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STRAIGHT BILL OF LADINGT �� <br /> ORIGINAL-NOT NEGOTIABLE Shippers No. <br /> Carrier's No. 4; <br /> CARRIER: SCAC Date , <br /> To: �4 �; (� �-� (�� ,q <br /> FROM: Mkt� ` /e�� G(�I <br /> �✓' .4ef. C0;)fr.Consignee �,t,�jS � eQi/ �Lv ` Shipper / � ✓'l'�Z <br /> Street �✓e�� CA / 7,t✓l >6'Z.b eT <br /> Destination Zip Origin street c�, f -L- CA Zip � � <br /> Route; Vehicle Number U.S.DOT Haxmat Reg.No. <br /> `3 7 <br /> v <br /> it <br /> /-o 3 <br /> �✓'✓'l�i-ts ,�l�-�-rV �L�i <br /> X IV <br /> Remit C.O.D.to: C.O.D. Amt: C. 0. D. FEE: <br /> Prepaid <br /> Address: <br /> H <br /> City: State: Zip: Collect $ <br /> NOTE-Where the rate is dependent on value,shippers are required to states specific in writin sao-e tt Sect-7atth o d n tlh hp t is b d_:»efedtothemrsig aet•neeut oe eanme FREIGHT CHARGES <br /> p PP 9 P Y 9 cosy m goer hal y m foo q tat ra t <br /> the agreed or declared value of the property. The agreed or declared value of the property is mac hal fre'. ,rery of lhn sh pmenl adiwul payment of lreghlaMal other laMPchmgaa. <br /> hereby specifically stated by the shipper to be not exceeding $ Per PREPAID COLLECT <br /> (S:gnalwa al Cor grwr) �A <br /> RECEIVED,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 Where the applicable tariff provisions specify a <br /> rules that have been established by the carrier ends available to the shipper,on request;and all applicable state and federal regulations;the Property described below,in apparent good order, limitation of the carriers liability NMFC Item 172), <br /> if there is no release or value declaration by the -_ <br /> except as noted(contents and condition of contents of packages unknown),marked,consigned,and destined as indicated below which said company(the word company being understood or' <br /> hipper,and the shipper does not declare a value a <br /> R throughout <br /> this contract as meaning any person or corporation in possession of the property under the contract)agrees to carry to delivery at said destinallon,If on its route,or otherwise to or release the carnets Ilarciv that liabilityy shall <br /> 'i deliver to another carrier on the route to said destination.It is mutually agreed as to each carrier o1 all or any of said Property over all or any portion of said route io destination and as to each be limited to the extent provided is NMFC Item <br /> {: party at any time interested in all or any of said Property that every service to be performed hereunder shall be subject to all the conditions not prohibited by law,whether printed or written,herein 172.California intrastate shipments must comply - <br /> contained,including the conditions on the back hereof,which are hereby agreed to by the shipper and accepted for himself and his assigns. with NMFC Item 173. <br /> NOTE:Liability Limitation for lose or damage In this shipment may be applicable.Sea 49 U.S.C.14706(c)(1)(A)and a). <br /> This is to certify that the above-named materials are properly classified,described,packaged,marked and labeled and are , YES NO-FURNISHED BY CARRIER <br /> in proper condition for transportation according to the applicable regulations of the Department of Transportation. 9V"i <br /> , DRIVERS SIGNATURE: <br /> es <br /> per <br /> SHIPPERLL S rZ'L O�i�L CARRIER: Wo ve Ra nnli <br /> DATE: PER: , <br /> PER: DATE s r <br /> EMERGENCY RESPONSE /a _ Monitored at all times the Hazardous Material is in transportation <br /> TELEPHONE NUMBER: ( ) "y .7 3 including storage incidental to transportation(172.604). <br /> .a� <br /> la ® 7M, ' <br />