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<br /> STRAIGHT BILL OF LADING--SHORT FORM—Original—Not Negotiable.
<br /> . Shipper's No.
<br /> Carrier Carrier'& No.
<br /> RMIVID,ac.hl.e to Ma d..4w"alamh and I..%M ON_,en"dr114 44 0,iuw d Mh Frill of talllne. �y
<br /> from 3 VS A,401 c
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<br /> N Iah ,.xr cd.J a nl w'112
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<br /> 114 + y p.+no-.M 'J rv.'a ra a.x.waln.+M..J. ►p.dy r a• i.r.4x4,..r1 I.sll•, el w:1 I•r.rrr,nae rn f w,•la r.a p„6r,w.r Irnrd..pea a t',1 Is ya Is.
<br /> 1 Unit..-n 4rr.dK 5•m'h fill:e 6.J 1 w p 1 yrn,.M
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<br /> .r,:` 1Mppar Mrlby a4r+iha.Ih.l hx i. fic with all M.1.00. and condihanr.f We taW bill d fading,inalu.ing lhaw an IN.e.c1 Ihervnl.NI ko.4,in The tlaoil.wlion or IwiM d.ilh gtra,wl rhe ne...Folre,liul al Ilil Ihip
<br /> H. mall,add de wi0 wnrl 4r,ddian.r.h.raby agra.d to by iM 16i",.nd",.plod f”h1n,wil and lit ouigfi/.
<br /> Conli9ned 40 CO
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<br /> f— ' IM411 a 44001 sddrau of Isnll nae--Far
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<br /> DI slinalion aQ LTJ L ,r7f��1 P 1peeel of 0611114allan 4nrY.1
<br /> State��__`Zip Code County (�nlf1A COS't�
<br /> Delivery Address
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<br /> {0 To b4 filled in only vrhea d+ippw da{7ra and govemInp Iaii 1 peovide fol delivaryIh4reat.I
<br /> Routerr
<br /> Delivering Carrier Car or Vehicle Initial► No.
<br /> IIr►yn I:.d 14 rw"k Daxo{IliOa N A.11,1a.Ipa.id rail,a.d C4 pithII.4y1•Cc.I .�lah Cnlu 1 lr4M ro lr,r nw 1 d Cawlla+wl.1:FInIKII �
<br /> I../I.dir e,.I 11..aApaant lI lx M Ia4varrJ..
<br /> ,at.Vr.x.n 111 roauar.r,11+
<br /> A40%,404
<br /> adop ar Idlarire dr•.nenl Z
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<br /> /1/ /y ewl rina.l pt nNn 1 611 Il.nl{tl
<br /> .IleI .�.+.'J( — 6 a N 1,wfal
<br /> 11'4ayuu of Canligrr.l
<br /> 11 r.1.1 ..a.a rt ih p.p.ir,,.rile a u»p
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<br /> Ctpalnyll M II♦ehargy m Ila trpMy d..Wfo.`..aw
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<br /> •tl Ih4 lh ipmenl
<br /> 41411011141'.4 to l'..a poll$ by a turliel by r.nla, the law lequiln lhol I114 Of of lod'n0 all irate wholhel
<br /> i1 i1"tam4fl m shipp.r'/weighc"
<br /> 'r rlClr!-�Wharr Iha 104 it d.pindenl on YaIY4, IIIIppP/l ala Iafl Vllad Ia IIOII 1 AJ.nl.a Cnlit,
<br /> f value of Ih•propany' � petititally{�writing the read or declare)
<br /> Ike ayl d0 Itff.1 s p/o ii llalehy"4111kafly Ilolod by Me Ihlyipw to be nal*m4&#d1np
<br /> pap . 06.1t••,� yr.hl.•a1-6da..0,the_.,__
<br /> .. p,.P41d�t
<br /> ■(ihro bol n {hip ment lonform fa Iha apecilicaliaal lel foolh in the hon dt4ft'l t4rli600411 Ihoeaon,and ungn dd.ned.
<br /> alt Who ifor
<br /> regair0menh a1 Unm Ireigh{C7mdf "
<br /> calian '
<br /> Shi
<br /> • : I pper'I+mpcinl in liw d.Pomp;nor a pal of bill al lading app+a.ad try Ihe ingarfole Commerce Commiuloa 1
<br /> Shipper, Per Agent, Per p
<br /> r. hma.ea Iul'efra MrFw d JEIMi. :D
<br /> 49q__r_4MA 65695 car6anlsrlr m
<br /> POLY PAK(50 SETS)EP605
<br /> 17
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