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0t, F LADING ORIGINAL—NOT NEGOTIABLE Carrier No. Page of —� � �/`�f st/rA � �' (Name of carrier) Date — (SCAC) On Collect on Delivery shipments,the letters'COD'must appear before consignee's name oras otherwise provided in Item 430,Sec.1. TO: FROM: Shipper Consignee� �—- .e5'rt�fizs ftp/u Street _ r Street %z-0 Airl.. ��0ft11j Cit - State _ /',,� Zip City ��iy7►- State, Zip Code��,y/{; 24 hr.Emergency Contact Tel.No. Route Vehicle Number No.of Units �� BASIC DESCRIPTION TOTAL QUANTITY WEIGHT CHARGES &Container Type Proper Shipping Name,Hazard Class or UN or NA Number,Proper Shipping Name, (Weight, Volume, UN or NA Number,Packing Group Hazard Class,Packing Group (Subject n) RATE (For Carrier —• g P Gallons,etc.) Correction) Use Only) f L,-,-3 `'1/ll rf"d�L p -- -----�, �� ErRIALAILITY, EP #CAD98244Q R HAS SE "P i - -- }f3 ! E, Shu PPED. _ N-3 PLACARDS TENDERED: YES I3 NO p REMIT Note— t Where the rate is tl C.O.D.TO: (I dependent an value,skippers are required;o state I hereon declare a that the contents o1 this ADDRESS specNlcally n writing the agreed or declared value of the property,as Poltays�"The consignment are fully and accurately agreed or declared value of!he property is hereby specifically stated by the shipper to downbeat above',v1, paper snipping be not exceeding— —Per name and are cksSfliaJ. Ua:kaged, �OD C.O.D.FEE'."` (2)Where the applicable tadU provisions specify a limitation of the carrier's liability absent marked and labekad/plaatrdrd,and are Amt: $ PREPAID ❑ a release or a value declaration by the shipper and the shipper does not release in all respects in proper condition for COLLECT ❑ $ the cartlara lability or declare a value,the carriers liability shall be Ilmltetl to the extent transport according Iu applicable Sub7F.;b Section 7 of the condemns,N this slupmam Is b Da tlekverad to the TOTAL A provided by ruch provisions,Sae NMFC nem 172, international and notional gyre mmental consi9^oe wl hn,d r,nurse on the con^ipam,the rnnetpnor shite sign the(3)Commodities requHng special or additional care or attention in handling or slowing regulations. fouowmD statement 9 CHARGES $ must be so marked and packaged as to ensure safe transportation.See Section 2(e)of The cartior shall not make delivery of this shipment without O freight and all other lawful charges. p.vment of FREIGHT CHARGES Item Contract bills or Lading,Freight altos and Statements or Charges and Section 1(a)of FREIGHT PREPAID Cheek box B charges j the Contrect Terms and Conditions fora list of such articles. Signature except=h bdxat ❑ are to be (Srgnalum of Consfgno) Vol Checked �Bec1 RECEIVED,subject to the classifications and tariffs in affect on the date of Ute issue of this Bill of Ladmf,, Motion and as to each party at any time interested in all or service the property described above in apparent good order,except as noted(contents and cond'eion of can. performed hereunder shall be subject to ell the bill of lading te�rrns elMconditions n the govemirng tobeof packages unknown),marked,consigned,and tlesanetl as Indicated above which mW tamer seicalion on the tlele of shipment (fhe word tamer being understood throughout this contract as meaning any person or car in Shipper hereby possession of the property under the contmcl)agrees to tarty to is usual place of delivery at mid des& certifies that he is familiar with all the lading terns and condPoons in the nation,If on its mute,otherwise to deliver to another camer on the mute to said destination.tt i mutu- governing classification and the said terms and conditions are hereby agreed to by the shipper and ally agreed as ro each carrier of all or an ol,mid ro accepted for himself and his assigns. Y p party over all or any portion of mid route to des- SHIPPER L CARRIER =T� PER ---- PEQ Ll r DATE Permanent post-office address of shipper. STYLE F365-3 ®2003 LABELMASTER PRINTED ON RECYCLED PAPER ruxrzo verx (800)621-5808 www.labelmaster.com USING SOYBEAN INK SOl'INK