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AT TENTH SHIPPERS! FREIGHT CHNAGES ARE PREPAID ON THIS BILL OF LADING UN-eSS MARKED COLLECT. <br />STRAIGHT BILL OF LADING Shipper No. G✓�z�o75 <br />ORIGINAL — NOT <br />/ra/�GOTUIXILLEE <br />Page —/—of — � hC?° / / y— Carrier No. <br />(Name of carder) (SLAC) Date 9 // <br />rnCased an Delrary shipimme, Me mlbrscamlmrl �ar balore wna� /r agapmldee to nam Sao. s.a.1. <br />TO: C/ M//'/./!4/ <br />Consi nee til <br />FROM: <br />Shipper <br />��np /�f <br />� Y/w C�L�e <br />be wdanred M1meulMa slW lie Milled IS aU the bol of odbg lama and ®Idtions in Ne gpvemin, cies <br />Street <br />(�✓ <br />(Me worn terror belrq underslmd hrougheul this mnlW as mea+blp any Semon m cia,bo wn in <br />Street <br />/� <br />L <br />City <br />.a, if o n )tats u�e.o nrR mmebwid d¢stlreUon.lt is mus <br />aM banned as to eats roman of an w em al. said pmeIN over a many polUon of bed route b des <br />StateCP ZIP Code 7Q 2i <br />City I- State <br />Zip Code <br />24 hr. Emergency Contact Tel. No. no f <br />-- y6, 7 — bi* <br />Route <br />BASIC DESCRIPTION <br />No. of Units p Proper Shipping Name, Hazard Class or UN or NA Number, Proper Shipping Name, <br />8 Container Type HM I UN or NA Number, Packing Group Hazard Class, Packing Group <br />TOTAL QUANTITY <br />(Weight, Volume, <br />Gallons, ate.) <br />Vehicle <br />Number <br />WEIGHT CHARGES <br />(Subject to RATECarder <br />Coneaction) (For <br />e Only) <br />PLACARDS <br />TENDERED: YES D NO D <br />REMIT <br />C.O.D. TO: <br />ADDRESS <br />Nota — (1) whore the mm o do,drenl on value, Shippers am rawted to sob <br />sFecinwly in value Me agraed or declared value q the pmparry, ae fddhae 'na <br />agreed or declared votes of the pmpery IS ha eby SperJ oody SWIM by he Shipper b <br />be roI.Ioeepar <br />dng <br />S WMre Ne appwabo bMpavNJom apeeily a limllalbn dots cardeh naMiry abbots <br />raleaee or a value tlegar tion be the shipper and Me Shipper doe. not airmae <br />Ne carders liability or dedae a value. Me renlem labMty shall be limited b Ne exists <br />pnrvhled by arch Worst ne. See NMFC imm 172. <br />(a) Commodities requiring Model S, addinmal care m yearned in madwe - fdony q <br />must bammuked aM Packagedazmanswa nab VanapodeWrt See Settlors 2(e)q <br />IlMat«alisSod eareh aitNa doef aC. hvgee end Secr'pn 1(a) q <br />m CNn WBMTseTermsl wLaandoMilbrnsBfor. is <br />l hereby declare Nat Me mnsnow INS <br />corlaignmenl am buy aM aecurelety <br />dewLW Sears by the proper shIPWr9 <br />cka <br />home SW are gebeeme. paged. <br />Walked end lebetletl/plecarMd, and ax <br />In LI .."of. M pager condition for <br />transport a xandirg to applicable <br />Inbmabod and nglolwlgrvernmemal <br />regublimm. <br />Signature <br />/� O D Amt: $ <br />V <br />C.O.D. FEE: <br />PREPAID ❑ <br />COLLECT D i <br />SaIuromee �too Sharon ] d Ne tlpbrs, n Ww shlp�wm k b be dallrered b do <br />awurx ar M1a wnsynor, lM c Mor ehas elan lea <br />TOTAL <br />CHARGES S <br />IWlawi.,... awhad <br />rn. certier shat ars ma �,a y a .e , �pnam Wimom <br />I�egM eM tll alM1er NwlW rheryx. <br />wvmem a <br />FREIGHT CHARGES <br />'PEI CMk trx <br />9rdxNntma ❑l�dfiabpbee <br />rlMiatlgcFtl s <br />( vegmd <br />RECEIVED, wdjM to be clazsifaallws aN Rete an Oad on Ne lone of the Sore of She Be q ladbg, <br />tlrellon xW as to eats party al say Uma Interested Nal ar any Bald propaM,ihal every urvkeb <br />Ma pmpaM dxclibed above In epwreM ppd Who. ex yl as noted (conlenlsaM chosen al con <br />be wdanred M1meulMa slW lie Milled IS aU the bol of odbg lama and ®Idtions in Ne gpvemin, cies <br />tens of parkayes unknown), ma key ma<aned, and destined az Indaalei above whits said canor <br />aifiwdon on the data of sh(larri <br />(Me worn terror belrq underslmd hrougheul this mnlW as mea+blp any Semon m cia,bo wn in <br />Stepper hereby mMl or Mal he IS bmilbr bolt ell Me Was term. eM mntliliona In the <br />carry.1 small dei <br />erwisabtle0vabadfirr Me emMx Mlhe <br />goari qusllkelbn area Me sandWi and wandlone are M1erby Sunni to by We Shipper ad <br />.a, if o n )tats u�e.o nrR mmebwid d¢stlreUon.lt is mus <br />aM banned as to eats roman of an w em al. said pmeIN over a many polUon of bed route b des <br />�eplad )a himself and his as Igoe <br />SHIPPER <br />PER <br />Permanent post -office address of shipper. ®,„ <br />INN. <br />CARRIER {� <br />PER I I <br />DATE 13 71 / JJ <br />SME F360 -d ® 2003` LABELAASTER ® (800) 621-5806 www.labelmaster.com <br />