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<br /> Original--Not Negotiable Straight BIN ofLading-ShortLading-Short
<br /> ? Y Shippers No.
<br /> s' R �rC�g /r " ''Y//!m" T C Carriers No.
<br /> (Name of Carnel9 i
<br /> RECEIVED, blest m me C135S,1Is.f.re and w 1 Ily[tied hands 1I an me date of me issue at Me&II of Latlmg.
<br /> at From i=�'cS' �i r�rini�q 7D3 �,cf L .Iriirizt Ll4.rr moi/9O, 53
<br /> Ina p ep^dv a betel,.cpn gdea apt ( nd p kagD u nl.mnikad,cnn.�npa ar,a acslvwa m,�nok.w be
<br /> wnlm xme camw Ilne.wm wmr oeyri umurswod urrou,num lu..
<br /> Wnlmtl -busel any D fir co len In pox: ':.11M prO mr bnaer 1.OMI.)0,'000 b abrH b bx uveal Ole.of aellwry nt 50w w llNnon,rl on I fWla,fi ncrinl le acn ur b yrgnOr ulMvr on 1..1..:w all II rx
<br /> mueMnly agrl as ID NLT a mar of all or b e-1 Sail pbeney a ,au or I peel.01 03N M1I.I.Oinsene Jbn,OM a=10 00011 pal 01 t,y vma mrDru;Ice aax9:
<br /> fir
<br /> .n au fir nM 01 x010 pn'S"ry InF{l suMCO b W(mnomWd Mend x n4 ba olblaLl
<br /> 1.all IM wee.and focal e M bill until earls Slryonl all l 01 Udine xet feed(1)in unifoml FraniClabdlkslbn In Snort be Ne.Ic In.......nk I;a rail m 0 mil-wnlor T10mvnl,cr fa c qe ap)lraq!moor mer ¢elvxr Or lunll 11 IM:
<br /> c 0 mvbr carrot;nbme.
<br /> Shipper hl eenlfle0 Tet M1e Is 10-1110'wIM all.tam10 find eorWNons v1 Ul vW bill of bel IncluWrs all en IM10 O-awrvel,Oct II In In.sly- Ilil m mn0 vnieM1 9ov0rni Inc VvnaOonollon al inn eMpmenl.
<br /> aM:n.qid mans Ond w ftfo.Ore Irl.,l to by Np sM1l,,s Ond...,W br hlmsvll OrM nL•a5sl,n0. ,
<br /> Consigned to nt,• n a
<br /> aLl7 %/I('fG/if• ��r 17/4//�!'{'/ State r :a p ap a nDa-
<br /> Destination �?' � � t (?r zip jam r n Court pa-p.-eruean anl�
<br /> ty
<br /> Delivery Address' '
<br /> Route p a n ony ,nmpa..-in®a ,avpmrag el a ore.as ur =1 my 17
<br /> Delivering Carrier Car or Vehicle initials No.
<br /> HAZARDOUS _ _ In I Il I
<br /> MATERIALS e:f- _ a�Pliawem b"I of vboelln'ndf Ihe.
<br /> v sh Dmanl Is to pu Oa1ri b 1-c
<br /> C.0111nap wlm0ul rvC0u1pB On the
<br /> f�7li�% ✓G / u�l!�' ,, a I�nar,Tpaan�,nprana11=1enm..
<br /> Iolbw ng slOtvmanl
<br /> r `���" Tnv<vtl0r NWI not mak0 Ill
<br /> i/� - Pvrc ll antl pY othvWIb`.ul ciraYgc l
<br /> I
<br /> Isrpno of COnal,noq ^
<br /> 11 Nur,aa rw l0 F prep...,....ur
<br /> amp n.ra,fie no P.ppae:
<br /> sit%Pl00 5
<br /> c apply In i y y cI I,onnrvlu.
<br /> � the property au=ctleu0 nvruvn.
<br /> ' f •a,om or CrraMar.
<br /> m 1
<br /> -C (rife"Imntle.ner0 ocknowlcOpvs ,- _ wh.me.m.um.pr.pmal
<br /> SHIPPERS CERTIFICATION:This is to certify that Pe axone-namedmaterials are Popery elassifleQ desenmd.packs d,mart ed and ' 0,, 1 TITLE
<br /> labeled,and are n Proper condition forhrunsvodati n according to INS SIGNATURE r ��%�T/ -s/���
<br /> M Z � P applicable regulations of the DepaNnom of Transportation.
<br /> If Me shipment moves between two pans by a carne:WW water,me law iaqulres that the bill of lading shall state whether if Is•tamers or shippers ne ghrr C.O.D. SHIPMENT
<br /> r1T-i "Shippers imprints in lieu of stamp;not a part of B(Il of Lading approved by Ne Interstate Commerce Cambelssion.
<br /> Note-Where the faro is dependent on ,alua.Ship mrs are require?b stela spefou ly in wri ft agreed or deoafed v Iuo of the property.
<br /> —•{ G
<br /> The agroed or declared value of the property la hereby sPatificaliy sfeted by Me shipper to be not exeaedi.g C.O.O.Amt.
<br /> THIS SHIPMENT IS CORRECTLY DESCRIBED. ••TNe fibre bores used for this shipment mnfolm to me spot• Collection Fee
<br /> i6cltims set forty in Me box makers eoM istake thereon,antl all Shipper Tow Charges__
<br /> CORRECT WEIGHT IS LgS, other requirements of me ConsolitlabG Freight ClasNeoaaon, V=�
<br /> Shipper, Per <) � Agent, Per
<br /> ILA
<br /> ®., Permanent post office adtlress of shipper ,^ !- /�.✓—"'q`"
<br />
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