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is an acknowledgment that a Bill of Lading has been issued and is not the Originak Bill of Lading,nor <br /> This Memorandum a copy or duplicate,covering the property named herein,and is intended solely for filing or record. <br /> Shipper No. � 1005 <br /> 3 <br /> f2 Carrier No. <br /> Date _ <br /> (Name of Carrier) <br /> To: V,- FROM: GMON RESEARCH CO-WAVY <br /> Consignee ! J C- . !^" Shipper _ <br /> Street _ Street 1085 S. LWWn Rd. (209) 823-2081 <br /> Destination Zip Code Origin Manteca. Cakforria 95336 <br /> Route Vehicle <br /> Number <br /> No.Shipping HM' Kind of Packaging, Description of Articles Weight Rate CHARGES <br /> Units Special Marks and Exceptions (subject to correction) <br /> REMIT C.O.D.FEE:C.O.D.TPREPAID 0 <br /> 4 <br /> ADDRESS COD Amt:$ COLLECT ❑ $ <br /> NOTE—Where the rate is dependant on value,shippers This is to certify that the above-nametl articles are prop- Subject to Section 7 of the conditions,if this shipment is to be TOTAL <br /> are requit so to state specifically in writing the agreed or erly classified,described,packaged,marked,and labeled. delivered to the consignee without recourse on the consignor,the <br /> declared value of the property. and are in proper condition for transportation according consignor shall sign the following statement: CHARGES: $ <br /> The agreed or declared value of the property is hereby to the applicable regulations of the Department of Trans- The carrier shall not make delivery of this shipment without pay- FREIGHT CHARGES: <br /> specifically stated by the shipper to be not exceeding portation. mend of freight and all other lawful charges. <br /> FREIGHT PREPAID Check box It charges <br /> 4 .'per�� Signature <br /> except when box at are to be <br /> St nature of consignor) r fight is checked ❑ collect <br /> RECEIVED,subject to the classifications and tariffs in effect on the date -f the issue of this said property over all or any portion of said route to destination and as to each party at any <br /> Bill of Lading,the property described above in apparent good order,except as noted(contents time interested in all or any said property,that every service to be performed hereunder shall <br /> and condition of contents of packages unknown),marked consigned,and destined as indicated be subject to all the bill of lading terms and conditions in the governing classification on the <br /> above which said carrier(the word carrier being understood throughout this contract as meaning date of shipment. <br /> any person or corporation in possession of the property under the contract)agrees to carry to Shipper hereby certifies that he is familiar with all the bill of lading terms and conditions <br /> Its usual place of delivery at said destination,if on its route,otherwise to deliver to another in the governing classification and the said terms and conditions are hereby agreed to by the <br /> carrier on the route to said destination.It is mutually agreed as to each carrier of all or any of, shipper and accepted for himself and his assigns. <br /> SHIPPER RESEARCH COWANY CARRIER <br /> PER C <br /> C�j PER <br /> DATE 4 <br /> Hazardous Materials <br />