|
i nis Iviemoranaum ..,..a...1,a.�..-nolo...... ... ...".—_.. .a y..
<br /> Bill of Lading,nor a copy or duplicate,covering the property named herein,and is Sipper No.
<br /> Intended solely for filing or record.
<br /> Carrier No.
<br /> ADVANCED CHOWCAL TRANSPORT,INC.
<br /> Page of Date Q�WI S
<br /> (Name of carrier) (SCAC)
<br /> . l on lcafvery shhpmetft,the letters'COD'rriwt appear 400 ponaignee's name or as oiierwee provided,n Ilam 430,Sect. FROM: ¢' = UVOW SaQc-W Diskid[SWTV )
<br /> Urd frA wSchi Di 5.i Shipper Ea ii
<br /> Consignee 47x0 Thomas�Q
<br /> Street
<br /> 2901 East�.O{dfN Ave
<br /> Street City NNIMAIllml State CA Zip Code SIM7
<br /> City Nk1i"a State GA Zip Code I*"m p L&ft=w)
<br /> 24 hr_Emergency Contact Tel.No. _
<br /> Route Vehicle
<br /> Number
<br /> No.of Units H M BASIC DESCRIPTION TOTAL QUANTITY WEIGHT CHARGES
<br /> 8 Container Type UN or NA Number,Proper Shipping Name,Hazard Class,Packing Group (we yta,volume, {Subject RATE (For Gamer
<br /> Gallons,etc.) Correction) Use Only)
<br /> NA3082r Hazwdo,^ liquid, mos. (Phaco Sifvft Solution) :J
<br /> i f
<br /> PLACARDS TENDERED: YES o NO kEMrr
<br /> Nob—(tj Wham the rete Z oepenoem do vola,-, shippers are requnec tc state C.O.D.TO:
<br /> I heronry debate that the contents d tray ADDRESS
<br /> speclksly In svrtbng tthe agraed m declared value of 1ne property.as fOrri—"The _
<br /> -greed or old,-,value d the property is hereby$Pecrtically Stated by the shipper m oorshgnmenl are try
<br /> end acsurelaiy
<br /> describatl above oY the proper shipping C.O.D.FEE:
<br /> ...rrradhng per name and are classified, packaged, COD, Amt. $
<br /> (2)Who the applicable tariff provisions speedy a wmitatbri d the carriers Ileh�lIly a7niani marketl Intl lehelladlpl-carded.entl are `-- PFIEPAID ❑
<br /> a release or a value tlecfarabon by the shipper and the shlppsr does not release In ell respects In proper carttlhindoll roc COLLECT ❑ $
<br /> the remora Iia1h pr vi declare a value,the n,172Ys ladoty$hall be limped to the extent Irmaport according to applicable S:ld b S.rhan 7 d the-,.JW qS A Jh.ehipmem ie to be dellrarl d to the TOTAL
<br /> (3)Co d by ouch provisions.See or at Item tr c mtomatidna Intl rhalional g.vsmmarrhl wnaign.a wllhon recourse?,5 t coesignar,the consignor shell sVgn the CHARGES $
<br /> (3)Com On requiring special or atltldional care or BRerrthpn r,handing or stowing r$QUJSI1:s. talIoT*h tpet.rnern —'�
<br /> muir be m marked and packaged as to enaure sate transportation.Sae Se Linn 2iej d Tho raMer.shai*not make tlailvgry ordnis anipmard wlmo;n p.ymard ht FREIGHT CHARGES
<br /> Orn 360,albs o1 Latl Fre Elns and Statements of Charges and Section 1(a of irtryhtvde other hawtul charges.
<br /> n9 } FR tfil-h title C aheoe tem a pwrp.■
<br /> dW Contract Terms and Conditions fir a I,w of sxn alecks_ Signature lsa,�m �h ❑ ana*tl
<br /> RECEIVED.kbOci k the daseihaGonc and cults in 6600 on Toe Date Of the e data N of Lading, Brawn end as W each party at any bre interested n all ora avid
<br /> ni property,that every serv,ce to
<br /> the properly ages funk ao n).n apparent cR gootl order.except as asIpored(Contents ideaab and mr h SO d me he performed hereunda shat:be subjeG to aq ore Dia d lading hams and conditions n the govemng tdas-
<br /> tarya d peidlages unknown).marked.eormgr,Eth enc deshne7 as i Bled above a,which said carrier airrapon on!M del.of ehipmertt,
<br /> tau word comer bung vnne.eowe mrwgnohr,robs mrtra�a meaning any Pafaerh v mrpvaam n Shipper hereoy"rl h-vwt rte is hmdtar wren as er.*"tem,-and condaons m trK
<br /> pxsession d the property under the mntr"en agrees to carry to as usual place d delivery at laid daaa- governp,g deesdrJthon and ere sale toms and conditions we hereby agreed to by the shipper and
<br /> nation,d on n nide,of ermaa to deliver to anomer rarer on ora route to sold destination.It M muter accepted Ior himself and his assigm
<br /> .1H agreed as m sari,a if d a1 w airy d.said property over all or arty Petition of said route to dea-
<br /> S' 'E hUntm Lk*WSdhcyA Distrid(Sim h€&I.) CARRIER Advanced Chemimd TransRan, int..
<br /> PER \ 6 t l PER f ..
<br /> DATE �•{ .,...
<br /> Permenerd post-office address of Shipper. STYLE F3753 02012 LABF.LMA.STERT m (800)621-54105 kw,rrv.WWrinaster.com
<br /> rn.rrm as eEcva.m pose oleo whnr
<br /> nrsuc so,aca am I ISQY 1NK
<br />
|