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04 / 11 / 22 UPRR PROVIDED SHORT FORM BILL OF LADING - NOT NEGOTIABLE PAGE 2 <br /> BILL OF LADING ER : 1706668 SLAC : UPGF <br /> SHIPPER - CONSIGNEE - <br /> Shipment is Shipper Load/ Consignee Signature : <br /> unload unless stated otherwise below . Print Name : <br /> Trailer Nbr : Firm Name : <br /> Seal # Applied * Date : Time : <br /> Received seal intact ? Y N <br /> Signature : Iep <br /> o CARRIER NAME : <br /> Print Name : ,i� J Drivers Signature : <br /> Firm Name : Print Name : <br /> Date : / 12Z Pickup Date : Time : <br /> Special Instruc ions : <br /> PAGE 2 OF 2 <br />