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10/16/2015 15:34 OLD—DOMINION P 19513711706 �,2 ;�} C3 �g� /� D 2/3
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<br /> OLD DOMINION FREIGHT LINE, INC.
<br /> INTERNET STRA19,6K BLL OF LADINGwww.odfl.com
<br /> ADINGm THANK YOU FOR CHOOSING
<br /> -
<br /> ORIG OT NEGOTIABLE OLD DOMINION FREIGHT LINE
<br /> C(1))
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<br /> li1'llllv_-1Z:1:Lv.l:ll.: FREIGHT CHARGES: DATE: PLACE PRO LABEL HERE
<br /> l:}Y'ti�J4.la1J:
<br /> Prepaid
<br /> �BIL#-
<br /> PO#:
<br /> J /�jv /�•��ws"tJ/" a �a/�l�`i j'1�`J`I � Amount:
<br /> Shioper required to inbrrn Carrier if
<br /> l� G>' y J, `/��` �/�� C�/ �"{✓ P , personal/company check not acceptable.
<br /> 4 cs-/n�t3 7- COD Fee:
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<br /> • Subject to section 7 of the conditions,if
<br /> / �/ j� this shipment is to delivered the
<br /> ��
<br /> � �/ consignee without recourse an the
<br /> BILL CHARGES TO: REMIT TO (COD): consignor,the consignor shall sign the
<br /> following statement;The carrier shall
<br /> not make delivery of this shipment
<br /> without payment of freight and all other
<br /> lawful changes.
<br /> f S,Onature o(Consionor)
<br /> Pieces I HM I Type I NMFC No. Class Weight(lbs)
<br /> ❑ ---
<br /> El
<br /> ❑ v I
<br /> I ❑ ,- I
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<br /> SPECIAL INSTRUCTIONS
<br /> RATE REFERENCE#
<br /> (HAZARDOUS MATERIALS EMERGENCY CONTACT:
<br /> FREEZABLE-NO (Total Weight: I
<br /> Total Shipping Units:
<br /> RECEIVED and mutvM agreed by the shiver,hu asalgns and any ad/tetanal pert,'wllh an Intern to any nr uld Carrier's ma*imam cargo liability unless otherwise set forth in applicable tariffs(in eluding OD
<br /> Or. hecto and by the Uma o!dl at any of said property orer all or any po"lon of raid rove td destination. Ru I[s 100,It[ms 594&574)r Is:for new commodities•$5.00 per pound or 1 0,0 It p[r
<br /> Rhal everyservice to be perf armed hereunder 1ha11 be rublM Loth•Natioml NoW height cLauin-Ilene(NMr occurrence;for used commodities(incl.machinery)or household goods-(0.10 per pound or
<br /> LOCISedesl inrluding the Rules,packaging,the thiforn NU of Using fermi and Conditions,appllrabl, $10,000 per occurrence. See tariffs for available higher levels of carrier cargo liability,
<br /> re 141,5 1 ar the Us Dep.—n!of Transportation(DOT),LTA Hanrdouf 14
<br /> n! Guide Rook,Household
<br /> Gooef Nllwge Guides,GMer'f tarlNa(Intludlnq OD Rule 30a),Grr1els prlclnq achedV lef,team,condltlons and
<br /> '11.malnuinad al Onlda general ifill—all of.hi,h are in.n.ct.r nr the date of le.,,.of thls Bill or tadtnp. ACCESSORIAL SERVICES REQUESTED Addt Cxgo Liability Am;
<br /> lhipp.r certMn that the—Agned merchandise is property Weighed,clauMed,deser bed,packaged,marked,
<br /> labeled,euUnM as Indl—d.In apparent d—erd.r—rvt as haled(-.lent,and r...dhiov of cnntems of LJ ARN []CA HYD IDC IND
<br /> pscJrpe unkna.n),and In proper condition for tnesponaoon accarr mq to the DOT and the NNr 100 series,
<br /> nt
<br /> raer(Carrier donned throughout this c.nlranas meaning any person or rnrpnratlan In p.sseulan of the ❑OVL a OV2 O TRS O RDC
<br /> property under this contra")agrees to carry to Bald destination it an les route,o1he"ise to deliver to another
<br /> urger-the—t-1.Bald deei.atl.n.Carver shall In nn event be[liable for lose or prem,in—,Interest,
<br /> art—,,leu,at any q dal,inodentat or tonaquentlal damage I chipper 1)warrants it has read all applicable contract(s)or Carrier's applicable tariff(s).
<br /> N OTt-Where the rate Is dependent an value,shippers are required to state specifically In writing Including but not Iim tied to OD Rules 100,and the limitation of liability provisions set forth
<br /> the agreed or declared value of the property.Noting a value is not a request for Addl Cargo Llab.I(herein:and 2)has actual knowledge of and accepts the contract or tariff terms,Including the �••• m7s
<br /> The agreed or declared value of the property Is hereby apecincally stated o
<br /> by the shipper to be not ii,x—leg limits IT carrier liability.
<br /> 5 Der des-adM
<br /> (SHIPPER: DATE: IHIU RECEIVED. I TRAILER NO.:
<br /> AUTHORIZED SIGNATURE:(Shg)per) (CARRIER: OLD DOMINION FREIGHT LINE, INC.
<br /> (AUTHORIZED SIGNATURE:(Driver)
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