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STRAIGHT BILL OF LADING <br /> CONSOLIDATED SHIPPER NO. <br /> ORIGINAL - NOT NEGOTIABLE CARRIER NO. <br /> 32 REV. 12 77 I <br /> Ile t CF W Y <br /> DATE <br /> SINGLE SHIPMENT PICKUP E] <br /> CONSIGNEE(TO) SHIPPER(FROM) <br /> STREET STREET <br /> 1(:;1 (ii EL /-/-5 S_CHocj_ /C?kS S. CJN/06/ A <br /> CITY.STATE ZIP CITY,STATE ZIP <br /> 15(5"33 6; <br /> ROUTE VEHICLE NO. <br /> NUMBER Weight CHARGES <br /> SHIPPING HM Kind of Packaging, Description of Articles, Special Marks and Exceptions Rate <br /> UNITS (SUBJECT TO TO CORRECTION) (for Carrier use only) <br /> at IV:.S wArt G-5 0A/ 7 ij <br /> I <br /> I <br /> I <br /> t o 57� <br /> I <br /> I <br /> I <br /> I <br /> I <br /> Note—Where the rate is dependent on value,shippers are required to state specifically Sub je t section 7 of the co ditions,if this shipment is TOT <br /> in writing the agreed or declared value of the property. to be deliv r to the consignee ithout recourse on the coin I <br /> The agreed or declared value of the property is hereby specifically stated by the shipper to signor,W <br /> nth followingstat ent: CHARGES be not exceeding. Thke livery of this s ipment with• <br /> out poyl of )lawful char s. FREIGHT CHARGES: <br /> fRE1GHT PREMID Check bones if <br /> $ per excepl when charges are <br /> ISi azure of Consignor) hex at right to be <br /> is checked collect <br /> The agreed value on household goods or personal effects does not exceed I0S per Ib.per article,unless otherwise specified. IK <br /> "THIS IS TO CERTIFY THAT THE ABOVE NAMED MATERIALS ARE PROPERLY CLASSIFIED, DESCRIBED, PACKAGED,MARKED,AND LABELED AND ARE IN PROPER <br /> CONDIT ON F fR TRANSPORTATION,ACCORDING TO THE APPLICABLE REGULATIONS OF THE DEPARTMENT OF TRANSPORTATION. ' <br /> RECEIVED,subject to the classifications and tariffs in effect on the date of the issue of this Bill of Lading,the property described above in apparent good order,except os noted <br /> (cont nts and condition of contents of packages unknown),marked,consigned,and destined as indicated above which said carrier(the word carrier being understood throughout this <br /> contr ct as meaning y person or corporation in possession of the property under the contract) agrees to carry to its usual place of delivery at said destination,if on its route,otherwise <br /> to de er to another a tier 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 <br /> and to each part a ny time interested to all or any of said property,that every service to be performed hereunder shall be subject to all the bill of lading terms and conditions in <br /> the g erning classif n on the date of shipment. <br /> hipper h r b ies t t he is familiar with all the bill of lading terms and conditions to the governing classification and the said terms and conditions are hereby agreed to <br /> by th hipper c f i self and his assigns. <br /> SHIPPER CARRIER CONSOLIDATED FREIGHTWAYS <br /> l i <br /> AUTHOR) D SIG ATUR AUTHORIZED SIGNATUR DATE <br /> fie' iz'zv -2/--'?C) <br />