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dTRAOGHT BELS. OF LADING ORIGINAL—NOT NEGOTIABLE Shipper No. Carrier No,. Page of (Name of carrier) ` Date (SCAC) On Collect on Delivery shipments,the letters"COD"must appear before consignee's name or omr r.��ise providetl in Item 4311,Sect. T0: /c FROM: ''• Consigneel�G � ` s Shipper _err — Stre " r Street.��i.,��V �- f'�Gq --- -- Ci Cit State, State CTT Zip Code " Zip Code Q ------- 24 hr.Emergency Contact Tel.iV0. Route — Vehicle No.of Units H,M BASIC DESCRIPTION Number &Container Type Proper Shipping Name,Har:.c!Class TOTAL QUANTITY �-,t UN or NA Number,Packing Group or UN or NA Number,Proper Shipping Name, WEIGHT ! — Hazard Class,Packing Groep (We1ght, Volume, (Subject to CHARGES Gallons,etc.) Correction) RATE (For Use Only) Carrie, _ X12 J FILTF�7" 5 � .;�Ewg ,A4T �:RNAIT(S) F) n,, 1 t-iE APpt IS WASTe ANO PLACARDS Note--(t)Whcm•the rate is dap dent on value Shippers "'—� REMIrr ppers are required o state I hereby declare_t theC.O.D.TO: • pa agreed a tired, the 1 th ed or .tyarhe value of the property,as follows;'The I he' mnsnt arP. _ consents of this ADDRESS agreod v declared value nl the proparry is he specBically stated b the shipper '", °*: ace I'll be not exceeding — per Y peer to tltsv+br-n shove. the ar shlppmg (2)Where the applicable tarfff prowsdms spa — mine a N are - st. d -n�nad, �i�g� e releace or a value neUaretlon o; rhe st�per alndi'he she tamer's liability abssrlt ntattied and'a;.yll ntn artlod arx!are OI�->Jf C.O.D.FEE; '.oe carrier's liability or declare a valm,the carder'=liable pear does not raise@e In ell rent,npts In .ner oondi!,un fc: Amt: $ PREPAID providetl by such Prov;tions.See NIMFC Item 172, ry shat;be limited to the extent fret.-ion r orrl n ep., ebin S+-Vgera In Section 7 of 11 conaaions,It fits sn COLLECT p $ ("3)Comrm dtlres re wring.s g nte:r Imr 21 -,i.- I co.1, x+mom t cc t.;,e nn;de ronsi nor, meent is to be delivered to the TOTAL q ostial of additional Care or attention In handling or stowing rugulat ons. iMlovnrg gtatemaih g consignor shall sign the N, must be so marked and :�kaged as to ensure sate trensponation.See Section 2(e)of CHARGES Item 380,Bills Of Lading,Freight Bills and Statements of Charges and Section 1(a)of The canter shall not make delivery of this shipmem without $ the Contract Terms and Conditions for a list of such articles. height end ell other;swill;charges. Payment of FREIGHT CHARGES %Ignature -- -- FREIGHT PREPAID Check boz iachargeo RECEIVED,sutlect in the classifications and tariffs in effect on the data of the issue of this Bill of Lading fsignsiure ai consignor) --' -- h ep++vl+en no the Property tlesc:�bed above in a arent g tinction and es to each an ght is checked collect tents of packages unknown),merketl,congsiognedr aotl desB ed as indicanoted ted abontents and condition of ton- P 1 al any time interested in all orally said which said comer penormed hereunder shall ni subject to all the 6111 of lading ters and conditions ons en the goveming ellce to be word Cartier being understood throughout this toe ffi as meaning any person or corporation a sfhcetion on the date of shipment. possession of the property under the contract)agrees to carryto Its usual place of dei very at said desti- Shi nation,If on Its route,otherwise to deliver to another canter on the route to said destination.It is rr t Aper hereby canities that he is familiar with all the lading teens and governing classification and the sand terms and conditions are hereby agreed to b t elIS in the ally agreed as to each carder of all or any of,said property over all or any portion of said route to des- acceptedfor himself and his assigns. Y hipper and HIPPER1 — -4, CARRIER ER DATE ermanent postJIQ-office address of shipper. PRINTED ON RECYCLED PAPER IgtXRaefIN STYLE F365.4 02003 LABELMASTER USING SOYBEAN INR SOYINK_ (800)621-5808 evWW.labelmacte. I