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STRAIGHT BILL OF LADING Shippers No. <br /> ORIGINAL-NOT NEGOTIABLE <br /> Carriers No. <br /> CARRIER: s= F� _� ,Q� sEttE:rc�s SCAC Date 2-0- <br /> TO: -0- <br /> TO: FROM: <br /> Consignee 1-05CD P" A .R. R o C: Shipper I OSGO MA 0-tvr7-r"v&- <br /> Street 1380' A&1 t�+A 3LC: AV6* street !(0300 i'OU I-SL <br /> Destination R 0 0150 C A , Zip Cr S".-7 Z Origin i-A ir4 O p CA• ap <br /> Route: Ve icle umber U.S.DOT Hazmat Reg. N(. <br /> Number of WEIGHT <br /> Shipping Description of articles,special marks,and exceptions (Sub�E ". <br /> units HM correction) <br /> I <br /> Remit C.O.D.to: C. 0. D. FEE: TOTAL CHARGES: <br /> Address: COQ Prepaid❑ <br /> City: State: rp: AMT: $ Collect ❑$ $ <br /> •n este shgwn@M mesas between tyro ports by a cmmw by meter.the law requires that the Subled to Badwt 7 d*MK1dan rad W*wwc e tobe dammed to hs mugnm**itis[! FREIGHT CHARGEE <br /> d te lading WiO stawh~R fad <br /> I■lcen -or sh ppdY weight'. nomw on do cwrw7 wr,ft mrywe stet sign the lodarng sterna[ <br /> Now.-where the+ate In dependerr on tar..stifpoers are required to state spadfltady In Ttr atter[tires vas n-ka delivery d this ahs rrwA w tltam psymau d tretOftl aM al Odra taAt! FREIGHT PREFIALD <br /> when CHECK BOX <br /> The agreed or deelered vakm at bee d ft " dWg- b�dght durywa we <br /> to be not PrePaN �r 4 stated by the ehtpper Isdwited iot»Mid <br /> (t3gnar-s d Cwdgfor) <br /> RECEIVED,aides to the dasWica tlwu and tarille to atba on the date of this BA of U&q,fire faspaH described ahem in eppaah good order,eaopt ore noted(coda t4 ad tvrtddlnrr at taderm of poclizo s awkw wll. <br /> merited,taruiwud and dm*wd u hrtllceted above,w1ad said company(tiv wad company bWW urdnamod thougnord Cris Oona sa rm""Any Pweh or cvrpmedorr In Pepepron d the prePwty LWOW dw <br /> cathed)awreaa m arty b rs usual pt-q d tlWvay d ped daserratlon,ti on Its own roatl a Its awn wsta rte,owtarwte-to daWa m artatlta t>uriw m the rtwle!o Yid de-Wretlsn It k rmmaYy e¢wd,Y p eedr�ritr of <br /> ad Of arty Of said Pnpary tmnr ad a NI'prrmn d mW tame m destination,and Y to each party at any Wna INwrasud In ed or any said property,OW-INV savtre to be"ft.,-d tarwerJar;fna be su*d to ori Che <br /> bonditions not prdtE I by law,wt oew prrraed r r millet herein contained(a spedlled In Appeni fa e to Pad IMS)wtich am ttaaby awned to by tM"Wand WOW-1 for Wnno and his Ydgns <br /> This is to certity that the above-named matalials are properly classifled,described,packaged,marked and labeled and <br /> are in proper condition for vanspoon a=ordIng to the applicable regulations of the Department of Transportation. PER: <br /> ;1 SHIPPER: CARRIER:W/f5j'/ i xeLe0n; <br /> PER: DATE: P / Iv'7 !!•7C HL DATE: c C <br /> EMERGENCY RESPONSE MON AT ALL TIMES TFIF HAZARnn'IS MATERIALS IS IN TRANSPORTATION. <br /> TELEPHONE NUMBER: { ) INCLUDING STORAGE INCIDENTAL TO TRANSPORTATION(172604). <br /> 30-BLS-C2 <br />