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Original-Not Negotiable Straight Bil!f f Lading—Short-Form Shippers No. <br /> • �-f% <br /> ►v r C� f 2! ' Carriers No. <br /> (Name of Carrier <br /> RECEIVED,sAbfect to the classifications and lawfulA filed tariffs in effect on the date of the issue of the Bill of Lading. <br /> at /1 e' �t ,.�7 v ��1 1 /.S 20 fa K From I,YN I-In'll�l �'�W1, <br /> the property described below,in apps 1 good order.ex ec pt as noted(contents and condNon of contents of packages unknown),marked.consigned and destined as indicated below,which said tamer(the word tamer being understood throughout this <br /> Q ntrad as meaning any person or corporation in possession of the property under the contract)agrees to carry to its usual place of delivery at said destination,it on its route.otherwise to deliver to another tamer on the route to said destination.It is <br /> mutually agreed,as to each tamer of all or any of said property over all or any portion of said route to destination,and as to each parry at any time interested in all or any of said property,that every service to be performed hereunder shall be subject to all <br /> the terms and conditions of the uniform Domestic Straight Bill of Lading set forth(1)in Uniform Freight Classification in effect on the date hereof,R this is a rail or a rail-water shipment,or(2)in the applicable motor tamer classification or tariff it this is a <br /> motor carrier shipment. <br /> Shipper hereby certifies that he Is familiar with all the termsn- Sta <br /> d bill of lading,Including those on the back thereof,set forth In the classification or tariff which governs the transportation of this shipment,an <br /> the said terms and conditions are�eby agreed to by the shipper and his assigns. <br /> Consigned to— 1a r `may ( a % <br /> II or street address of consignee—For purposes of notification only.) <br /> 1 Delivery <br /> ] /(�>��(�. Address' <br /> Destination �` Olte ZIp SNA– &unt�l� Tobe filled in only when shipper desires and governing tariffs provide for delivery thereof. <br /> Route — —-- <br /> Delivering Carrier Car or Vehicle Initials No. <br /> NO. HAZARDOUS WEIGHT OR RATE of <br /> CLASS Subject to Section 7 of conditions <br /> DESCRIPTION OF ARTICLES.SPECIAL MARKS AND EXCEPTIONS SUBJECT TO CORM. - shipment bill of deliver, H thi <br /> s <br /> PACKAGES MATERIALS shipment la to be delivered the <br /> consignee without recourse on <br /> the <br /> consignor,the consignor shall sign the <br /> following statement <br /> The <br /> _ carrier shall not make delivery of <br /> • this shipment without payment of <br /> freight and all other lawful charges. <br /> Per <br /> (Signature of Consignor) <br /> if charges are to be prepaid,write or <br /> 1 stamp here,"To be Pro-paid." <br /> S ri <br /> Received S <br /> to apply In prepayment of the charges <br /> on the property described hereon. <br /> Agent or Cashier. <br /> Per <br /> (The signature here acknowledges <br /> only the amounts prepaid.) <br /> • Charges advanced: <br /> SHIPPERS CERTIFICATION:This is to certify that the above-named <br /> materials are property classified,described,packaged,marked and SIGNATURE TITLE s— <br /> labeled,and are In proper condition for transportation according to the <br /> applicable regulations of the Department of Transportation. C.O.D. SHIPMENT <br /> If the shipment moves between two ports by a carrier byy water,the law requires that the bill of lading shall state whether it is"carriers's or shippers weight" <br /> Shipper's Imprints in lieu of stamp:not a part of BIII of Lading approved by the Interstate Commerce Commission. C.O.D.Amt <br /> Note-Where the rate is dependent on value,shippers are required to state specifically in writing the agreed or declared value of the property. <br /> The agreed or declared value of the property is hereby specifically stated by the shipper to be not exceeding Collection Fee <br /> THIS SHIPMENT IS CORRECTLY DESCRIBED. The fibre boxes used for this shipment conform to the spec- Total Charges <br /> ifications set forth in the box makers certificate thereon,and a:l Shipper g <br /> CORRECT WEIGHT IS LBS other requirements of the Consolidated Freight Classification. Per <br /> Shipper, Per Agent, Per <br />