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ATTENTION SHIPPERS! Page _I of FREIGHT CHARGES ARE PREPAID ON THIS BILL OF LADING UNLESS MARKED COLLECT. STRAIGHT BILL OF LADING /ORIGINAL — NOT N/ GOTIABLEn (Name of carder) Shipper No. 6f/ O(-76 Carrier No. (SCAC) Date 9 /y onGclleaten M" atlprlardN the Ylbra'COD•mra spree maters urs %rune« wallearame pravaed In Item add, Seat. Consignee%/krh'Qu h �// FROM: Shipper ter s or package. unknown), marked, comMed. and destined se Indicated Mwe wNch said ca "a Mp«I.m hereend« stall be aubfe24 aA the Nr d sorting mrtm and e«akonsinlltegowmagdaz- sawlbn on Me dei. olsM1ipment. Stream ShIpIRf hereby ceNflea Nat Ire re MmlAaz wind all MB Ietllrq terms aitl o'mdiN«p M Ne possession of Me property under Me ser"01) Sanas a carry b as used place of dewery at Said dea& more. it Its to"WWarm If Street / 2`r( on another carder m the route s sea daydream. A Is enum- !!If!hV qty -ne`j ,^ State L_/(7 Zfp Cglie /iX f� City State Zip Code 24 hr. Emergency Contact Tel. No. - r Route Vehicle Number No. of Units & Container Type L� r 1 M BASIC DESCRIPTION Proper Shipping Name, Hazard Class or UN or NA Number, Proper Shipping Name, UN or NA Number, Packing Group Hazard Class, Packing Group TOTAL QUANTITY (Weight, Volume, Gallons, atcJ WEIGHT (Subject to Correction) RATE CHARGES (For Carrier Use Only) L7' GWS -04�5 PLACARDS TENDERED: YES O NO D REMIT C.O.D. TO: ADDRESS _ /� VOD Amt: $ C.O.D. FEE: PREPAID D COLLECT ❑ $ Note — (t) wh«a MB rete Is dependent he Valu& ahlppers ere reputretl to meta sp«ificary In very the spread «declared value d Me k9 property, ae 1pkeaa: Rle greed or declared vase d the pmsaty s hereby specifically slated by Me shipper a be wt eswedmg per (3) Vvl,ere IFe applicable taW provlmw epetiy a nmltafbn o111p rmter91iad8ty abmN release or a value declaration by Ne shipper and the ahlpper dealt not raleese the carrier's LigirM or detlara a nage, Me canicAa liability shad be serse he Me ep«A proNtled by wcM1 pmvlabnit. see NMFG fiem 172. W). b. so nfibs requiring special as w enscrernal care w stemma in Sma SesMudge, or 2(tnot mug be m marked vq pazkaged az b ensure sale tranapodatpn. $ea Section 2(6) d item 3aq eggs d lades. Freight Bill. and Statements or Charges and astern 1(a) d the Gommot rearm Shop Condlll"cS for a sister such anicges. I haraby declare Nal Me contents of Ns consignment are fully and srcurebry des Sed shave by Me proper shipping name end are classified, released, madred and IeZallece fra sed, end w in all respects In pup« condiY«t ter barrcPan rs, Intoccung r applkeWe Inlerwhnalentl national govemmmW regugeimna. Signature sondes b Bartter > of Naw A pnb,s b b Ce delivseE m Ave Iliwut rcmune on rMw Ne nmShor ruY tlgn the IOa°"Tire �wmar Shall oat mere dew of Mu ahbme sl p.ym.re a he4ahl W ell oNer kwful clugee. TOTAL CHARGES $ FREIGHT CHARGES FPE9M PREPAID Qretlrbm.Y Wrgae tleWk m • v� difleatheoinSmayoret RECEIVED, wbjecl to the Stassarts.. entl hunts at erosion Me dale dope Stated Ms&ll of Leding. Me propend described above In appamnt good metal, anal as holed(wntens and condition of sea breach and as m each pend of any area interested M a ll« arty Said Warns , Net every aesvemm ter s or package. unknown), marked, comMed. and destined se Indicated Mwe wNch said ca "a Mp«I.m hereend« stall be aubfe24 aA the Nr d sorting mrtm and e«akonsinlltegowmagdaz- sawlbn on Me dei. olsM1ipment. (Me ward wnkr being andersluM MrppM1Wl Mia ventrad as hembleg se, rerun or mrpe adm In ShIpIRf hereby ceNflea Nat Ire re MmlAaz wind all MB Ietllrq terms aitl o'mdiN«p M Ne possession of Me property under Me ser"01) Sanas a carry b as used place of dewery at Said dea& more. it Its to"WWarm gwarnlrg classifiwf entl Me send leer. and mndilbna are hereby agreed In by Me shipper and on another carder m the route s sea daydream. A Is enum- !!If!hV accepted ter himself and his Send SHIPPER iJa.,e�,/1 /r/ Gc�n I CARRIER PER PER I I DATE IJ Permanent post -office address of shipper. SME FOfaO 12003 LABELiiASTFRa (800) 621-5808 www.labelmaster.com umnmreuxi.w SOVINI(_