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THISC(C� fi3 Gi fG17 � fD � � © I) (I f� k1 is an acknowledgement that a bill of lading has been Issued and is not the Original Bill of Lading, not a copy <br /> 0 W S MEM Iflj UVJ M or duplicate, covering the property named herein, and is Intended solely for filing or record. <br /> Shipper's No . <br /> IT I It <br /> IT <br /> Carrier '� , i SCAC Carrier's No . <br /> RECEIVED, subject to individually determined rates or contracts that have been agreed upon in writing between the carrier and shipper, if applicable, otherwise to the rates, classifications and rules that have been <br /> established by the carrier and are available to the shipper, on request; and all applicable state and federal regulations; <br /> IT I <br /> at date from <br /> the Property described below, in apparent good order, except as noted (contents and condition of contents of packages unknown), marked, consigned, and destined as indicated below, which said company <br /> (the word company being understood throughout this contract as meaning any person or corporation in possession of the property under the contract) agrees to carry to delivery at said destination, if on its <br /> route, or otherwise to deliver to another carrier on the route to said destination. It is mutually agreed as to each carrier of all or any of said Property over all or any portion of said route to destination, and as to <br /> each party at any time interested in all or any of said Property that every service to be performed hereunder shall be subject to all the conditions not prohibited by law, whether printed or written, herein <br /> contained, including the conditions on the back hereof, which are hereby agreed to by the shipper and accepted for himself and his assigns. <br /> TOM FROM : <br /> IT <br /> Consignee ) = -IT <br /> .. Shier <br /> p <br /> IT IT, <br /> 41 <br /> StreetIt <br /> - StreetI IT <br /> 11 ITT <br /> IT <br /> Destination ^ Zi ' � Origin Zi <br /> p TIT T <br /> Route <br /> Delivering Carrier Vehicle Number <br /> :M� Ihmmm- <br /> 0 0 0 r <br /> 0 . o P <br /> to 0 <br /> . . _ '. . .. <br /> ,W� W� ITT <br /> IIT <br /> ILI <br /> IT <br /> I <br /> _I ! <br /> I <br /> � I <br /> t . <br /> Remit COD to : a Subject to Section 7 of conditions, if this ^ © D � L� L� e <br /> Address : without recourse on the <br /> shipment is to be delivered to the consignee � � ® � ��� . <br /> consignor, the <br /> consignor shall sign the following statement: aid <br /> The carder shall not make delivery of this Prepaid ❑ <br /> (amity. State : Zip : shipment without payment of freight and all ❑ <br /> other lawful charges. Collect <br /> OTE: Where the rate is dependent on value, shippers are required to state specifically in writing TOTAL CHARGES ; � <br /> ,VOTE: <br /> agreed or declared value of the property. The agreed or declared value of the property is FREIGHT C �ARG ?,M <br /> hereby specifically stated by the shipper to be not exceeding $ Per (Signature of Consignor) $ ❑ Prepaid ❑ Collect <br /> MOTE Liability Limitation or loss or damage to this shipment may be applicable See 49 U.S.C. rPo D f <br /> 14706(c)(i )(A) and (B _ �. rm <br /> .. <br /> is W - Ify tit i h U i o ria d m ( re I u c era, t uu : o + �r : -c D ,, , ,. MAIM 'e. D `'`am' BY SHIPPER ❑ By CARRIES <br /> I and u Frc i� ni- lini .nom .€ rt c .n i t a �I is LIt .t. � qtr ��. c" DRIVER'S <br /> Et T oti.armmenf of Trtqn�pod.Aon . Per SIGNATURE: <br /> SHIPPER : <br /> CARRIER : <br /> PER : DATE: PER: DATE : ' <br /> 7tr <br /> 1 1 - 11 <br /> y 4111 <br /> 9169 ( Rev. 3117) <br /> i <br />