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It an a. THIS MEMORANDUM ..duyllntecovpMnglta "BMW had,endlr�sandedwl*111p1nrricWaredlnp,Mt.mpy Shipper's No. Carrier '9j;4 ti`xi waSCAC Carriers No.RECEIVED, qdu -. em dates or contracts that have been agreed upon In writing between Me wrier and shipper,d applicable,otherwise to the rates,classifications and roles that have been established by the carrier and are available to the shipper,on request:and all applicable state and federal regulations: at , date from the Property described below,in apparent good order,except as noted(contents and condition of contents of packages unknown),marked,consigned,and destined as Indicated below,which said company (the word company being understood throughout this contract as meaning any person or corporation in possession of the property under the contract)agrees to carry to delivery at said desdrlation,if on Me route,or otherwise to deliver to another writer on the route to Said nomination.It is mutually agreed as to each carrier of all or any of said Property over all or any portion of said route to destination,and as to each parry at any time Interested in all or any of said Property that every service to be performed hereunder shall be subject to all the conditions not prohibited by law,whether printed or winter,herein contained,including the conditions on the back hereof,which are hereby agreed no by the shipper and acoepted for himself and his assigns. TO: FROM: Consi neeShipper i N . Street 7, al- - Street o Destination Zi v Origin Et Zi u Route Delivering Carrier Vehicle Number U.S. DOT Hazmat Reg. No. m� r f� Description of Packages Number-i--L-'eAN— Jx Remit COD to: sirbad to Section t of C.mLlaxv.9 this COD FEE: Winners a Io be delN.rad to Ire c.naipnae COD AMT: wlm.ul ....urea on Ill. consignor, the Address: `°°ra."alie M.ftH nw me ga lteemmr d ma Prepaid ❑ City: State: Zip: q m�. .�p.rm.m.f treipm a.a all $ Collect ❑.$ NOTE:Where the rate Is dependent on value,shippers are required to state specifically in writing TOTAL CHARGES: FREIGHT CHARGES: the agreed or declared value of the property.The agreed or declared value of the property la hereby specifically slated by the shipper to be not exceeding $ Per isignlur.of Cangrad Prepaid Collect• NOTE:Liability Limitation for lou or damage In this shipment may be applicable.See 49 U.S.C. •r 147 c 1 A and B. , .� a LIBYSHIPPER (IaYCARRIER This Is to certify that the above-named materials are property classified.described,packaged,marked and labeled,and are in proper condition to transportation according to the applicable regulations of the DRIVEq'S De admeit of Transportation. Par SIGNATURE: SHIPPER: Si(� G.�tr UA l C1 L CARRIER: y PER: DATE:- �� f-rr+ PER. DATE: " EMERGENCY RESPONSE Monitored at ah times the Hazardous Material is in transportation TELEPHONE NUMBER: ( � ) 7 t . j 11.E including storage incidental to transportation(172.604). 29-BLS-C3 969(Rev.2/07) 1