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Bill of Lading,nor a copy or duplicate,covering me property namea nerein,ane Is rr�
<br /> intended solely for filing or record.
<br /> Carrier No.
<br /> ADVANCED C4MCALTFAKSPOFCi t[Nv,
<br /> Date �i2c '�7
<br /> Page of (Name of carrier) (SCAc)
<br /> C 'on Deliveryahipmerss,the laaarc'COQ'must appear belora wnsigr»e's name or as otherhatse ProhAoed In Mem 430.Sac.t. FARM- �.j:rJs d ,7cmJ�
<br /> 1. .e .Ls` `« � arF�.JNt Gsl7ea..a Shipper
<br /> Consignee i
<br /> Street - --
<br /> Street City State Zip Code }
<br /> City State Zip Code
<br /> 24 hr.Emergency Contact Tel.Na.
<br /> Vehicle
<br /> Route Number
<br /> No.of UnRs BASIC DESCRIPTION TOTAL QUANTrTY WEIGHT CHARGES
<br /> HM (Weight,Volume. (Suiaj aV RATE (For Carrier
<br /> &Container Type UN or NA Number,Proper Shipping Name,Hazard Class,Packing Group Gallons,etc.) Correction) use only)
<br /> UN3%Z,ES1 itmnrm t`atily hazar-dozZ subaa:tceS, fiqu�d,
<br /> l ! rL04,(Oyer. ice;, 9 hili t
<br /> PLACARDS TENDERED: YES o NO M REVIrr
<br /> Note—(11 where the rate s dependent on value,ahippem are required lo_ take O.D.TO:
<br /> speclhcafy m wing the aw"d_Or deGared value of the property,es lolb":'rhe I hereby derr:am ltlly and ca! - A DFiES$
<br /> agreed or docared value d the s sWed byte shipper m mnsrgrvnem are tally end exurately
<br /> -PraOenY +��1' �h' tlescrihetl move by the Proper anryping C.O.D.FEE
<br /> ba no:elmoedirg per name and are classified, packaged, PREPAID ❑
<br /> {2)Whets the applirahis tartf provsiont ki ea l a irritation of the earriar's radAry a]SaIE marked and lahelledolararded,and are D `\ Amt: COLLECT I❑ $
<br /> a release or a value declaration by the shipper and the shipper does n7.release fn al[respects in proper condHwn for
<br /> -AR comers hability or depam a value,the tamers kabilhy shall the Amited to ors earert transport sornrdmg to appiicabla 5 m Sadder 7 m ma em'dlbyp If tie eNpmem Y to be delivered m She TOTAL
<br /> prov,o,d by su&prwialons.See NMFC hem 172 international antlnplional govammerltal consignee wthan I---tha medal r�rar,the eonei9nor shall 09n the CWdRGE~G S
<br /> l3)Cammotlrrm requiring apodal w addn—al care or attention in handlmg or stowing regulators 1d1 Thh'e® rhm mak tlalhvsry d mww aRlprnery,ntrho,n payn,.rrt vl FREIGHT CKkRGES
<br /> must tie ao marked and packaged as ro ensure AAIB trerwportAtion.See Section 2(e)of halgm and dl edger layid7 Charges. RIBiGW PREPAID Cit"box r dr-P.
<br /> Item 360, iIIs e.Lacimg,r-relgm Kit and Staternerits of Charges and Section 1(a)of / rven�
<br /> fn'e'Cardrert Tense end Condniora for a Ist of 6u5h otclee. Signature 9 ryarhmr.a raxwyrwq nA+t"s drec%ed ❑ ��
<br /> M1RECEIVED,suhjagtm tfhe no"=�,casdahs end terM.s rn¢Ilea entre tlate-a!Lha esus or an HAI of Aadmg. enation and es ro aerh party at bury rete,M reeted in al;or arty said Preparty't>al every service io
<br /> the pro eery deecrbod aoove in apparent good order,axoeo as Woo Imnlenm and mndfdm of torr• f tx pedomhed heraur der shall to ubjpu 10 ell he W[1 of Vadng lerrn and wndit a in the govemirg dae-
<br /> wrfe o+packages unKn—n),marked.=sioned,end daAdnad as indimlec above which Bald comer alrrom on the date of shprnerd
<br /> (the ward copier being understood naaughaa this oadren as mearrng any petson or corporabon in Slipper hereby oerdrres e-m he is t—kar wmh all the lading 1—and mnddtions in the
<br /> p—.1 aha property under she—W.b )aij a to carry 1.16 J .:place c!delivery et ver brat} Qc rnr g dassancadon and the said tem-ono mndibons are hereby agreed m by the shipper and
<br /> naaorL if on 116 mule,oftrwase m deliver to another camIat on Vhe route m said dest!ation.h.s muter accepted For himsell and haign
<br /> asss.
<br /> ally li"ad as m oath ce t d all or"of,said property over all or any portion of bad*Dole 10 d-
<br /> -PER 40-teCa LI`~ Q#: LA&Uila(ger"i: If ;! CARRIER Adv.mf; �ChemlcWc-Transpod, 1FY6`..
<br /> _ 1
<br /> PER t ii,1,`��l i,� �.,`f' � ;� PER a;,rr ti.b"` _,,j=,.,c�""°"��,�p�L''.•�.•✓ ��
<br /> DATE
<br /> Permanent post-office address of shipper. STYLE F375-3 C2012 LABLLMASTLRS (SOO)621-5808 www.labelmaster.Com
<br /> aRarrED p:r��rCr{D rwPER r5/�.
<br /> oink sore�a+a DY INIGINif
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