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STRAIGHT BILL OFLADING <br /> ORIGINAL-NOT NEGOTIABLE Shipp'or's No: <br /> Carrier's No: <br /> CARRIER. SCAC ba <br /> :I 70: 16 -ar K , FROMt SwMtr �+^ <br /> rte... <br /> Consi e Shi er .�yl <br /> ItG pP ' r .. �JiL <br /> � a <br /> Street h` ! Street L <br /> �1 <br /> Destination jp f°4 e'1L-, S Zip �j Origin d G Zip 7� <br /> Route: Vehicle Number U S.DOT Hazmet Reg'"N6. <br /> E 3acking <br /> � <br /> $, <br /> HAZARD I.D. Packing <br /> Rily1f.11 0 F-11 161M U.10124U&J.11 Uzi CLASS Number roup <br /> , <br /> 3077 <br /> �✓L !ti t�-S �� <br /> ,� 5Q D <br /> .� <br /> w� (/✓ S. c.�l. <br /> Z , t , <br /> Remit C.O.D.to: C.O.D. Amt: <br /> :'C.9.-D. FEE: <br /> W I 'Address. P..repaid. <br /> City State: Zip: Collect $ ,, <br /> • Sub7ectto Section l of theconosbiu,qUb sllipmeM biota dsW.Ied to the con'ti—athoul recwsae cn the ,. <br /> NOTE Where the rate is on value,shippers areregwred tostate specifically in writing FREIGHT"CHARGES <br /> comsiAoor the mrulpnw.elieN elgatMfosbMn9etetamHn z ., <br /> the agreed or declared value of the property. The agreed`or declared value of'the property is The ceobrahaeoamskemitre,ywuahpnem �ap,ymmnagmanaaaahe awes nae <br /> hereby s ecifiball stated ti theshi shipper to be.not exceeding $: Per PREPAID 'C0LLEC <br /> Y p Y Y pP 9 (agmwreoicoN!gmr) ,". .. - <br /> WI RECEIVED,subject:to Individually determined rates or contracts that have been agreed upon In.writing between the canler and shlpper,rif applicable,_otherwise to the rates,,cla Icatlons and Where the�appll"ble tariff"Viovletona sp8"11; <br /> c`' <br /> rules that have been established by the carrier and are avallabie to the shipper,on request;and alfapplicabie;state and federal reg�letlons;tha Property deacrlfied below, <br /> in appareht good order, Ilmltetlon of the t:amera IIabIPItyN.rh.tam 1 <br /> W exce t-as noted contents-and:condition of contents of acke es unknown marked,conal ned,':antl destined as Indicated below MICA said com an the word company balm underetood N There l6 no'releaee--6?value declaration%', <br /> Y p ( P g )' g p Y( p Y- ¢ ship the shlGgpat does"of <br /> that liars a vs6 <br /> throughout this contract as meaning any person or corporation In the-.property under the contract)agrees to-cerry'to'dellvery at said destination,if on its route,or otherwise to 'or release fhe,damera Ilabll ,that Ilablllryry-sh <br /> deliver another carrier on the route to said destination..It:Is mutually agreed es to.each carrier of all or any said Property over.alcor any portion of saidrouteto destination and as to-each be limed to9he extent proV ded'by NMFC;:ItE <br /> _ party at any time Interested In all or any of said Property#fiat every service to be performed hereunder shall besubject to all the contlltions,noTprohibited by law,whether printed or written,,f,ereln.-.172..California Intrastate shipments must ooh) <br /> -, :contained,anciuding the conditions on the back hereof,:which are,hereby:agreed to by the shipper and accepted-for himself and hla assigns._. with NMFC Item <br /> i <br /> NOTE:Liability Unnitatlon for lost or,damage In this shipment may be applicable.See 49 U.S.C.14MCXIXA) <br /> t I, <br /> This Is to anNy that the_ebove-named materlels are:properly claselfled,described,packaged,marked antl-labeled <br /> 'C In proper condition for hamsportatbn according to the applicable regulations of the Department of Transportation. e B `J B YE& ,a NO•F�IRNISHED'BY GAgRII <br /> e 5 e dRIVERS SIGNATURE: <br /> Per <br /> SHIPP R: r./e CARR ER: re 5 <br /> I <br /> PER DATE: Z PER: DATE: /7_I/a1J'g <br /> EMER E RES ONSE Monitored at all times the Hazardous Material Is in transportation <br /> TELEPHONE NUMBER: )LJ,1;p157 —,,5013 including "storage incidental to transportation(iZ2.604). <br /> • S t t t • �� m <br /> _. t <br /> t. <br />