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PICK UP ON TRUCK pp�� [�y <br /> If ce,'os re PYdEe pT€QSi4 write or stamp <br /> ,�„� here,'To be Prepeitll' <br /> The way Business STRAIGHT BILL OF LADING SHORT FO`s <br /> Gets Commun t atetl" <br /> Original-Not Negotiable. <br /> RECEIVED,subject to the classifications and tariffs in effect on the date of issue of this Original Bill of Lading. <br /> RECEIVED,subject to the classifications and tariffs in effect on the date of the issue of this Bill of Lading. The proped,described below,in apparent good ower,except as <br /> noted(contents and condition of contents of packages unknown), <br /> marked,consigned and district es indicated be.smar said <br /> DELIVERING CARRIER: PICK—UP veot ea( wood carrier bong understood throughout the can. <br /> meaning any person or corpora possession of the <br /> property under the contract)agrees to carry to its usual place of <br /> delivery at said dastmamn,if on its routemhelwias to deliver to <br /> VEHICLE OR CAR INITIAL: another carrier on the route to said destination.it is mutually <br /> agreed,as to each carrier W altar any of said property over all or Received$ <br /> any portion of told route to destination,and as to each pad,at <br /> any time interested in all or any of said property,that every to apply in prepayment of the charges on the <br /> servlombepedormed hereunder shall be subject to all me terms property described hereon. <br /> SHIPPER'S NO. DATE SHIPPED CUSTOMER NUMBER andponmgono <br /> a of me uniform omanc straight Bumf Lading set <br /> form(t)on official,southern,western and Illinois Freight <br /> Classifications in effect on the date hereof,n this is a dial or rail <br /> 68201A O /06/03 862950 were,shipment,or(2)in applicable motor tamer dassefoaeon <br /> or tariff it this is a motor carrier shipment, <br /> ..... .. cenmes that he is%miller wen all the terms <br /> It the shipment moves between two ports by a carrier by water,the law requires that the bill of lading shell ane sond'efons of the said bill of lading,including those on the <br /> state whether it is"carrier's or shipper's weight' back thereof,ser forth in the clessufoation or tariff which governs Agent or Cashier <br /> NOTE-Where the rate is dependent on value,shippers are required to state specifically in writing the the transportation of this shipment,and the said terms and <br /> agreed or declared value of the property. conditions are hereby agreed to by the shipper and accepted for <br /> nlmsell and m eigns. <br /> The agreed or declared value of the property is hereby specifically stated by the shipper to be not <br /> NOTE:When the rata dependentis on value,shippers <br /> exceeding per are required to state specificallyallyinin writing the agreed <br /> This is to certify that the above named articles are properly classified,described,packaged,marked and or declared value of the property. Per <br /> labeled,and are in proper condition for transportation,according to the applicable regulations of the The agreed or declared value of the property is The signature here acknowledges only <br /> Department of the amount pre-paid. <br /> Transportation, Shipper hereby specifically stated by the shipper to be not <br /> Subject to Section 7 of Conditions of applicable bill of lading,if this shipment is to be delivered to the exceeding <br /> consignee without recourse on the consignor,the consignor shall sign the following statement: <br /> The carrier shall not make delivery of this shipment without payment of freight and all other lawful charges. Per Charges <br /> t'The fibre boxes used for this Shipment conform to the Advanced: $ <br /> specifications set forth in the box makers certification <br /> thereon,and all other requirements of Uniform Freight <br /> (Signature of Consignor) Classification:' <br /> Collect on Delivery$ and remit to: t Shipper's imprint In lieu of stamp,not a pan of bill of <br /> Iodine approved by Interstate Commerce Commission. <br /> NO PKG. QUANTITY PRODUCT NO. W REHOI USE DESCRIPTION WEIGHT CLASS <br /> 0009 E R COH AFICIO 250 DIGITAL <br /> M # AF250—U <br /> R250 7428070222 <br /> ✓ 1— 1 RUPOF R COH PS330 PAPERDI <br /> C-L0009 Eir * USED <br /> OE M # 209501U �(G <br /> ZFPPD 8038072523 <br /> ✓ 1— fRUF08 RI COH ARDF DF65 DDC FEEDR \ ^ <br /> C-L0009 Ui A ILIO 200 * USED n x <br /> OEM # 410006U �� v <br /> Z ADF 7308073930 <br /> TMS SHORT TERM RENTAL RETURN TO LCC GL0009 <br /> ***STAR CLIMBER NEEDED* ** <br /> CONTAC s MIKE INFURNA 3RD FLOOR <br /> COPIER WAS RENTFI BY WFENEY CHIN W SECOR CORP_ 650-691-0131 <br /> KTAYL 3329 <br /> FIRM PUP DAY <br /> 151203 503 PO # A28070222 (209) 468-3425 G <br /> TOTAL WEIGHT 0_0 <br /> CONSIGNEDTO: SHIPPER: <br /> SAN JOAQUIN CTY PUBLIC IKON OFFICE SOLUTIONS NW <br /> HEALTH SVCS IKON 4754 BENNETT DRIVE <br /> 304 E WEBER AVE 3RD FLR <br /> STOCKY N CA 95202 <br /> DELIVERY AND ACCEPTANCE CERTIFICATE Ke <br /> rized Sig r / <br /> The Customer named above hereby certifies that each item of equipment or product described above has been <br /> delivered,installed and accepted and Customer hereby agrees that each such item of equipment or product is in <br /> good condition and satisfactory for all purposes(including,in the case of any rental agreement or equipmenVproduct I <br /> schedule("Rental Agreement")for such equipment or product entered into between Customer and IOS Capital,Inc., <br /> the whollyowned financingsubsidiaryof IKON Office Solutions, Inc.,for all purposes of the Rental Agreement). Date <br />