER PER DATE <br /> LITHO in U 5 A <br /> Top$®FORM No 3841 <br />