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- 4 Copyyght 2017J.J.Keller 8 Associates,Inc.•Neenah,W I•JJKeller.com•(800)327-6868•Printed in the USA r STRAIGHT BILL OF LADING-ORIGINAL-NOT NEGOTIABLE Shipper's No. -19-60350 Carrier W-11b y' W,D)TALw 5E,�\i1c,65 SCAC Carrier's No. CIAO 053 S1�7541 RECEIVED,subject to individually determined rates or contracts that have been agreed upon in writing between the comer and shipper.if applicable,otherwise to the rales,classifications and rules that have been established by the carrier and are available to the shipper,on request;and all applicable stale and federal regulations: " at i 5�5 �r c P.r� �7RFL"� C]�1 date /6U 7 f/9 from Y9iC C 41El1,ew FD-PAIWA-1' the Property described below.In apparent goal order,except as noted(camen6 and condilbn of contents of packages unknown),marked.consigned,and desaned as indicated below which said company(the word company being urd—lood throughout this contract as meaning any person or corporalion in possession o(lhe property under the contract)agrees to carry to delivery at said destination,d on Its route.or otherwise to deliver to another carrier on the route to said destination.It is mutually agreed as to each carrier of all or any of said Property over all or any portion of said route to destination and as to each party at any time interested in all or any of said Property that every service to be performed hereunder shall be subject to all the conditions rot prohibited by law,whether printed or written,herein contained,including the conditions on the back hereof,which are hereby agreed to by the shipper and accepted for himself and his assigns. Consigned to Ni(aw COuh_ ffq CWMAL- LAQDFiU_ Destination I� �c2 �1 FZState County Zip Delivery `196010 Co nl� [-y y roa LAt4p Vow 457-7e Address Route Delivering Vehicle 9FS?_ CA- q9U -37G2- GR Carrier PA 9416,- Number P 13'q ! BL ZOZ Number of Weight Class Subject to Section 7 of conditions,if this Description of shipment Is to be delivered to the consignee Ditif Articles (sub.to correction) or Rate without recourse on the consignor,the consignor shall sign the following statement The carrier shall not make delivery of this shipment without payment of height and all other lawful charge.. (Signature of Consignor) FREIGHT CHARGES: Prepaid ❑ Collect ❑ COD AMT: TOTAL CHARGES: Collect On Delivery and remit to COD FEE: Prepaid ❑ $ $ $ Collect ❑ NOTE:Where the rate is dependent on value, shippers are required to state specifically in writing the agreed or declared value of the property. The agreed or declared value of the property is hereby specifically stated by the shipper to be not exceeding$ per NOTE:Liability Limitation for loss or damage in this shipment may be applicable.See 49 U.S.C.14706(c)(1)(A)and(B). Shipper: `( 91 C_ Carrier: P A'[(Z.fpT EtsJS\S1�00.�1f11'x.1C�1�— .�j Per: (4r , -- Date: IfLiYkIlPer: 1n11u.cA!'t'T,t�UQSrER�"� Date: 10(Rev.3/17) , T RECEIVED OCT 18 2019 ENVIRONMENTAL HEALTH DEPAR?-IVIENT