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is an acknowledgment that a Bill of Lading hair been issued and is not the Original <br /> This Memorandum Bill of Lading, nor a copy or duplicate,covering the property named herein,and is <br /> intended solely for filing or record <br /> Shipper No., 1- 9580 <br /> /J Carrier No. <br /> Page of � ft'/l � Date � <br /> (Name of carrier) (SCAC) <br /> On C01act on Dg%wy shipmem.rie wmnCW mustappea`Wore cona a&namear.s° "°'°N°a°nWn4xSw-t. HILL BROTHERS CHEMyCArCO. <br /> z2c- fl (i+ -- street y/n L l �/a <br /> Street s (=- City State zip Code 5'13Icity l <br /> State / Zip S" 24 hr.Emergency Contact Tel.No. CHEMTREC 1-800-424-9300 <br /> Vehicle <br /> Route Number <br /> No.of Unitsp� BASIC DESCRIPTION TOTAL QUANTITY WEIGHT CHARGES <br /> 6 Container Type HM :I Proper Shipping Name.Hazard Class. (weight. Volume. (Subject to RATE (For Camer <br /> Identification NumW(UN or NA),Packing Group,per 172.101,172.202.172203 Ga(bns.etc.j Corrections)a Use Only] <br /> G <br /> � r . <br /> PLACARDS TENDERED: ESW NOM REMIT <br /> C.O.D.TO: <br /> hole—(li where ate rate ie dependent an value.shppaa are mWmd m slaw I nemby declare that ft Consents or this ADDRESS <br /> speci6wNy,It vff"ate ageed or declared value date prop&V as Iofiu4m lba consig.Nowa ate&lily and accurately,0050133 <br /> &greed of dedarod vA*of lla Wop"rs hereby S 90eel.stetedby ate stripper above by as proper anippag name and are C. FEE' <br /> lobe net wcaeddq per classified. packaged, marked and COD PRPAID ❑ <br /> (21 where as&ppI '' lane pkovwom speolya smea0on d we Ca nays kwq yb "PeacArow•and aro in as rtlpacte m Amt.S COLLECT❑ $ <br /> absem a release or e value deciaraeon by the strayer end we snaer does not proper aondoon for trans pon accordwv to <br /> likable imernational end national s lo.$&kwon T d ths 0004b",I at-stiptan is w be <br /> release to camees liapvly or detlae a value eke caterer's ase+ar stall be ended to <br /> applicable <br /> desvemd to els OOn6gnea-Nftaa recourse on the cons4nor,ate TOTAL I <br /> as extent bottled by so wm-sqm.see hw c Nem 172 r"0iea rO O"� owskq wr etas alpn as Wow!g swumert: CHARGES $ <br /> (3)Comrnodiaes MgUrng speaa or addadnal me or alL "m n her d mg or The carter stns not make delivery of am gWff ell rrdW <br /> paywWR of Bei m and N oew te-u ow"s. FREIGHT CHARGES <br /> a""must be w marked am packaged as to Clone safe dampww".See it <br /> Serd'an 2(el of flan 3W..Bias of Lading,Freight Bills and statements ul chum ��yp�f then box a 0herk W. re io be <br /> and sea iat t(al d live Ckraraa Terms and Cprtgwm for a W Of SLO arWdee. ftnatum tsvree.a aae✓frrd checked colleal <br /> ❑ <br /> RECEIVED,su lew n ora dtlwltob s uo utr h a Nun on cos date of itlkm of tar Eel a Latina.rM Pyr tlwxwaewk wow MOW Petr tl any sms Marwad w Y a carr seo O'ossdr ate scary ssrvtp ns or pRlerkurd <br /> fleekl8ed oboe n appran[gookf Rd R.PPOt tl rlaed(EGntMfa Ytd Oen�llan d 001dw0 aF Pwrkag��lwluWMk, hm AWW WW br wow le as ow Na ce taring W M Md a0r1dh n ah BalNmtg CMMdICeNGt w M deN W <br /> moked,owatpad.and doaried w yrdtceled above Cera pard oww Iso rwd cams,bwq wtaeralood Ntrwptoa ekyntwe. <br /> Cas rnrtrtKf as mwrrq coy P-/en lir corp-&Coll n Posuwrw a err Pepeny ester nM centraal spw n carry to LNappr newel oerMr em rr-:weer telco aA lir redrq lwmr eM eertpews w oa eeramdq daarwen uta <br /> a wet pe:a dravrrY y sea deatvwWw,d w as retie.rsnwe a to d*1—a stow-awl«en M mule lO iso em sed teras weld a as ar w k-hY+g Cad nlir e e snpp-end ieospq ao r ineer sno We awgkn. <br /> dnortsaon.It r nwrusay agr.la tl m wen prnter a Y-cry aL cod poPsrlY eve an a enc Paean a Cao row w <br /> SHIPPERr r f++�( � �� CARRIER € <br />