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9Ei'LR4!lyU13.rcev�rw <br /> 9013 -:(3PARTFOfN1J--=.��'�' s - - <br /> --,-UNIFORMSTRAIGHT BILL OF LACWG Original—Not Negotiable—Dortic shipper's# 46732-A <br /> ` Haz Mat Trans, Inc. P.O. Box 5129, San Bernardino Carrier Agent's No. <br /> RECENED,subject to the Gassifications and tariffs in effect on the date of the issue of this Bill of Lading, <br /> at 1990 Piccoli Rd. Stockton from Unified Western Grocers <br /> Ta vrppeM it. ltrw ball w In"n",Sped ordw...apt u;Mad(;;tarts and rv�daian M mount.W p.dia9at unmown}-"6,c ,aigni d and de oN W.s shown bacw,wnkh.,d c eny(ere erd-any t lrw urxleitrodd thrduybra Wir mond u—1*9 a^Y P—w mrP—r Ppr.e.*idn <br /> '1"ne.+ <br /> o M 1.1 bar.—1.0 W—lo arty to its-.f PAW or nNn'.rY u said deflruEul d m iia—ra .vnrer Yoe.Mai route or mutat,w within m.ImloiY d 0 NVm y ognlipM,otnenns.to dt&.re amlher r�urer on Ih.area b.,Id d-Wrardon.d h mw W!.g.aa,as b aac r anter <br /> d al o am or.aa Pmpa,lY war..ur.,rr purha dl as d,IM.rq d'estinaean,—as to..M WmJ.aj dune inlmsl.d In all.am el.aid ReWuty.IhN—Y ardra ro W parr, .ed he-idol b.ajw o.0 the oond r-s mr xhbited hY LL..h.awr PflrW w wfflm h.r.In cM]inld,6'rrdu3M <br /> 0._j m bw*..r.al,w an hrmby t,,ma j b by dare slJmec and a[Med Im ri n H and Ms—4- <br /> (Mail or street address of consignee—For purposes of notification only.) <br /> Consigned to A.E.R.C. <br /> Destination_ 3067e7 Huntwood Ave. , Hayward State of CA Zip Code 94544 County of L.A <br /> Stret city Delivering Vehicle <br /> Routing Carrier or Car Initial No. <br /> Collect On Delivery C.0.D.charge Stripper ❑ <br /> $ and remit to- to be paid by f Consignee ❑ <br /> Subject to Section 7 of conditions, if <br /> this shipment is to be delivered to the <br /> Street City State consignee without recourse on the con- <br /> No. 'Wei ht Oass &heck signor, the consignor shaEl sign the fol- <br /> Packa s Description of Articles,Special Marks,and Exceptions Sub.t Con- <br /> 'Weight <br /> or Rate Column lowing statements: <br /> The carrier shall not make delivery of <br /> this shipment without payment of freight <br /> FLUORESCENT ,, and all Other lawful charges. <br /> - mac}// � .iiL...CGG.+���..--���� <br /> (Signature of Consignor.) <br /> If charges are to be prepaid, write or <br /> {� r• �� -t stamp here,"70 BE PREPAID." <br /> _ _ <br /> ear.,:f 'ar, <br /> P �',a:-:' - :.x, .�3.: .� - ,al:'rte Received S to apply to <br /> prepayment of the charges on the <br /> +r - a'. `s�.$�s+t .�%rf .mz,• �,�:'., .,�,- - property described hereon. <br /> Agent or Cashier <br /> y-�.�.. slu.«..,he�•e-'= �+ •a;;�sv: ,. ;.. :ah.r:. xt�"= :.•�as.t..�,:�:.:' >, �.;'"��Y", ';�-�,. Per <br /> --- -°` (the signature here acknowledges onty <br /> the amount Prepaid.) <br /> -N theshipment m o ports by a carrier by water,the law requires that the bill of catling shall state whether it is terrier's or shipper's weight' NOTE—where the rate is d"Ment Charges Adv ed: <br /> on value•shippers are required to stale specifically in wridng the agreed w declared value or the property. - <br /> Thr agreed or declared value of the property is hemft <br /> speollically stated by the shipper to be not--dl per <br /> cHaz Mat Trans, Inc <br /> I _._.Shipper, Per � Agent, Per <br /> 4159 anent post-office address of shipper, unified Western Grocers 5200 Sheila St. , Commerce, CA. 90040 <br /> (This Bill of Lading is to be signed by the shipper and agent of the carrier issuing same.) .• , <br /> Bill of Lading <br />