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9013 '(S-PART FORMy.. q...,....-:. <br /> UNIFORM.STRAIGW BILL OF LA,�,,.G Original—Not Negotiable--Dol...iii;itic Shipper's#46732-B <br /> Haz Mat Trans, Inc. P.O. Box 51291 San Bernardino Carrier Agent's No. <br /> RECEIVED,subject to the 6assifications 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 /> Mr.Pr�F dasu'bod babes,n�psitm gwd wd.r,.rapt sa—.d(CMIanIa ern e..dllon d owaerne M Prrewgee 114-1)rN,ked.bovvnad srd des,inae u mown Celew,.sMch said mmpsrcy(Ihe wad mmp.ny It"urdere"Ihr-Qr-i t aria—nM as meanry Yry Perron u rorpw.fi'n Pos.searan <br /> d ea PraPwry rndu me a )ligm to any M w wwl VI.G d tl.We7.l s"MWman.IS an w own r.WaM.,.a,x lin.,Ix9I,w+Y rouu w nwNs.a wNM me� —re d w Idgnway W lWra.M,anAae u dEr�'10 irnthar amn erl Ihr W.w saH desl,nnW-I,.r,a4nlN.n,iin 1f w , F aro <br /> d as w any d nrd PropanY—.1 M air pptipn"said rods b d.. Wien.aM u b oath parer.t my erns egertsled in all w mr,'d son pr lar Nor—1Y-M-Ie-wdU herawnar#,e!be"6,W m.a tM e.ni:eA Mt pronitalad by I.N.whall,ar pried or wow's,MrtMI GMumed.iYY+dkq <br /> PIa mtdbons m WCM naraef,wllitlt art nareby.Paed b by ea li,iODar and—pt.d for rk"f am his assigns. <br /> Mail or street address of consignee—For purposes of notification only., <br /> Consigned to A-E-R-Ce <br /> Destination 30677 Huntwood Ave. , Halyward State of CA- Zip Code 94544 County of L.A. <br /> Street <br /> Delivering Vehicle <br /> �Routing Carrier or Car Initial No. <br /> Collect On Delivery C.0.D.charge Shipper ❑ <br /> $ and remit to- to be paid by 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 /> signor, the consignor shall sign the lot- <br /> Pac es Description of Articles,Special Marks,and Exceptions Sub ogCor, off Rate Cdumn lowing statements: <br /> The carrier shall not make delivery of <br /> flits shipment without payment of height <br /> [ g,�'I'�'EEZ�ES f °WET�'r F��.w�,H'. rL�, , `- and all other lawful charges. <br /> j UN2795, -P.G. III _ ,, , <br /> (Signature of Consignor.) <br /> -- -- �-'A •�,'M � ����' " J IT charges are to be prepaid, write or <br /> stamp here,-TO BE PREPAID." <br /> �.• W `��: Received$ toapply to <br /> .:. ,,. '„yam-.c,- `,: . ;�.'' •� prepayment of the charges on the <br /> property described hereon. <br /> Agent or Cashier <br /> ._;+:-e:a�_�: .;•' = Per <br /> (the signature here acknowledges only <br /> the amount Prepaid.) <br /> If the shipment moves between two ports by a carrier by water,the law requires that the bill of lading shall state whether it <br /> ism"'order's or shipper's weight' NOTE—Where the rate is dependent Charges Advanced: <br /> on value.shippers are required to state spedrirally in writing the agreed or declared value of the property. <br /> The agreed w declared volae of the property is hereby <br /> specifically stated by the shipper to be not exceeding per $ <br /> ..d.7 Shipper, Per Hoz Mat Trans__ nc_ Agent, Per <br /> Perm nt post-attics address of shipper, Unified Western Grocers 5200 Sheila St. , Comall rcl. CA. 90040 <br /> (This Blll of Lading is to be signed by the shipper and agent of the carrier issuing same.) e <br /> Bill of Lading <br />