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• &ITRAIGHT BILL OF LADING Shipper No. ORIGINAL—NOT NEGOTIABLE t Carrier No. Page t Of n'� � (Name of carrier) (SCAC) Date 12-3-019 — We Delivery shipments,the letteWCOD"must appear before consignee's name or as otherwise provided in Item 430,Sec.1. FROM: Shipper } VeoLliq Street Street W se&4&U-02 City �� NIS' State Zip Code City \ ho f?,ii%J JJ6 State 67— Zip Code G 24 hr.Emergency Contact Tel.No. Vehicle Route Number BASIC DESCRIPTION TOTAL QUANTITY WEIGHT CHARGES No.of Units ►` Proper Shipping Name,Hazard Class UN or NA Number,Proper Shipping Name, (Weight, Volume, (Subject to RATE (For Carrier &Container Type H M UN or NA Number,Packing Group °f Hazard Class,Packing Group Gallons,etc.) Correction) Use Only) ( ' �y Oct PLACARDS TENDERED: YES M NO O REMIT I hereby declare that the contents of this C.O.D.TO: 1)Where the rete is dependent on value,shippers are required to state Y ADDRESS in writing the agreed or declared value of the property,as follows:"The consignment are fully and accurately a declared value of the property is hereby specifically stated by the shipper to described above by the proper shipping C.O.D.FEE: be no exceeding per name and are classified, packaged, COD Amt: $ PREPAID ❑ (2)Where the applicable tariff provisions specify a limitation of the camels liability absent marked and labelled/placarded,and are COLLECT ❑ $ a release or a value declaration by the shipper and the shipper does not release in all respects in proper condition for the cardees liability or declare a value,the camels liability shall be limited to the extent transport according to applicable Subject to Section 7 of the conditions,it this shipment is to be delivered to the TOTAL ty ty consi nee with recourse on the consignor,the consignor shall sign the CHARGES $ provided by such provisions.See NMFC Item 172. international and national governmental A g () requiring p 9 g re ulations. following statement: 3 Commodities re uirin special or additional care or attention in handling or stowing 9 The carver shall not make delivery of this shipment without payment of FREIGHT CHARGES must be so marked and packaged as to ensure safe transportation.See Section 2(e)of freight and all other lawful charges. FREIGHT PREPAID Check box it charges item 360,Bills of Lading,Freight Bills and Statements of Charges and Section 1(a)of except when box et aretobe the Contract Terms and Conditions for a list of such articles. Signature (Signature or consignor) dgm is checked cosec! 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 al!or any said property,that every service to be 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 tens and conditions in the governing cias. tents of packages unknown),marked,consigned,and destined as indicated above which said carder sification on the date of shipment. (the word carder being understood throughout this contract as meaning any person or corporation in Shipper hereby certifies that he is familiar with all the lading terms and conditions in the 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 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. ally agreed as to each carder of all or any of,mid property over all or any portion of said route to des- SHIPPER RD� CARRIER R PER '� PER L� DATE rmanent post-office address of shipper. -1-N.oanscraenPnPea ,,,,e„ STYLE F360-4 ©2003 LABELI'-WTER®(800)621-5808 www.labelmaster.com se savesnu ex SOY INK,. •