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Bill of lading,nor a copy or duplicate,covering the property named herein,and is Shipper No. - <br /> Intended solely for filing or record. <br /> Carrier No. <br /> ate <br /> D <br /> Page of — <br /> (Nems Wrarnep (SGC) - <br /> o n Cd'cl m pa W a'Y zmp"ew.M NM'OpD'eun+W wr eMm¢anlry/l am a a DMMw PatlM N lmm ab.ezct. <br /> FROM: <br /> TO: Shipper.mac�7- ._;, - _ <br /> Consignee <br /> Sheet <br /> Street _- ^.:..� :C,:{- _ _ .. <br /> City �' :-`� _,�, Sate ,;;, Zip Cotle— ' <br /> City — _ 3tim _ Zip Cork - <br /> 26 rr.r.EMe:gaccp C„r^ced:-mi.Mc, <br /> Route Vehicle -- <br /> �a' Number <br /> No of UnitsB4'3 BASIC DESCRIPTION TOTAL QUANTITY WEIGHT CHARGES <br /> d CoMairder Type ]y7 ' UN or NA Number,Proper Shipping Name,Hazard Class.PacFdng Gmp (Weight,Volume, (Sut,*t to RATE (For Carrier <br /> 5—� Galona,etc.) comocaon) U..Only) <br /> ZL <br /> d 1 <br /> 1 <br /> a I I <br /> �I�1 <br /> p <br /> I'. <br /> N V 0 3.2017 <br /> AtTii <br /> DF ARTMFNT <br /> a <br /> PLACARDS TENDERED:YES D NO o REMIT <br /> NM—0i sena em w e wood.uo.moa.alppan we name.m amm I neney damn tmv..mmm�n w data AODOpgE55 <br /> WatlM.¢Ity n wnIP9 M¢a9nM or clarion.W:e M the DrnpaM.a lelbws:Ton mrughmam are Nary and.c..mry <br /> o9ieae w bwvaE rein al tle P'nperlY k Mnty speGAulry smmd Lr Me snlPPerro tl¢.[l aar o b tM <br /> ba nor i, par moodr Dmpm dumowlp COQ Amt: $ <br /> C.O.D.PEE: <br /> .d ere ckalnae, w-na9ae, C PREPAID ❑ <br /> a r6drenM APoawwbodara ivnm dai srid¢r andmdNemrrldm'bay¢mMt mark.and mtelyypm[4EeO,aM an <br /> a elecze w a sue deed teen q me.nipper and m¢snip»'dna not rx¢ssa In a rnspe�in Preppy conbNon Por COLLECT 0 S <br /> Ne wn'Mz I'rW liry or Eecmro a value,tlr wmarz'bi01y znell ba Ilmiae m me Ment tr nayn r dhi to appllmar Saab m Sezaun'I a zw mrW.bm.L evxNbM6ifYs ro Ca tlwvwm n w TOTAL <br /> Prev4M by z'tli worclwrz.Sas NMFL loco ll2 iarmW.noandratMilgwemmendl IVr+a M1npA rcwuwo_anJl'p cwar9nw.Yu mnepner zn41 zl9n or CHARGES a <br /> la)coni'...requ r,p Md.l w aMlli.con,w attention N hanTi,er zmMn9 n9Wtlore �I�eD�¢r uce. .d Gell of tlaa and PoYnr'erc al <br /> man eemnurnadw .a ro mwr..af.aaddrmddn.ata Seamgt M Inlpnranezu ame.l..xa— I Omen'Mmmr <br /> Pad'9 (7 FREIGHT CFIARG6 <br /> Item 3Eo,&pl ar ladlnp FMgnr 91116 and 5tmemenlz of CTargaa v4 5edlen l(a).1 �F1F1qGHr PRau. b:e@brtawa. <br /> ?R CaMid Te mJantl C.ndltlebl.raliR of w[n Ylklm. $ignaWrG wLL f Y a ❑ <br /> swsa .".ta Re fh9lfglion."Pair F ell.on eH rime of Nt l®Y 0 V."a IJbp, "od'an and a to eaerr Pa"r of am'rime"'d In arl '-'V'A p2yrtir"I.,darat <br /> H Polarity deM eons to to yww <br /> rr p-d War day a mmtl(mnf —0 cgyFbn M u` rip wnom'ad nereun.,are be rrpM.t 1p all me dlliol I f.—.rd A.i.Val li.00d <br /> .Nr M PC49M wlbam),nohsd,core eve.aM dium.a.InJwud aCov.Wecn mtd tuna yApdon on Ma dw el aM1lDmant <br /> Rre¢9rp ow a"Wwemdd mrougnun m's mnvaw az mamng err'doom or owdoo,Sao I' SnlDoar nareer r.Nna.,rn m iv r.n.ular..nn.n nae a.,r.^^.aw mwniwc Y::ro <br /> awam.awawl.w+m.'na ad.mawf.madwm..m�n maw owe,e�muw.s>,mr gdv.rrvng dazaea.,aoe mama corms end mnmudna are rarer a".m W m.dopa am <br /> Rlalal,lwl Yler/.W.IIW odNiwr N mroenr wrrl.'do m turdMat•wcu,.d la muW acapiadw MmNtland",i auflgm. <br /> a lawmam MI o 10 01 cf,add prroep diw'".'arty Paton daNroombAdd, <br /> SHIPPER CARRIER <br /> PER PER <br /> DATE <br /> Permanent post-nffice address of shipper. STYLE F3753 02012 l LAAQEa® <br /> (600)621-5808 wxv�.kbelmasmr.com <br /> ��'mlwadr".ed"e eOV INK <br />