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iiiiiii <br /> must be legibly filled in,in Ink.in Indelible Pencil,or in BY TRUCKA{ertrIIn nfin)❑ <br /> THIS SHIPPING ORDER Carbon,and redained by the Agent. FREIGHT <br /> RECEIVED,subject to the classification and lawfully filed tariffs in e"^ct an the <br /> fiend ate ackageof sluenknownof 5 marked,[cons ng gned and des tined as indicalp rder. �, rich said carrier(the ward carrier bek efstood throughout this contract <br /> me property described oelow.m apparent goad order,except as noted(contents packages to another carver on the route to said destination-Ills mutually agreed.as <br /> as meamrg any person or,corporahon in possession of the properly under the cr to Carry ro is usual place of delivery at said destination,1or <br /> any <br /> 'J on its route.othervl l <br /> I.each carrier of all or any of said property over all or any portion of said route to and a5[0 oath party at any time inlere5ied In all Or anp el Sdrd pfOpefty,that a to r c performed hcatior or Shall 1 t is is a t[0 or the terms and GOndei0n5 <br /> of the Umfmm D1 all or a y of saight p of Lading set forth(t I m Uniform s 11 out I sstiaal, m effect on The date hereof,d firsts a rad or a rail water shipment,cr(2),n the ap adle motor earner classification or lanll il this is a motor career shipment <br /> Shipper hereby certifies that he Is familiar with all the terms and corral of the said bill of lading,including those on the bee thereof,sal forth In the classification or tariff which governs the transportation of this shipment,end the said terms <br /> antl conditions are hereby agreed to by the shipper and accepted for himself and his assigns. SHIPPER'S NO. <br /> �e p/ � DATE 1686/tin `� <br /> From i[tthit'ped �.Q esleri i 6�o cel 0.? J- .G `�.-Je�8 6 <br /> 1 1 7O � CARRIER'S NO <br /> At .' ! CARRIER <br /> S}aC k kottil r , t�` -t BY <br /> CONSIGNEE Y t�`'t"'1�'`s � ROUTE - <br /> AND DELIVERING CARRIER <br /> CESTINATION <br /> �.-7CAR OR VEHICLE � <br /> r, �© "'" J INITIALS&NO. , <br /> fNO DESCRIPTIONOE ARTICLES.SPECIAL 'WEIGHTCLAS$ ,� Subled[eSecl�On7o}cordttonsofrHM MARKS AND EXCEPTIONS (SUBJECT TO CORR.) OR RATE applicable bill of lading,if this shipment <br /> outis ec delivered eche obirriGsignor,the <br /> won- <br /> ar//�, (1 ! out recourse on the coosgnpr,the statement. <br /> �-L+ tl synTheshall <br /> carrler shall-1 oke dem ery <br /> v of this shtpmenl withom payment of <br /> Insight and all other lawful charges. <br /> Par <br /> (Signature of Cor"noq <br /> It Charges are to be prepaid,write or <br /> stamp here,"To be Prepaid' <br /> i <br /> Received g <br /> to apply in prepayment of the charges on <br /> the property described hereon. <br /> Agent ar Cashier. <br /> Per <br /> (The signature here acknowledges <br /> only the amounts prepaid). <br /> Charges Advanced: <br /> When transporting hazardous materials Include the technical or chemical name tar n.o.s.(not otherwise sped}incl or generic description at material wfth EMERGENCY RESPONSE PHONE NO. <br /> appropriate UN or NA number as defined in US AOT Emergency Response Communication Standard(HM-12fiC�.Provide t:n+ergency response phone / ��1 ,. 1 <br /> number in rase of incident or accident.(In box at right) \ J <br /> SHIPPERS CERTIFICATION: This Is to certify that the above-named materials are properly <br /> classified,described,packaged,marked and labeled,and are in proper condition for <br /> transportation according to the applicable regulations of the Department of Transportation. SIGNATU TITLE <br /> 'II the shipment moves between two ports by a carrier by water,the law requires that the hill of lading shall stale whether n h"carrier's or shipper's weight". C.O.R.SHIPMENT <br /> }Shippers imprints In fieu of stamp;not a pert of Hill of Lading approved by the Interstate Commerce Commission. <br /> Note--Where the rate is dependent on value.shippers are required to state specifically in writing the agreed or declared value of the properly C.O.D.Amt <br /> The agreed or declared value of the property is hereby specifically stated tly the shipper to be nol exceeding <br /> THIS SHIPMENT IS CORRECTLY DESCRIBED. - Collection Fee <br /> tThe Fibre hoxesusetl fonnosshipmentcontormto fhespecAiwtions <br /> 6Af5 set forth in the box makers certificate thereon.and all other roll Charges <br /> CORRECT WEEGHT IS -¢g" requirements of the Consolidated Freight Classlhcati0kr Shipper <br /> Per <br /> MIS, Shipper,Per Agent must detach and retain this Shipping <br /> °�`a � t° a.: °Mi9 s P$Ci11G �, g�{� 6(41,)-3.556586 Order and must sign the Original Bill of fading. <br /> Permanent post office address of stripper <br />