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1 1 IIS Ivlernuranuum """ ^"urnvuyrnant urnt a om UI I aoing nos Dean Issueo antl Is not Original
<br /> Bill of Lading,nor a copy or duplicate,covering the property named herein,and is Shipper No.
<br /> intended solely f fng or record.
<br /> Page of i. Carrier No.
<br /> li
<br /> (Name of carrier
<br /> (SCAC) Date
<br /> On Collect on Delivery shipments,the Jeffers"COD"must appear before consignee's name or as otherwise provided in Item 430,Sec.1.
<br /> FROM:
<br /> TO: Shipper C-�.
<br /> Consignee —
<br /> Street I S 2
<br /> Street t i(75 !-G�c tl k e
<br /> , 'c 5 7
<br /> City ""��:�'ie'?- � SState (. ,�I .Zip Code
<br /> City 1 t{ State ( Zip Code t l S / /
<br /> 24 hr.Emergency Contact T.I.No.
<br /> Route Vehicle
<br /> Number
<br /> No.of Units BASIC DESCRIPTION TOTAL QUANTITY WEIGHT
<br /> Proper Shipping Name,Hazard Class UN or NA Number,Proper Shipping CHARGES
<br /> p Grin Name, g (Subject to RATE (For Carrier
<br /> &Container Type UN or NA Number,Packing Group or Hazard Class,Packing Group (Weight,
<br /> etc.)a Correction) Use Only)
<br /> Ji X AJ,,??C srWef, 6�•cf
<br /> AA 7T C=1?fi!S lot y , <'�J^-tu ,:, y r�� :4G,unv yrl.✓r'frC' f}
<br /> � ISG't77" usF rJ
<br /> ra-�-trPFg7''S �vR ,[�rcye t f.vGS {c t°d 1S�/�
<br /> PLACARDS TENDERED: YES O NO 1 REMIT
<br /> Note—(1)Where the rate is dependent on value,shippers are required to state I hereby declare that the contents of this C.O.D.TO:
<br /> specifically in writing the agreed or declared value of the property,as follows:'The consignment are fully and accurately ADDRESS
<br /> agreed or declared value of the property is hereby speci icefly stated by the shipper to described above by the proper shipping - C.O.D.FEE:
<br /> be not exceeding per name and are classified, packaged, COD Amt: $ PREPAID ❑
<br /> (2)Where the applicable tariff provisions specify a limitation of the carriers liability absent marked-and labelled/placarded,and are COLLECT ❑ $
<br /> a release
<br /> or
<br /> value declaration by the shipper and the shipper does not release in all respects in proper condition for
<br /> the carders liability or declare a value,the carders liability shall be limited to the extent transport according to applicable Subject to Section 7 of the conditions,it this shipment is to be delivered to me TOTAL
<br /> provided by such provisions.See NMFC Item 172. international and national governmental consignee without recourse on the consignor,the consignor shall sign the CHARGES $
<br /> (3)Commodities requiring special or additional care or attention in handling or stowing regulations. following statement:
<br /> must be so marked and packaged as to ensure safe transportation.See Section 2(e)of The carrier shall not make delivery of this shipment without payment of FREIGHT CHARGES
<br /> () freight antl all other lawful charges. FREIGHT PREPAID Check box A charges
<br /> item 360,Bills of Lading,Freight Bills and Statements of Charges and Section t(a)of except when box I are r es
<br /> the Contract Terms and Conditions for a list of such articles. Signature (signature of Consgnor) right is chadced ❑ collebe
<br /> ct
<br /> RECEIVED,subject to the classifications and tariffs in effect on the date of the issue of this Bill of Lading, fination and as to each parry at any time interested in all or any said property,that every service to be
<br /> the property described above in apparent good order,except as noted(contents and condition of con- performed hereunder shall be subject to all the bill of lading terms and conditions in the governing clas-
<br /> tents of packages unknown),marked,consigned,and destined as indicated above which said carrier sfficabon on the date of shipment -
<br /> (the word carrier being understood throughout this contract as meaning any person or corporation in Shipper hereby rI fies that he is familiar with all the lading terms and conditions In 4he
<br /> assession of the property g
<br /> P p party wise the contract)agrees to carry to its usual place of delivery at said utu- governing classification and the said terms and conditions are hereby agreed to by the shipper and
<br /> natien,if on its route,otherwise to deliver to another carrier on the route to said destination.It is mutu- accepted for himself and his assigns.
<br /> ally agreed as to each carder of all or any of,said property over all or any portion of said route to des-
<br /> / `
<br /> /.
<br /> SHIPPER �iil�:. f✓ r� ��,;f CARRIER
<br /> PER >' ' PER
<br /> � J
<br /> DATE
<br /> J
<br /> Permanent post-office address of shipper. STYLE F360-S ®2003 LABELNIASTER®(800)621-5808 www.labelmaster.com
<br /> ®RarreowaEc.c.�oP.omr�•r,;,,,,,�
<br /> uswe soreer,x mrc SOY INK"
<br />
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