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STRAIGHT BILL 8F LADING--ORIGINAL--NOT NEGOTIABLE - <br /> Shipper's No. i <br /> Carrier 9ftal 1f1X0'JW6dCAC Carrier's No. <br /> FFECEIVED,aubjed to Individually defennlrad ratas or contracae that have been agreed upon in wridng between the€arrier and shipper.If appkabls•olherwise to the rales,damifications and rules that have Leen <br /> nKta <br /> I brohed by the cancer and am avrJtable to to shipper.on request"all applknho atato rud federal regulaVornr; <br /> at date from <br /> the property described below.in apparent good order,except as noted(ooknents and candibon of contents of packages urilatavm),narked,ooh fined.and destined as iradicated below,which sold coY <br /> (the ward company being wderstood througYiout this contract as meaning arty person or rarporatkm in possesaton of the property under the conhact)agrees to carry to delivery at said dustinatign,U w Its <br /> route,orothorwise to d0vor to another canner on the route to sala dastlmbm et Is rnrraally agreed as to each carrlor of all or any of said Property over art or any portion of said route to destination,and as to <br /> each party at arty time tMenu sled in all or any of said Property that every amvke to be performed hareunder shalt be subject:to all the conditions not prohibited by law,whether printed or written,herein <br /> mrrtalned.indu 11 the corxllttons on the back hereof,witidl ars herab agreed to try the and accepted for himsdf and his assrgns.. <br /> To: V T r +4 G ��' � FR©Ilii: ,moi c,s_D. OD hVK-A/ 'C h4rvoL <br /> Consignee _ <br /> Shie2er <br /> Street Street <br /> I Destination ge .'t'-6i-J _ . , _ zip—A4801 ; Gri in-zPjx dr 4 . Zi 9 � � <br /> Route <br /> Delivering Carrier Vehicle Number U.S.DOT hlazmat Reg. No. <br /> Number and Typ 1,D. Hazard Pkq Class orHM s <br /> of Packages Nurntle, Class Grp. Rate <br /> , <br /> -17 <br /> C <br /> bod to sactio,d d cord!lora,Y a d COD FEE: <br /> : <br /> Remit COO ta: .n ,.ar t,to a aaWfred to the Wn,ranea � D AMT: <br /> In4W r cr,unm on One eaneignor, IM ❑ <br /> Address: Wd&OM n�d oft Prepaid <br /> City: State: Zip: a rleu iaymeei of Inlght and all $ Collect ❑$ <br /> NOTE:Where the rate Is dependent on value,shippors are roqulred to state specMeally in writing TOTAL CHARGES: FREIGHT CHARGES: <br /> the agreed or deciared value of the property.The agreed or dectarmd value of the property is t <br /> hereby apacftally stated by the shipper to be not exceeding S Per lsgneara of ca uk� ; � Phe ald F'CalleCt <br /> N6TE:Liablgty L1mlMlran for loss or damage in this shipment may be applleabla.see 49 U.S•C. s <br /> i <br /> 14 c 1 Fund ! 11BYSHtPPER []BYCARRIER <br /> This Is to cwrtmy ser the above-rwrLtd malmlats are pmP©dy 0e13aed,d—it-d.paduged,marked <br /> end labeled,and ars Lt proper condl0on for aarepartatten acconfing to the appk:&Me rogutadons V ! ! QAIVF3i5 <br /> en Deparorwrt of Trengpwtak m Por MATURE <br /> SHIPPER 17r CARRIER: /7-" r!7 <br /> PER: — BATE: PER: <br /> EMERGENCY RESPONSE NAME OR CONTRACT NUMBER <br /> TELEPHONE NUMBER- � „ -sem�� OR OTHER UNIQUE IDENTIFIER: <br /> 29-BLS-C3 959(Rev.9/10) <br /> u <br />