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l <br /> i <br /> . i <br /> To <br /> ,.c <br /> ,_ STRAIGHT 4BILL OF LADING shipper's No. <br /> ORIGINAL-NOT NEGOTIABLE <br /> CIE 1 I I I <br /> Carrier's No. <br /> i <br /> 3 SCAC Date <br /> l r f, E ��Y�� <br /> '' t � CARRIER: t <br /> FROM: SAF vtllf <br /> /'p f�r v- <br /> TO: C�L�t a �% J(�i�^''c�i Shipper f t 2 = r � �f ' <br /> Consignee U 6 a ,5�� Street c.<< "jv Zip / 6, <br /> Street �' Origin <br /> Ow'!l� lam' Zlp No 4 <br /> Destination <br /> Ve cle Number U.S.DOT Hazmat Reg. <br /> Route: = t. <br /> r <br /> R <br /> �r { <br /> cn ®t q CJ <br /> 0 V ` v ,�! C - � � ' � 7 C.O.D. Amt: C. 0. D. FEE: f <br /> z $ Remit C.O.D.to: Prepaid <br /> w Address: Zip: Collect " <br /> I ' State: FREIGHT CHARGES <br /> t I I City: Subject to SecgoriioilM co^dNo^511 this shp Mnt Is b be Ceirvered to the oons'gaec walwut tecotxse on iha <br /> O � Y 9 ,q,wr,tnewrcgM a.,s�s^melwo»{nysbtemrne 1 to- h1.ndA-tho,1--utcmrg,. PREPAID COLLECT <br /> NOTE-Where the rate is dependent on value,ship agreeds atordeclaredvalueofltlheilproperltynis thew de yvn amaaed irveymi,q.,pmentW1WA e^e I <br /> N Per (synatmedco^ere^orl licable tariff rovislons specify a <br /> ;_ the agreed,or declared value of the property. d allFP PP otherwise to the rates,classificat!ons and Where the app' p <br /> hereby specifically stated by the shipper to be not exceeding $ limitation of the carriers liability NMFC Item 172), f F <br /> -' ermined rates or contracts that have been agreed upon in writingcaetween b a state d d-slil-d and edea)regulations fthe P opeety described bel w,aappar n t u nderstood it there is no release or value declaration by the <br /> J �' RECEIVED,subject to individually def and all a I <br /> t have been established by the carrier and are available to the shipper,on request; PP live at said destination,if on Its route,or otherwise to or release the carrier's liabihry,that liability shall <br /> _ rules that C <br /> W ed contents and condition of contents of packages unknown), of ked c arty ed,ern he cont act)agreles tto aad erry to deck ryldortionpof said oNedto destination and as to each or tedntotthesextent proovided bycNMF value <br /> except es nol <br /> throughout this contact as meaning any person or corpoation in possession P P with NMFC Item 173. ; <br /> deliver to another Cartier on the route to said destination.k is mutually agreed as to each carrier of all or any of said Property over all or any p j <br /> ^Xe 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 Com { <br /> o contained,Inducting the conditions on the back hereof,which are hereby agreed to by the shipper and accepted for himself and his assigns. J 1'ES NO•FURNISHED BY CARRIER <br /> N r NOTE:Liability lJmttatlon for loss or damage In this shipment may be applicable.Sa/9 U.S.C.t47rd'l'.ad"d(B). ' •' <br /> / t NO :LI bI[Ky that the aboveInamed maledals are property Uass�led,descnbed• <br /> Pa <br /> maw and labobd and ere IF <br /> DRIVERS SIGNATURE: •� t <br /> in proper condition for tr=ns at according to the appilcabie regu:adons W the Dapanmant of Transponntion. <br /> �. <br /> C gs` per <br /> OSHIPP R: u�.'il`f eiL I►`�� I rr bL /'r/a CARRI DATE:EA d . <br /> DATE: PER: <br /> PER: Monitor d at all t mes the Hazar us Material is rn transportation <br /> EMERGENCY RESPONSE ( i including storage incidental to transportation(172.604). <br /> �� w <br /> t <br /> TELEPHONE NUMBER: ( a <br /> - 11 ;; , <br /> t x .' <br />