Laserfiche WebLink
DRIVER'S COPY <br />NON REVENUE BILL <br />®Billing and Collection <br />will be made on <br />REVENUE BILL <br />MERCER- TRANSPORTATION CO. <br />P.O. BOX 35610 <_ _06k <br />1128 WEST MAIN STREET <br />Louisville, Kentucky 40232 <br />Phone (502) 584-2301 <br />Long WATS 1-800-626-5375 <br />Order No <br />` ( DELIVERY RECEIPT <br />Trip No.. <br />Pick-up Date <br />(consignee's Name and Address) (Shipper's Name and Address) <br />_ r <br />i <br />SHIPPER'S NO. B/L NO ? PPD. or COLL. <br />Waybill dates, numbers andpoints of transfer of all previous carriers must be shown in this.space. I.C.C. Ruling. <br />N0.' PIECES ` DESCRIPTION OF ARTICLES. WEIGHT <br />Dimension of Material: Height Width Length <br />Release Value $5,000 per ton unless otherwise specifically stated. <br />,Verified By Shipper And Consignee <br />Received the above described property in good condition except as notedi Date of DeliveryDelivery Driver Unit No. <br />CUSTOMER <br />S TURE: / <br />® CONTRACTOR SETTLEMENTSILL E LD IFSHORTAGES R DAMAGES ARE NOT <br />® REPORTED TO LOUISVILLE, KY., BEFORE CONSIGNEE SIGNS THESE BILLS! <br />THANK YOU FOR THE <br />OPPORTUNITY <br />YOUR SHIPMENT. <br />CALL MERCER TO MOVE <br />YOUR NEXT SHIPMENT <br />800-6.26-5375 <br />• <br />Date <br />Day <br />Scheduled Time of Arrival Time Spatted for Work <br />Actual Time of Arrival Time Work Began <br />Person Notified Time Work Completed _ <br />Time Released by Customer <br />Lunch or Non -Working Periods <br />Customer Signature/Title Driver Signature <br />CALL LOUISVILLE IF CUSTOMER DOESN'T SIGN <br />Remarks <br />COPIES: WHITE — LOUISVILLE OFFICE COPY <br />YELLOW TO BE RETAINED BY CONSIGNEE CALL LOUISVILLEONUNUSUAL DELAYS <br />PINK - DRIVER'S COPY <br />1-800-626-5375 <br />