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STRAIGHT BILL OF LADING Shipper No.
<br /> ORIGINAL—NOT NEGOTIABLE
<br /> Carrier No.
<br /> 11 Groi ,v,ruo�.�nre.�
<br /> Page ` Of ' Date
<br /> (Name of tamer) iSCACI
<br /> On Carr an odlran aNpmerro.me'adars TAm mum eppam befwa Monagroes nemawea,names pmrided In nem am.sect. FROM:
<br /> TO: r , ^ Shipper
<br /> Consignee UP�R Strei C?,i 3`3 ,- I t.3�Sn 39�
<br /> � F- 5t-Street (' Il y. {-�^/ City S rQL�'�j(�j Slate � Zip code
<br /> city ) b'Gtta^J State CA Zip Code 7/Nb
<br /> 24 hr.Emergency Contact Tel.No.
<br /> Vehicle
<br /> Route Number
<br /> No.of Units BASIC DESCRIPTION TOTAL QUANTITY WEIGHT CHARGES
<br /> &Container Type HM UN or NA Number.Proper Shipping Name,Hazard Class,Packing Group (Weight,Volume, (Subject n) RATE (For Carver
<br /> Gallons,ac.) Correction) Use Only)
<br /> R1
<br /> r�
<br /> CJ`-b y"` SO(Jl' f J Cern�`'�'IA�!'kd Sail I
<br /> PLACARDS TENDERED: YES o NO p REMIT
<br /> Note—It)`Mlem Me lore Is depandn t on yews,shippers are required to stare I M C.O.D.SS
<br /> speplmin in endo,the agmedl or de der al Value at Me wopart I as mines.'me lean madam Mar Me romema of Mle ADDRESS
<br /> agreed or declared value ot Me EmMeM yrs hereby apessolo, afeled by Me snapper to cgnsimad b t are laity and aCsm;,env
<br /> Da rot e.ceedlc, _ _ per_ uexdbed nuns by Mn,pupal mlppmg C.O.D.FEE'.
<br /> Izl AID 0
<br /> where laappl®we Senn pmvemnw aboblya omlaep"m bre""O elaNMyan t marseeavy air amid. cedap.. COD Amt: $ COLLECT ❑ $
<br /> release nr a va;us d-lumenon by In.sMppar and In.shim duras nor";obs" In W,reep%6 m proper ci muton I r
<br /> Me nun's lednry or sy stere a,.alue. no Mainers III Malloy nmimd to Ma amen transport ordu, m apppraala sup m m Ramer r d Me osl,db one n me smomam I Ne m as em to In TOTAL
<br /> Pons dad by auto provaora.see NMF{nam tr2. imemauwel eM.dais 9orrammental w"a�� eimom erouree on Ina cawprror. .can,nor I na,Me CHARGES $
<br /> (3)Commodlrles mould",spacial or additional Mary or amonon in Nndling or sroeng repu bearm MI TMpuma•M. no,maMe delMry d M4 elilpmenl MMaur payment or
<br /> MOR be so maned and pabsaged as to ensure sale Mumbonalipn.Sea Sectlon 2(e)of muer,end an MBB!Wno,aem.e FREIGHT CHARGES
<br /> Ilam 3Bo.ell's of Idding,Fmi,nt Bill.am Statements df Chemee and SeMtkn 118)pl �r��D G}..'Uerple
<br /> Me soman Tendsw„comuwra mraum at sato an¢les. Signature islw,�.n marred
<br /> M ed Mals ❑ urea
<br /> RECEIVED.Read N to clascAlslrons aro rands In ones on Ino oats of me mm el Me Bu d tad^,. Meavn am NO to Illi pay at any bine emend ted in all or any weld property.Mel every son oe to
<br /> thepropey dmmed wommapparem good order,escepl aR only,Icpments ale coradem,d tom one performed hereunder stet W seam to all Me bill Of bound lama and cwloMom In Me governes blez
<br /> dna o1 pitlMgs Mk.),manedcansgr u aM beamed as mNwted shone anion and Meme slncauon on Me dale d snrpmenl.
<br /> oft vol name bail,understood Mrownse his wntrs,as meaning any person or mmwM"In s,mmr,immin,canes Mal ne Is fernalar MM d1 the mo,Ierma and,conowbuys In Me
<br /> ryssema pl iM pi undw Me mw si agrees to Marry lob;tOn.place"I delNery aft said deal. goveming classrrvadou and the raid terms arel mnddom are hereby agreed tp by Me supper aro
<br /> relbn.11 m s mub,athem+»1.,euver M ado her tamer on ale mule N sao,es synod las n,mu eUapmd Ion nlmsaM aro his assigns
<br /> guy agre9d az to e94n Came of ell pr any b1.said pmpeM alar all dr any Wnlm of.1.roue to dao-
<br /> SHIPPER 6�1t`tR( y^7� � CARRIER
<br /> PER �/ PER
<br /> DATE
<br /> Permanent posloftice address DI Shipper. STVLE F8154 02012 tABELMASTBi® (800)621-5808 www.labelmasteccom
<br /> 9", 11egON 050're uo vayat rarrmae
<br /> uslM3 sgre[ua ixa YW(
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