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This Memorandum "'a"
<br /> UUMIUwreulyllterll ltliat a Dill UI Lal] g rids Lwow Issueu ativ IS rlpl Vrrglnal Shipper NO.
<br /> Bill oS Lading,nor a copy or duplicate,covering the properly named herein,and is RP
<br /> intended solely for filing or record.
<br /> ADVANCED CHEWC L TRANSPORT, INC. Carrier No.
<br /> Date
<br /> Page of
<br /> '
<br /> (Name of carrier) (ECAC) l�Z�,�,.,� C,�� �}�
<br /> y On Olivary ahpnerr¢,the tamers^GOu'must agpearbelwe wrhaignes's rams sm ONs,wtse pro,ntletl rtr loam 437.Sect. FRom: Wi tR� �f Ic`(�`a k `�
<br /> 1 U: M "4cn vcirMild Sicinal 01190WI, Shipper
<br /> Consignee
<br /> F Street
<br /> Street City State Zap Code
<br /> CA
<br /> City State Zip Code a 2kD
<br /> 24 hr.Emergency Contact TB{.No.
<br /> Vehicle
<br /> Route
<br /> Number
<br /> No.of Units HM
<br /> BASIC DESCRIPTION TOTAL QUANTITY WEIGHT CHARGES
<br /> d Container Type UN or NA Number,Proper Shipping Name,Hazard Class,Packing Group (weight,Volume, (Subject to RATE (For Canner
<br /> Gallons,etc.) Correction) Use Only)
<br /> FWmilifiltial lag*M, mo-s,.t�-Ie
<br /> eR!lry�eetttene��.tett
<br /> Is
<br /> PLACARDS TENDERED: YES o NO o REMIT
<br /> NOW—Iii where the rate is depentlenl or value.shippers are required to state . C.O.D.TO:
<br /> sMeYfically in wnbng the agreed w dadarrec value of ata property,as fdlowc'The 'hem declare dial the ocntents W bla 'ADDRESS
<br /> agreed or dederetl value d the property's hereby s wralgnmem aro fully and ecc filly -
<br /> pedhcaly ataldtl try the shcper 19 described soove by the Props,�Ppnng lFEE:
<br /> be not a-eal per nems and we classlrled, peclmgad, GOD•�,:• /+ $ PREPAID ❑
<br /> (2)where the applimble tariff provisions specify a emilation at to r�rriers Iiahatry Absent merkae Ano Vabetednpiaearded,and ere COLLECT ❑ S
<br /> a release or,a value declarando by the shipper and ft shipper does not release in alk reapers in proper caMition tm
<br /> the carriers liability or declare A value,this carrier's Inabilay shall be limited to the rodent transport according to applioaWe Suljx+to Sadkn 7 of 1ne rnsgYorn.[gds athipment a m tib tleNveretl ho ma TOTAL
<br /> provided by such provisions.See NMFC hem 172. gwemmerrtal —pnea—ilho,n recounee on the canefgnorL the consigns shall sign th CHARGES $
<br /> (3 Comrmditias irdemakonal and national
<br /> requiring clulge'a atl arfanel care tr attention m handling or stowing regulations. SII TThege�al snail no[mak.deliva t In,a sn I wilhout
<br /> muspackaged al to ensure safe Irarapwletion.Sae Section 2[e)o} freight and all other lawful cha,gra, 7 0 amen Payment or FREIGHT CHARGES
<br /> Mem Mills387.Bof Ladmp,Freight Bilis and Statements of Charges and Section t(a)of FREIGhTPREPAD Ched<bos#larges
<br /> Me Contrail Tel and Conditions tar a list of such articles, e®p vrtns,i>mcrt ❑ afeA
<br /> Signature sand mcoe.mer7 ptadadad
<br /> RECEIVED,subject m the clssa+reaton and tangs in etfect m the data d the issue d the 681 of Lal hnetion and as to each
<br /> to
<br /> Me properly Wall ahcve In apparent good order,except as ruled Imrsents and mrhditldit of mr+- Perry el any tune ll tire sled iall ar any sand property,that every service
<br /> be Peroomwd harauddv Nmll EA"*a is all he bill of iatlnng farms and,xxtdtidons in the govomirg cas-
<br /> ferda of parlcages unl mar,cad.cansgnetl,arta destined as ind,totad aDwe wnkin said ramex ausanon on e,e data d stvvment.
<br /> (Ihe ward Cannan bell understood throughout nus wrara:9 as meanng any para)or corporation m
<br /> possession of the Meal urder the Central agreas m carry to as usua:Placa a di live,y at said deet- ge,,emm dassi t and the sacl tamrs and conditions are hie eby agreed to by the shipper and
<br /> nation,d on As rwde.olhirlwim to del to another cafttar or the mule to sae destirssl It is l accepted lar hrrnself and his assigns.
<br /> .fly agreed as to M&Tamar of all or shy of said property over el,o•any parlor of saw rade to ow
<br /> PER f5gtF= LW 'D't'et(� "� } CARRIER Advwo�d C t" Trwispm%m.
<br /> PER i{ if PER
<br /> -ft-
<br /> 1,�-rte F
<br /> ^ ^-tf
<br /> 4
<br /> Qj
<br /> R
<br /> DATE
<br /> Permanent post-office address o1 shipper. STYLE F375.3 02012 LABEAASTER0 (800)621-5806 www labelmaster.nom
<br /> Pwrarrn oa aecrneocwEa .,enonma
<br /> uswc so.aeaa
<br />
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