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AMERICAN LABELMARK COMPANY-CHICAGO,IL 60646 37171738-DAF <br /> ATTENTION SHIPPERS! FREIGHT CHARGES ARE PREPAID ON THIS BILL OF LADING UNLESS MARKED COLLECT. <br /> i. <br /> STRAIGHT BILL OF LADING Shipper No. <br /> ORIGINAL—NOT NEGOTIABLE <br /> Page-L Of Carrier No. . <br /> (Name of carrier) (SCAC) Date <br /> On Collect on Delivery shipments,the letters'COD"must appear before consIgnes's name or as otherwise provided in Item 430,Sec.1. FROM: <br /> TO: Shipper <br /> Consignee. <br /> Street <br /> Street City State Zip Code,-,,'.­-,�­ <br /> City ate Zip Code:,.,_ <br /> Route Vehicle <br /> Number <br /> T <br /> No.of Units BASIC DESCRIPTION <br /> TOTAL QUANTITY #WWEIGHT CHARGES <br /> &Container Type X V s 9, UN or NA Number,Proper Shipping Name,Hazard Class,Packing Group (Weight,Volume, (Subject to RATE <br /> (For Carrier <br /> Gallons..eto.-), Correction) Use Only) <br /> 3D <br /> O'A'VY' A R <br /> '�Wvw 2-oo 03 S <br /> ex s <br /> PLACARDS TENDERED: YES 17­1 NO D REMIT <br /> Note—(1)Where the rate is dependent on value,shippers are required to stateI hrately <br /> C.O.D.TO: <br /> specifically In writing the;agroed or declared value of the property,as follov-'7he ereby declare that the contents of this ADDRESS <br /> agreed or declared value of the property is hereby specifically stated by thhipp consignment are fully and aCCL <br /> be not exceeding per e sor to described above by the proper shipping <br /> name and are classified, packaged, OD C.O.D.FEE: <br /> 2)Where the applicable tariff Provisions specify a limitation of the Carriers liability absent marked and labelled/placarded.and are CAmt: $ PREPAID 0 <br /> a release ora value declaration by the shipper and the shipper does lease In all respects in proper condition for COLLECT 0 $ <br /> the carrier's ability or dedlare a value,the carrier's liability shall be limited toothe"extent transport according to applicable Sub;ect to section 7 of the conditions If this shipment is to be delivered to the TOTAL <br /> pro led b hprovfsic,np,,q".NMF9jtpp)2�2_ <br /> Im.Y'12 requiringSpeclaf0iiiddlei6nai ...... internatimal and national govern nIaI.­,I&,,,_ _,quilea <br /> Consignee without recourse <br /> of a care or attention In ha4ln'g0_r's'1'(W'Jn ng"whism: CHARGES . $ <br /> must be so marked and packaged as to ensure safe transportation,See Section 2(e)og regulations. <br /> item 360,Bills I The carnet hall not make delivery of this shipment without payment of FREIGHT CHARGES <br /> of Lading,Freight Bills and Statements of Charges and Section 1(fl)of freight and all other lay fUl Charges, I <br /> the Contract Terms and Conditions for a list of such articles. FREIGHT PREPAID Check box it Charges <br /> Signature — (a--------f--------- except whon bex at are to be <br /> ❑ tolled <br /> RECEIVED,subject to the dassifications and tariffs in effect on thed �Checked <br /> the property described above In apparent good order,except asr,ate of the issue of this Bill of Lading, tinallon and as to each party at any time Interested in all or any said property.that every service to <br /> tent be performed hereunder shall be subject to all the bill of lading terms and conditions in the governing clas- <br /> sification on the date of shipment. <br /> possession of ilia property under the conlraG)agrees to carry to Its usual place of delivery at sold tlesli- Shipper hereby certifies that he Is familiar with all the lading terms and conditions in the <br /> nation,if on Its route,otherwise to deliver to another caller on the route to said destination.It is mutu' governing classification and the said terms and conditions are hereby agreed to by the shipper and <br /> ,Ily agreed as to each carrier of all or any of,said properly over all or any portion of said route to des- <br /> accepted for himself and his assigns. <br /> SHIPPER CARRIER <br /> PER v <br /> PER <br /> L-31 9 DATE CIS—? I— <br /> Permanent post-office address of shipper. STYLE F370-4 0 2012 LABELAASTER 0(800)621-5808 www,labelmaster.com <br />