Laserfiche WebLink
Ai I-FUTIVN SHIPPERS! <br />Page r of I <br />cored on pelhary stana le, the mxers"COD- wast <br />FREIGHT CR.-.y1GES ARE PREPAID ON THIS BILL OF LADING la„-.ZSS MARKED COLLECT, <br />STRAIGHT BILL OF LADING Shipper No. <br />ORIGINAL — NOTpEGOTIABLE <br />4VAw"4 / DDp��/ C/!l /�►NI -C ` 4* r Carrier No. <br />4 � 14 J <br />(Name of carder) (SCAC) Date <br />relerp mmpnwbrlm WaeWMnmxRm l3a,sm.1. FROM: <br />t Shipper <br />r, <br />Street <br />fila'1 nt%� <br />//rs <br />Street ® l 6 r,�, �`J�/�q City <br />City L© i State � Zip Code � ✓�—I{,/ <br />24 hr. Emergency Contac) Tal. No. <br />State Ci4 =P Cde95 Zl5 <br />Vehicle <br />Number <br />1 <br />No. of Unite <br />8 Container Type <br />HM <br />BASIC DESCRIPTION <br />Proper Shipping Name, Hazard Class UN or NA Number, Proper Shipping Name, <br />UN or NA Number, Peckor ing Group Hazard Class, Packing Group <br />TOTAL QUANTITY <br />(Weight, Volume, <br />Gallons, etc.) <br />WEIGHT <br />(Subject to <br />CMTectlon) <br />RATE <br />CHARGES <br />(Far carrier <br />Use Only) <br />C <br />5 <br />t�C/ <br />y•Z7n <br />PLACARDS TENDERED: YES D NO o <br />REMIT <br />C.O.D. TO: <br />ADDRESS <br />Nate — (I) Mand the 2k 6 depnvbM on vWue, Ntlppere am o,w o to slam <br />spa ifially in wain, the agreed u declared value d the properly, as follows: 'pie <br />agreedw <br />or declared vae of soon any he prophereby aped! airy state by me shipper to <br />Nonm we,asdng per <br />(21 WbWexeapplkabm anx pmvisibnsspW:lya9Mmxon of me rarrin'e BebNxy absent <br />release or a value declarat w by the shipper end are Shipper does an release <br />In e ca,rierk Fablily w declare a value, me ®rrieh IiadGly shall ba Rmllcd m me endo) <br />PrNded b,sain pro.I. See NMFC them 1R <br />(3) Cornmodibes requldng spaded or addecnel ore or attention N IandRng or slowing <br />men be so marked and to ensorer�. vWaortalma sae Section zeof <br />pacoyd es p () <br />M1em 360, Bills of Lading. FregM Bills and Slebmenls M Charges and Sedkn ](a) of <br />me conlmn .arms and CondnNnsmrelht of sud�arl¢los. <br />I hem, declare mal Ne be ll or xlb <br />casement are fully and tasse ty <br />catarrhal l sl er oby ft proper eMppmg dessCOD <br />dame nm are iflee, peckaaad. <br />marked end labelhedlpherarded. and We <br />In all respecfa in proper condition her <br />transport according t0 applicable <br />international and naxonal govemmenlal <br />regulations. <br />bga <br />Signature <br />Amt' $ <br />C.O.D. FEE: <br />PREPAID ❑ <br />COLLECT $ <br />`wHb m Sedbn ] o Ru mMitlo .x t, mend la m M demand b sawN. <br />)area Hthoelr on Iry nelp ,the caniana elren sen Na <br />NO aw anemem. <br />]hem�et.aha mm shemem wlrlroul vaymemm <br />IrelpM send atl olM1er MwNl Uaryae. <br />TOTAL <br />CHARGES $ <br />FREIGHT CHARGES <br />mExwrlyl�No GpS ax RCYipee <br />whand .aces Maes NNy <br />ROMb U1NM ❑ added <br />req tlCm4pmp <br />and WRa In enol on One dere d Te Issue ql soh Bit of Isamu, <br />l good order. award as noted (baseball ands notion orCen- <br />aaipned, wad—wad ea Indicated abew whiot said Gadder <br />yhout cols mmrut as meaning any parson or cnwrsobn In <br />we' mew a con m its uswl Mace of dal at sad dal <br />SHIPPER a <br />PER <br />Permanent post -office address of shipper. <br />uvnveeru"•d� seY1Na. <br />asdaland azbeacM1panget eerynt 0 11 ft Ned'n Na Wry aadproperty maltoryaenkem <br />he performed ho date at sid rthen auger b to VW al of Who hermaeM pndlliodm m me BW.abnxlgda+ <br />NrcelM on No date c rnks, t <br />Sin, d herby n what mat he is fame!W with as a. hereby hemW and wrdRlona In me <br />assn rydawnnean oda mesatl lama and wrditbna ere hereby apmeem Wme aNISPW and <br />ewepted M Mmsetl end hhe ogres. <br />CARRIERG' <br />PER <br />DATE <br />STYLE F360-3. ® 20033 IABELI`a'IASTDt® (800) 821-3808 vmwJebelmamer.com <br />I <br />