COMPLIANCE INFO - Laserfiche WebLink

Home Browse Search

This Memorandum is an acknowledgment that a Bill of Lading has been issued and is not Original Shipper No. Bill of Lading,nor a copy or duplicate,covering the property named herein,and is intended solely for filing or record. Carrier No, D213+ 3 fAdwK;ed Utemicsl Traitspwrt lilw DBA AC;TEN11 RO Page of b Date (Name of carrier) (SCAC) On Collect on Delivery shipments,the letters-COD'must appear before consignee's name or m otherwise provided In Item 430,Sec.1. FROM: TO: Shipper (---)Hhi Nett f:TY t1i / f`ifAt6 t;fll�# f t) Consignee Street .,n Street aV22 ,m, en �. City - .nMw4. wA i State f.aZipCode r City r State Zip Code 7,539a 1%�. s 24 hr.Emergency Contact Tel.No. Route Vehicle Number No.of UnitsH"'pyo' BASIC DESCRIPTION TOTAL QUANTITY WEIGHT CHARGES fl Container Type UN or NA Number,Proper Shipping Name,Hazard Class,Packing Group (Weight,Volume, (Subject to RATE (For Carrier Gallons,etc.) Correction) Use Only) tit^ 2)UtAl :ai Waeilta Uty".f-"t�KWwa tt Lal (8FT RIBES) P�•t two -r 41 3j L NMetstd Wate Lbirl t:.1)'itiartlilttritt L*mo (411 TTISES) ' a:3 -L113) P PLACARDS TENDERED: YES p NO p REMIT Nota—(1)Where the rate is dependent on value,shippers are required to state y 'ADDR SS 1PPeI consignment declare a that the oonlents of this ADDRESS agreedspecificallyor a writing the ua agreed or declared valued the property,by blows:'The consignment ere fully and eccuretey ' agreed or eclaretl value of the property 5 hereby apedflcaly stated by the shipper m described above by the proper shipping C.O.D.FEE: be not axcaedkg per neuro and are classified, packaged, COD-.,. $ PREPAID : (2)Where the appicabk tariff provisions sparsity a limitation of the carders Iladlry absent marked and JabeAed/placarded,and are Amt. COLLECT ❑ $ a release or a value declaration by the shipper end the shipper does not release in all respects in proper condiffon for "` —�''"� the carders gebilty,or declare a value,the carriers IiablAty,shall be limited to the extent transport according to applicable subject to section 7 of Ihe'boryklens,h t1lQihient is to he delMred b the TOTAL provided by such provkions.See NMFC Item 172. International and national governmental co" �ee without recourse on the;consignor,me consigner shall sign the CHARGES (3)Commodrhes requiring special or additional care or attention In handling or stowing mations. roY g Atatement ^"' $ must be so marked and The paler shall poF+niike dellwry el'thle,ehipmem without payment o/ FREIGHT CHARGES packaged as to ensure sale transportation.See section 2(e)of belghl and ell ahwlewlul ehergee. hem 36D,Bills d Lading,Freight Bills and Statements of Charges and Section 1(a)of �"� FFIFJG FREIGHT ARGChock bexlchenges the Contract Tens and Conditions for a list of such articles. Signature eesuca p�tah"box ar ars to be (sitrohseaca".hvbd dpnbdacked ❑ soled RECEIVED,subject to the classifications and tenth in effect on the date of the Issue of this Bdl of Lading, tinction and as to each party at any hrne Interested In al or arty said property,that every service to be the property described above in apparent good order,except as noted(contents and condition of con- performed hereunder shell be subject to all the b0 of lading terms and conditions in the govemmg do- tents of paekagas unknown),marked,consigned,and dashnsd as Indicated above which said carrier siflcation on the date of shipmem. (the word carder being understood throughout this contract as meaning any person or,corporation In Shipper hereby cartiliaa that he is famllar with all the lading terms and oondltlons In the possession of the property under the cortrad)Agrees to carry m Its us"pace d delivery at said dent- goveminq classification and the said tens and conditions are hereby agreed to by the shipper and nation,it an IIs route,otherwise to deriver to another canter on the We to said destination.It Is mutu- accepted for himself and his assigns. ally Agreed as to each artier of AI or any of,said property over N or any portion of said route to ties. SHIPPER -JOHN NEI". LTF'VEN&iJH SIMPStON U.) CARRIER /aA"Mad -cal IMrtfliepW hx,;j>*r PER _" „Y PER DATE Permanent post-office address of shipper. STYLE CF375-4 02012 LABELt�1ASTFRO (800)621-580B www.labelmaster.com uv«u m.vw«eMa -"IMK