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is an acknowledgment that a Bill of Lading has been issued and is not the Original gill 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. B 1060 <br /> Carrier No. <br /> — — Date <br /> (Name of Carrier) ) <br /> To: FROM: C-M�1.. MEARtCH COMPANY � <br /> Consignee Shipper <br /> Street Street l Cas S. Union Rd. (20%G23-2081_ <br /> Destination Zip Code Origin ktvftaL Ca"rma%336 <br /> Vehicle <br /> Route <br /> Number <br /> No.ShippingHM. Kind of Packaging, Description of Articles Weight Rate CHARGES <br /> Units Special Marks and Exceptions (subject to correction) <br /> I <br /> REMIT C.O.D.FEE: <br /> C.O.D.TO: PREPAID El <br /> ADDRESS CUD Amt:$ COLLECT ❑ $ <br /> NOTE—Where the rate is dependent on value,shippers This is to certify that the above-named articles are prop- Subject to Section 7 of the conditions,if this shipment is to be TOTAL <br /> are required 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 /> specrtically stated by the shipper to be not exceeding portation. ment of freight and all other lawful charges. <br /> FREIGHT PREPAID Check box If charges <br /> S; per Signature except <br /> Pe checked box at O are to be <br /> (Signature of Consignor) rightcollect <br /> I RECEIVED,subject to the classifications and tariffs in effect on the date of the issue of this said properr#@(ver 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 QQfN RESEARC#f.'COANI'MY CARRIER <br /> PER - }r PER <br /> DATE L� <br /> 'Hazardous Materiels <br />