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By �p g� ppg y k 'I adg - - tth ' t bill of lading has been Issued and is not the Original Bill of Lading, nor SHIPPER NO. ry'�p M HIS EMORANDLANi acopyoaQuphcate,covering the properly named herein,and Is intended solely for filing or record. CARRIER NO. _ . . . DATE All 1 SCAC P® FROM )ONSIGNEE - SHIPPER '.. -,ilit 3, ?TREET _ l,ilel a , STREET Imp -1 . )ESTINATION STATE ZIP ORIGIN o - STATE ZIP iOUTE - VEHICLE NUMBER I v!iT ii-1 a + :ac). No I -. rilir r : _ i 31.1. }-;.:`Zl! ?'_ t 'Sv I i _y i ,. .s 2iC dtF,'�'d J` t � , i Ills P; Ili L V dT: ,sJ . . .Y r. N -are l S-1 > .r ;^. 1" Ja'Id -.. � a remit COD to: shipment is to be edeli to rte cons gnea COD FEE : tddress: wheattrecourseonMeCnsig,or, Memartial COD AMT: halsl hefmlo,. Il Prepaid ❑ The Carder shall not make de 'veiy of his XA p ilty State: Zip: lawful ecawg without pe ment ImigM and all other $ Collect ❑ $ OTE: Where the rate is dependent on value, shippers are required to state specifically in addling the TOTAL CHARGES: FREIGHT CHARGES: ]reed or declared value of the property. The agreed or declared value of the property is hereby aign $@ El slated by the shipper to be not exceeding $ Per (Signature of O nsod Prepaid Collect CEIVEB, subject to lndmtlually determined rates or contracts that have been agreed upon wing between the carder and applicable otherwise to the rates demarcations and miss that Have been established by the caner enders ave lati the shipper, on request; and all applicable state and federal regulations; he Pmpmy, described above, in apparent good order, except as naiad journal and contlibon of conlenls of packages unknown), marked, consigned, and destined as inificage e which said Company (the word company being understood throughout be contract as meaning any person or corporation in possession of Me property under the aqua ) agrees to carry to delivery at said destination, it on its route, or otherwise 1 diver to another carder on the route to said destination. It Is annually agreed as to each comer of all or any of said Property over all or any portion of said mute to designation and as to each party at any time Interested in all or any of said Property that evei co to be pedormed hereunder shall be subject to aIf he conditions not pmMbind by law, whether pointed or wagon, herein contained, including he prightions on the back hereof, which are hereby agreed to by the shipper and accepted for himself and It 'signs DTE: Liability Limitation for loss or damage in this shipment may be applicable. See 49 U.S.C. 14706(c)(1)(A) and (B). his is I d°cOrllfy that the above-named inaferiais are properly classifierl, doscrihed„packaged, marked, at labnied, and to, in prope,redogindiflon for transportation according bo the appisoble regulations of fins Department of T ransporeflon PER; HIPPER: p ,_ ltd oofr:I >rhr -lrzCARRIES= i .,., 3ia_ .3t , �f' =ir (' �I(lil� - / 1% t c /`)_ PER. � �� i u , dslni� I; L fI\ ,i'�..._ ` - 1 j DATE: gSmmz-lcmmdy dll'`sHPa�e F :JA1r,i9 til +.< 3TRAa; I ! 1.9Vd1d s=S' 1 -BLC-03 12267 (Rev. 9/10)