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• <br /> Memorandum is an acknowledgment that a Bill of Lading has been issued and is not Original Shipper No. <br /> Bill of Lading,nor a copy or duplicate,covering the property named herein,and is <br /> i <br /> intended solely for filing or record. <br /> i <br /> of Carrier No. o,Q i <br /> Q � 1 <br /> (Name of carrier) (SCAC) Date 12--3� u <br /> 1 <br /> t <br /> i Delivery shipments,the letters"COD"must appear before consignee's name or as otherwise provided in Item 430,Sec.1. FROM- <br /> 3e <br /> Ft irq/ vo <br /> :eV1—)ill Shipper <br /> 57 (D U) SC t'i ' --r')0 City y"pt*�rO J (?A State � Zip Code <br /> I` State Zip Code 9,, T/3 <br /> 11 1V t� 24 hr.Emergency Contact Tel.No. <br /> Vehicle <br /> Number <br /> BASIC DESCRIPTION TOTAL QUANTITY WEIGHT CHARGES <br /> if UnitS H.■ Proper Shipping Name,Hazard Class UN or NA Number,Proper Shipping Name, (Weight, Volume, (Subject to RATE (For Carrier <br /> liner Type ��YY�� UN or NA Number,Packing Group or Hazard Class,Packing Group Gallons,etc. Correction) Use Only) <br /> 1� <br /> v. <br /> t <br /> t <br /> I <br /> i <br /> I <br /> 4 <br /> PLACARDS TENDERED: YES D NO O REMIT <br /> C.O.D.TO: <br /> I)Where the rate is dependent on value,shippers are required to state I hereby declare that the contents of this ADDRESS i <br /> in writing the.agreed or declared value of the property,as follows:-The consignment are fully and accurately <br /> eclared value of the property is hereby specifically stated by the shipper to described above by the proper shipping C.O.D.FEE: I <br /> ailing per name and are classified, packaged, COD Amt: $ PREPAID ❑ I <br /> le applicable tariff provisions specify a limitation of the carder's liability absent marked and labelled/placarded,and are COLLECT ❑ $ <br /> .r a value declaration by the shipper and the shipper does not release in all respects in proper condition for <br /> liability or declare a value,the carrier's liability shall be limited to the extent transport according to applicable Subject to Section 7 of the conditions,If this shipment is to be delivered to the TOTAL <br /> such provisions.See NMFC Item 172. g consignee without recourse on the consignor,the consignor shall sign the CHARGES $ <br /> international and national ovemmental 8 <br /> p r ulationS. Following statement: <br /> ditles requiring special or additional care or attention in handling or slowing eg The carrier shall not make delivery of this shipment without payment of FREIGHT CHARGES <br /> marked and packaged as to ensure safe trans ortation.See Section 2 e of freight and all other lawful charges. <br /> p g p () FREIGHT PREPAID Check box Ncherges <br /> Ills of Lading,Freight Bills and Statements of Charges and Section 1(a)of exceptwhen box at ere to be <br /> t Terms and Conditions for a list of such articles. Signature (signsture of Consignor) right b wed ❑ collect <br /> RECEIVED,subject to the classifications and tariffs in effect on the date of the issue of this Bill of Lading, tination and as to each party at any time interested in all or any said property,that every service to be <br /> the property described above in apparent good order,except as noted(contents and condition of con- performed hereunder shall be subject to all the bill of lading terms and conditions In the governing clas- <br /> tents of packages unknown),marked,consigned,and destined as indicated above which said carrier sification on the date of shipment. I <br /> (the word carrier being understood throughoutthis contract as meaning any person or corporation in Shipper hereby certifies that he is familiar with all the lading terms and conditions in the <br /> possession of the property under the contract)agrees to carry to Its usual place of delivery at said desti- governing classification and the said terms and conditions are hereby agreed to by the shipper and <br /> nation,if on its route,otherwise to deliver to another carder on the route to said destination.It is mutu- accepted for himself and his assigns. I <br /> ally agreed as to each carrier of all or any of,said property over all or any portion of said route to des- <br /> :R CARRIER 7 <br /> PER'" f A <br /> DATE <br /> nt post-office address of shipper. ®� romeax STYLE F360-4 ®2003 LABELAASTER®(800)621-5808 www.labelmaster.com <br /> SOY INK„ III{ <br /> f <br />