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U j} STRAIGHT BILL OF LADING Shipper's No. 3'^/ Zfl ORIGINAL-NOT NEGOTIABLE Carrier's No. Date CARRIER: SCAC y FROM: �.�e� �.,c, OM: j �,�, 1✓'e �o Co��7 II 1 �� Shipper TO: +� Z �,i� Pl r-.. �✓'� .-- Cons nee P i cc R"A Street Zip D Street J zip Origin DestinationI'r � S �h Vehicle Number U.S.DOT Hazmat Reg.No. Route: HAZARD IN, Al julmd Jug CLASS u� fay o7 � of n µ S C.O.D. Amt: C.O. D. FEE: r Remit C.O.D.to: Prepaid Address: $ Collect $ State: Zip: City, Sugecl to.ec4on7 of the vXIdYLae it N's shy n,eM is to ba da:.Yaretl to the cq,slgnea n'thoal r¢crourse onlM FREIGHT CHARGES NOTE-Where the rate is dependent on value,shippers are required to state specifically In writing ��g�,��ugno, 4a�n el PREPAID COLLECT the agreed or declared value of the property. The agreed or declared value of the property is The arner5ha8wtmkedaYverydlhbshpawal lho 1p ymerAollrehtenda'Ioher xiW barges. Per (Sig. of Cons:gncr) hereby specifically stated by the shipper to be not exceeding $ pov doral regulations,the Property described below,in apparent good order, limitation of the carnet's liability NMFC Item 172), >r<` RECEIVED,subject to Individually determined rates or contracts that have been agre ueslPandin alWatlp9cab a state and botwe nine carrier and Shipper,if-applicable,otherwise to the rates,classifications and ItJthere isanoP eleaseaoravalue declaration by the , ;.x '' rules that have been established by the carrier and are aveilahle to the shipper,on req Pated shipper,and the shipper does not declare a value '. - " exco t as noted(contents and condition of contents of packages unknown),marked,oo es;gnundern he contract)agrees to carry to to del verylal said dpdeystinaUon,it on rats muteeorgotherw seoio or release the carder'.liability,that Ilabili shat P 4; throughout this contract as meaning any person or corporation in possession of the p p Y . deliver to another carrier on the route to Bao each ld destination.It Is mutually Icerto be as edormed hereto each aunderr of lshall be subject Pooall the conditions not prohibited by law,whether printed or on wdttenas�heroin 172.be INMaFC Itemmited toa173stateextent psh pmeentsymust compl party at any time interested in all or any of said Property that every sery P € contained,including the conditions on the back hereof,which are hereby agreed to by the shipper and accepted for himself and his assigns. NOTE:LIahIIltyLlml[etionforloeaordamegelnthis shipment may beapplicabte.See 49U.e.C.147ge(c)(1HA)end(B). •, � -� - YES �NO•FURNISHEDBYCARRIE �'-;aZ' This Is to certify that the above-named materials are properly class tied,descrbed,packaged,marked and labeled and are J DRIVERS SIGNATURE: in proper condition for transportation according to the applicable regulations of the Department of Transportation.. s o F Per SHIPPER: ' ttvr►1` !ice CARRIER: S'h/ PER: DATE: PER: DATE: iK_roz� n p � Monitore tall times the Haza ous Material is in transportation EMERG NCY RESPONSE r- ,�t% J including storage incidental to transportation(172.604). TELE PHONE NUM ER: (7/ � t t t • 11 t r d