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is an acknowledgment that a Bill of Lading has been 1 is not the OriginaltBill of Lading,nor <br /> This Memorant 1 a copy or duplicate,covering the property named he intended solely for filing or record. <br /> � w Shipper No. v �-�' <br /> 7 Q <br /> r Carrier No. <br /> Date - - <br /> (Name of Carrier) <br /> TO: FROM: <br /> Consignee -t Y shipper GORDON RESEARCH COMPANY <br /> Street / y i1/F?y% ,[>Q�s/ street 1085 S. lsrdort Rd. (ZU9)823-2081 <br /> -- <br /> Destination r7 ,a fc � Oma+ ' Zip Code Origin Mlarlteca, California 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 /> --— r-- <br /> V .� <br /> REMIT C.O.D.FEE: <br /> C.O.D.TO: �..ft+ ' (r PREPAID ❑ <br /> ADDRESS J �` COD 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 consigrwr.the $ <br /> declared value of the property. end 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 tothe 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. merit of freight and all other lawful charges. <br /> FREIGHT PREPAID Check box If charges <br /> except when box at are to be <br /> $ per Signature —(Signature <br /> of Consignor) rightis checked Collect <br /> RECEIVED,subject to the classifications and tariffs in effect on the date of 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 throughoutthis 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 �I MWN RESEAF"COWAM CARRIER <br /> PER PER �j <br /> DATE N�iJ` <br /> 'Hazardous Materials <br />