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ATTENTION SHIPPERSI
<br />Page —/_— of
<br />FREIGHT CHARGES ARE PREPAID ON THIS BILL OF LADING UNLESS MARKED COLLECT.
<br />STRAIGHT BILL OF LADING
<br />ORIGINAL — NOT NEGOTIABLE
<br />(Name of carder)
<br />T — tel\
<br />Shipper No. fl6 -;;,5
<br />Carrier No
<br />(SCAC) Date
<br />Dn Ce,admpetlmrydNpmrda Me levanCOP oust appaabefee asalgndaa name a���eadMAMw Paldad In aern430. Sec.1.
<br />TO:///
<br />Consignee y'rm' �� (/-K'_I,La—LLL, •J
<br />FROM:
<br />Shipper G
<br />Street (� eQ
<br />Street Y
<br />City �/ U State Zip Code /��i
<br />/� ?416
<br />City L� /` State ( Zip Cade 96i
<br />/C
<br />24 hr. Emergency Contact Tel. No. �d L"�� — fl
<br />Route
<br />Vehicle
<br />Number
<br />No. of Units
<br />BASIC DESCRIPTION
<br />Proper Shipping Name, Hazard Class or UN or NA Number, Proper Shipping Name,
<br />Hazard Class, Packing Group
<br />TOTAL QUANTITY
<br />(Welght, Volume,
<br />Gallons, eta.)
<br />WEIGHT
<br />(Subject to
<br />Correction)
<br />HATE
<br />CHARGES
<br />(For Carrier
<br />Use only)
<br />PLACARDS TENDERED:
<br />YES O NO M
<br />REMIT
<br />C.O.D. TO:
<br />ADDRESS
<br />Note — fit Melee Ub nada W dopma d on vaWe. Wp ama as requlrad b mil
<br />sp &.11y in arse, the agreed a decbned vada d gm pr new as kwas: W
<br />agreed or declared value of ere pmpaM b hereUY spedNcelly dalM by Me shlppe W
<br />be mteaceedrg per
<br />(2) Mer. Me applicade lain pmvimra speclNe smnaldndMeearda, padgry a�aa
<br />me. or a value d. Wradon by Itis ablpper end Me sm,ar dome not release
<br />Me cane's N eilky a declare a valve. be c e al's ItstiliN dldl be IImiIM to Me ectad
<br />PoW ixi bysucll p.am a. See NMFC Ilam 172,
<br />(3) emmmodi les requiring specld m awriorml cane w anamm in reasons sons a slaxlrg
<br />INbmarked arM parlkaged ae meneure sale 4enayrtatlan. See beeYm 2(e)mf
<br />item am. &its g, Freghl .Ills end S m.ma d Charges ard Section 1(a) d
<br />IM Contract Temar s stand Cg141NOne loralMd cacti slide..
<br />I hareby declare Mer Me contends d RNs
<br />conalgnmeM are lolly am lely
<br />deasibM above by tin proper sblpplrg
<br />me and em la.ained, pecnegad,
<br />madadaM mbaeedplacaded. and ars
<br />In ell reapada in proper mndWan for
<br />tmnw, ccording III epplieame
<br />idemedwal and national mnamenmd
<br />reget,wm
<br />Signature
<br />/'� -
<br />COD Amt:
<br />C.O.D. FEE:
<br />PREPAID ❑
<br />COLLECT $
<br />Mm`%m on r d Me mndltlp nm Nprem a W ba Id aId m an
<br />b" a �yul.rem m an d o zi Me mnzlNrwr ellaA sign lM
<br />The order eke11 rw1 moxa a iN & Mm W am,pm na,mna a
<br />kegM and All oNa lawal cbx
<br />TOTAL
<br />CNARGE$ $
<br />FREIGHT CHARGES
<br />FnessrPnsemo Grft4rtn Wpae
<br />amPaNan Igen 1,M
<br />atlmaeM mMd
<br />(aaaxaaa0a+bw0
<br />RECENED,w*d W Me WsMiadws and mda N enrol n Me data d Nn lane d Wa be of larneg. Kneen am nm eadr party at anyfirs, Interested in a any sad movaq. the every all to
<br />Ma Orman, described aWoainnmmm9.W Order. avcapl as nada(comn. and wMlllon of can be peened hn. Me, sh.4 be subledda11 the 1,111 d IMbg Rama aM mWleers In Me gwerngg des
<br />Wnls d padmges maiman), marked, mnsgned, and destined as IWiWed above wadi sed sane andation n Me date of shipment.
<br />(Me wad caller pang uMerslmotl mm ,Md We mnlrad es meadrg ary parson a mW.M. In SNppa h miby cWifles Ilial he la familiar Man al Me lading Wnna am troth tiaa in Me
<br />pazmadn d Me .,d, mor the mnuadl.,,a. W marry W lm eared place ml dainery at saN dW- gwam,, dasuinmmi and Me said Jenne and wMlllona are hereby agreed lm W Me dllppa and
<br />naNn, It min Is... mtm.N I.dative b a comer cooler on Me rose N sand definmen. Il Is muM accepted]lw himself am his assigns.
<br />any greed e. b ace canner of eA a any y d, apm xWy warM or any ". d am mule W Me.
<br />SHIPPER �`� CARRIER
<br />PER PER
<br />DATE
<br />Permanent post -office address of shipper. ®,„ u:amo..aaa m.a rivrx,,,,,.,a STYLE F380- ®2 LA.BE'AASTIR® (800) 821-5808 Mww.li beimaStel.Min
<br />sorwN _
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