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Original-Not Negotiable . Straight Bill of Lading-Short Form Shippers No. 54076—A Box 5129 San Bernardino 92412 Carriers No. E22 Mat Tra-r�ll Name of Carrier RECEIVED,subject to the classifications and lawfully filed tariffs in effect on the date of the issue of the Sill of Lading. at ' 1990 Piccoli Rd. Stockton 20 From Unified Western Grocers th the properly described below,in apparent good order,except as noted(contents under the contract)'agrees to al Locontents of gits usual place es unknown),of delivsrynat sial a..afonetlf onsigned I'd cil as Is rorxe,othemse to deliver tcated below,which sarc Panother carrier onr[he routetosapid destination.ll 1 ll contract as meaning any person or corporation in possession of the property mutual}v agreed,as to each carder of all or any of saki property over all or any portion M said route to destination,and as to each party at any time interes!ed in all or any of said property,That every`�^"�to ba pertarmed bar" shah be subject t0 e Uniform Ffvght Classdlcation in effect on t the term 'rfonn Domestic Straight Bili of Lading set faith(1)in he date hereof,If this is a rail or a rar-water shipment,or(2)in the applicable motor carder clan sulcation or tariff It this is a s and contlitions of the iJn arelot wider shipment. Shipper hereby certifies that he is familiar with all the terms and conditions of the said bill of lading,set forth in the etas fficatlon or tariff which governs the transportation of this shipment,and the said terms and tend ons are hereby agreed to by the shipper and accepted for himself and his assigns. C R E" . a Consigned to A" tMgri!or street Address of conaignee�or pvrposn of notification only.] CA 9454 Delivery Destination 30677 Huntwood Ave. State Zip aunty Address" 'To be filled In only when shipper desires and governing till provide for degvery thereof. Route Hayward Delivering Carrier Car or Vehicle Initials No NO. HAZARDOUS 'WEIGHT CLASS 6/ Subleet m Section 7 of conditions of PACKAGES MATERIALS consignee OF ARTICLES,SPECIAL MARKS AND EXCEPTIONS Si38JEGT TO CORR. OR RATE ahipmeBle bill of led a this shipment la to be ed.9, to the consignee wlthoot recourse on the consignor,the eensignor shall sign the Fluorescent Bulbs '° The carrier shall not make delivery of this shipment without payment of HT u, freight and all other larl charges. L Per (Signature of consignor) H chargee arc to be prepaid,write or stamp here,"To be Prepaid." Received f to apply in prepayment of the charges on the property described hereon. hh , Agent w Cashier. V Per {The signature hen acknowledges 2 only the arawnts p paid.J O kn Charges advanced: SHIPPERS CERTIFICATION;This is to certify that the above-named materials are properly classified,described,packaged,marked and SIGNATURE TITLE s labeled,and are in proper condition for transportation according to the applicable regulations of the Department of Transportation. C.O.D.SHIPMENT If the shipment moves between two pons by a carrier by water,the law requires that the bill of lading shall state whether it is"carders's or shippers weight" •'Shippers imprints in lieu of stamp;not a part of 6111 of Lading approved by the Interstate Commerce Commission. Note-Where the rate is dependent on value,shippers are required to state speclfi ly in writing the agreed or declared value of the property. C.Q.D.Amt The agreed or declared value of the property is hereby specifically stated by the shipper to be not exceeding Collection Fee THIS SHfPMENT IS CORRECTLY DESCRIBED. "The fibre boxes used for this shipment conform to the spec- Total Charges iflcations set forth in the box.makers certificate thereon,and all Shipper g CORRECT tyEIGHT IS LHS. other requirements of the Consolidated Freight Classification. Per Haz Mat Trans, nt, er Shipper, PerAh-_" — Permanent post office address of shipper