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ATTLNTiu d SHIPPERS! FREIGHT CftNAGES ARE PREPAID ON THIS BILL OF LADING LiheESS MARKED COLLECT. <br />STRAIGHT BILL OF LADING Shipper No. �rCLS <br />yJ Q <br />/ORIGINAL — NOT NEGOTI BLE <br />Pae of /�G�1/gYI CLA [ _4(Nam� 7 /✓ ns Carrier ate _ <br />9 <br />(Noma of carder)' (SCAC) Date <br />onGdlwdm oelherya�anl/neuro tlV.�k/n�er/a c�oo'mvsl appaerberore c¢nd/gne�a.came or anervi/uI (/^�^N hadi'M.sae.l. <br />TO: {y ,/�Il�-V I.0' ViI I <br />Consignee �JfjY <br />FROM: .! <br />Shipper [� D <br />street Q� e <br />Street <br />qty S4aF y State re Zip Code9� jt <br />i <br />city state zip code <br />? 4-14 <br />24 hr. Emergency Contact Tel. No. <br />governing reclassification ant Me sad ns forma and summi are hereby agreed to by the stopper and <br />Route <br />Vehicle <br />Number <br />No. of Units <br />A Container Type <br />HM <br />BASIC DESCRIPTION <br />Proper Shipping Name, Hazard Class or UN or NA Number, Proper Shipping Name, <br />UN or NA Number, Packing Group Hazard Class, Packing Group <br />TOTAL QUANTITY <br />(Weight, Volume, <br />Gallons, etc.) <br />WEIGHT <br />(Subject to <br />Correction) <br />RATE <br />CHARGES <br />(For Cancer <br />Use Only) <br />PLACARDS <br />TENDERED: <br />YES O NO o <br />REMIT <br />C.O.D. TO: <br />ADDRESS <br />Note — (I) When ee rete b dependent on yon, defeat m ked a slate <br />new <br />sPeciAoaty In king tlrt ogre al u declared velure M the property. for Ior¢wa: arra <br />agreed se invoked value a the property hereto speafiadY dated Mme sorpper W <br />belete¢wediag we <br />(a2)Whwellrtawllcablebu'apmvLsimswtrcyalimkagonante®meraliahllkya m <br />etaasa ¢r a varve aeearatbn ny Me anlpper dna ma snivva+ asnot release <br />me rarrWrS daEilky a declare a vaux, the ramw's Ilabdlry shaA he IiMLLN he me ardent <br />worked M Such launders, Sae NMFC Item 172. <br />(3) Commoddes requlMg spodal or additional fare or ahemon in launching w slowing <br />must be an worked ant packaged as to ensure a3k trameastatm. Sao Sardine 2(e) a <br />me 3m, Bills r s and FIeio Dills dna Statements al Charges ena Sedan 1(a) a <br />the cwarm Terme and condemns Wr angor sato aniaas. <br />dlerebydeclare mal Me c¢nrenre a mi. <br />reegg moa are fully and attvraHy <br />tbscilbed above by Me Proper salPPing <br />remw arra are dti.Mpmd packaged, <br />marked and labelled/placvaed, vW are <br />N ar rebpew m proper mMllbn lar <br />Merrill .tenting b epplsel 1. <br />Iaxnallanal am palma gawmmentid <br />mountain. <br />/+ <br />COD Amt <br />C.O.D. FEE: <br />PREPAID D <br />COLLECT LI $ <br />SaaqN� W Sxibn y ¢ 'ore,' a moment Int b b daNared n ww <br />i wiNoarecoune on lore agapr� 1. awarnow 9Wl mgr Me <br />the earladon don 11 nm mare a ery of on. amp nem wwwe prymem m <br />Int hleraellether I... cher <br />a g <br />TOTAL <br />CHARGES $ <br />FREIGHT CHARGES <br />aen�tl CIIe2 tet „r♦ <br />drioua� real <br />Signature <br />p„a„d <br />FECEIVE0, subject to lire damflcallms and MIIn axed m the dart a"Iowa of this Be of talig, <br />the wormy derecdbed above on apparent gaoa under. trrea as dotal (enema and andidm dem- <br />great and u w Mon Mi, at am th. iave8lea in an ¢r any wand prourem, Inst ewxyrvla aeto <br />bole of package unWl¢emt, marked, mrsigned, and daelove as what above whim wood carder <br />be yedormed larearderandl baeabtedp an Me bN of lading lemrt ant oantlibm in Ne governing doe. <br />allocated an Mor "a or eNpment. <br />tire art owner beg undereare NmughoN Nle conVea are meaning any person or suspension in <br />Shipp MreM cautious and he Is familiar wIN all Me lading Mr. ena sawhorse In Me <br />processed ea in. IkaedY order Me formd) agrees W carry to has usual place of aenvery a aaiddesN <br />governing reclassification ant Me sad ns forma and summi are hereby agreed to by the stopper and <br />milt g of As rale. ndhemiee W deliver W whither low m Me to to wad conditions. It is morea¢agled <br />in, himself and his wagon. <br />tigy agreed as W rarth Me, aalwtroy a,alpmpwry aver au or ant' aofm of sew now bdes- <br />SHIPPER -Aral <br />A.... _ _ i,- /:',In In <br />CARRIER 9 .r <br />PER <br />Permanent post -office address of shipper. <br />,e°w°°,an"�rrsen SINK. <br />PER <br />DATES W: f // <br />STYLE FA020'03 IABELh1A5TEA®(800) 621.5606 www.labelmaster.mm <br />11 <br />