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THIS MEM ®RANDUlive a naclmowledgement that a bill of lading has been issued and is not the original Bill of Lading, nor SHIPPER NO. —_ copy or duplicate, covering the property namedherein and is Intended solely for filing or record. o CARRIER NO. .— . . ... . .. .. ..... Its .., ._.I . 11..i.l . . . . . DATE :ARRIER SCAC T( FROM �OIv�IGNEE SHIPPER �S _ Iyf �i : - �;I GCi STREET .)^ ( Iln .rd=k'.: l u h_ STREET itS ward , C(; r'4 : i ir ;cv CA 931u7f DESTINATION STATE ZIP ORIGIN STATE ZIP 30UTE VEHICLE NUMBER U .S. DOT Hazmat Reg. No. Daoun- ent D72reg Sales Order 122914 e a GEM L loin i ' Ir I,r feci ✓cd key; --- _ _ _ _—__._ ___ I.�i.e:y_�_�_�_e .. o Section 7 of confident, if Ihls COD FEE p emit COD to: shipmentiis'to be delivered to the consignee COD AMT : • lddress without recourse on the common, the consignor shelf sign the following statement Prepaid ❑ The carrier shall not make delivery of this illy' State: Zip: shlent without payment of gelgm and all ether x Collect ❑ dOTE• Where the rate is dependent on value, shippers are required to state specifically in writing the lawful charges. TOTAL CHARGES: FREIGHT CHARGES: rgreed or declared value of the property. The agreed or declared value of the property is hereby dd.. pacifically stated by the shipper to be not exceeding $ Per (Signature of Consignor) •p ❑ Prepaid ❑ Collect IECEIVED, subject to individually determined rates or contracts that have been agreed upon in writing between the carrier and shipper, If applicable, otherwise to the rates, classifications and miss that have been established by the carder and are available 1 the shipper, on request; and all applicable state and federal regulations; the Property described above, In apparent good order, except as noted (contents and condition of contents of packages unknown), marked, consigned, and destined as indicated trod which said company (the word company being understood throughout this contract as meaning any person or corporation in possession of he property under the contract) agrees to carry to delivery at saitl deStination, If on its route, or otherwise to Sliver to another carver on the route to said destination. It is mutually agreed as to each carder of all or any of said Property over all or any portion of said route to destination and as to each parry at any time interested In all or any of said Property that every unshod to be performed hereunder shall be subject to all Ne conditions not prohibited by law, whether printed or written, herein contained, Including Ne conditions on the back hereof, which are hereby agreed to by the shipper and accepted for himself and his sslgns, ICTE: Liability Limitation for loss or damage in this shipment may be applicable. See 49 U.B.C. 14706(c)(1)(A) and (B). -his is to certify that the above-named materials are properly Classified, described, packaged, marked, and labeled, and tre in proper condition for transportation according to the applicable regulations of the Department of Transportation PER: Ii)cjc (lllil ;HIPPER: TUSD - i faG')' High S^hcCARRIER: ol CART39179747 K0-605-C23 aER: PER: DATE: EMERGENCY RESPONSE NAME OR CONTRACT NUMBER TELEPHONE NUMBER: �, � ,( -/ ,oi / ,; � ' -,ff O` R OTHER UNIQUE IDENTIFIER: 2267 (Rev. 3/17) v