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STRAIGHT BILL OF LADING Shipper No. BOL247044 ORIGINAL—NOT NEGOTIABLE Carrier No. BELSHIRE Page � of � Date (Name of carrier) (SCAC) On Collect on Delivery shipments,the letters"COD"must appear before consignee's name or as otherwise provided In Item 430,Sect. FROM: 7-Eleven 14117 Consignee To: Philadelphia Recyciinq Gine shipper Street 2725 COUNTRY CLUB BLVD Street 12000 Philadelphia Street city STOCKTON State CA Zip Code 95204 City Mira Loma State CA Zip Code 91752 24 hr.Emergency Contact Tel.No. Route Vehicle Number No.of Units HM BASIC DESCRIPTION TOTAL QUANTITY WEIGHT CHARGES S Container Type UN or NA Number,Proper Shipping Name,Hazard Class,Packing Group (Weight,Volume, (Subject RATE (For Carrier Gallons,etc.) Correction) Use Only) Non Hazardous Concrete duo j I I 1 BEST #: 247044 PLACARDS TENDERED:YES r-1 NO O REMIT C.O.D.TO: Note—(1)Where the rate Is dependent on value,shippers are requked to state I hereby declare that the contents of this ADDRESS specifically in riling the agreed or declared value of the property,as loliows:'The consignment are fully and accurately agreed or declared value of the property is hereby spedroagy slated by the shipper to described above by the proper shipping C.O.D.FEE: be not exceeding per name and are classified, packaged, COD Amt: $ PREPAID O (2)Where the applicable tariff provisions spectty a Itmilation of the carriers liability absent marked and labelled/placarded,and are COLLECT❑ $ j a release or a value declaration by the shipper and the shipper does not release In all respects In proper condition for Subject to Seclion 7 d the conditions,If Ihla ahipmod Is to be delivered to the TOTAL the carrier's liability or declare a value,the carrier's Ilabiily shall be limited to tisa extent transport according to applicable se g gno g CHARGES $ j can a without recourse co the conal nor,the cons) r shell sign the provided by such provisions.See NMFC Item 172. inlematbnal and national governmental Iolt s2,n etatemena (3)Commodities requiring special or additional care or attention in handling M stowing regulallons. The cerrler shag not make delivery of this ahipmanl wlthoul payment d FREIGHT CHARGES must be so marked and packaged as to ensure safe transportation.See Sedlon 2(e)d freight and all other lavdul barges. F�RceEIqGHT PREPAID Chad box I�Wrgse Item 360,BMs d Lading,Freight Bilis and Statements of Charges and Section t(a)d =W —bo at E:] r called the Contract Terms and Conditions for a list of such articles. Signature (Sigiufun of conegnod right RECEIVED,subject to the dassilications and tariffs In egad on the dale of the Issue d Ws Bit of Lading, tination and as to each party at any time Interested In all or arry said property,that every service to be the property described above in apparent good order,except as noted(contents and condition of can- performed hereunder shag be subject to all the bill of lading tams and condifiors in the governing clas- lants of packages unknown),marked,consigned,and destined as indicated above tMoh said carder slfication on the dale of shipment. (the word carrier being understood throughout Us contract as meaning any person or corporation in Shipper hereby certifies that he is familiar with all the lading terms and conditions in the possession of the property under the contract)agrees to carry to he usual place of dellvery at saidis dealt- goverdng classification and the said terms and conditions are hereby agreed to by the shipper and nation,g on is rows,olherwee to dealer to another carrier on the route to said destination.It mutu- accepted for himself and his assigns. ally agreed as to each camer d all or arty d,set prcpedy,over a1 or any porion of mid route to des. SHIPPER 7- en CARRIER SHIRE PER PER DATE 1\1 _ – L/ u Permanent post-office address of shipper. STYLE CF375-4 02012 LABELMASTER® (800)621.5808 www.labelmaster.com INk.