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STRAIGHT BILL OF LADING — SHORT FORM Date S _ Bill f Lading N
<br /> NOTICE: Shippers of hazardous materials roust enter 24-houroango. 'L ' '
<br /> emergency --
<br /> response telephone number under"Emergency Response Phone Number.
<br /> Original—Not Negotiable
<br /> � Shipper No._.
<br /> Ori
<br /> 9 9 �uvj,Q�iuf.✓T�G �oG�3 7C S� C
<br /> Carrier No.-----_
<br /> (Nae of Career)
<br /> m
<br /> To: FROM:
<br /> Consignee � -, fG GsL✓111X4-.1--f4--7,Y1- `tipper
<br /> Street 6 7 9
<br /> StreetlYlP1I19//yrs-X-d/.;17 7?7AJScp,a2)/v/$/40A/
<br /> Qesbnation,2,.--,,)wvaZ,-- try, CA Zip Code 9ya63 Origin 57—,9GK7V..1 64• Zip Code 95206
<br /> Route Vehicle No. SCAC Emergency Response
<br /> Phone Number
<br /> Kind of Packaging,[]ascription of"cles
<br /> 'Win
<br /> ha do sg p iyt
<br /> g h,q mi,•n Ue 7 r. rs xl t ack d a urs r s u sun VQ
<br /> Srilrpp{rf +HM Special Marks and Exceptions �Suu)t3Ct Rate or Cfass CHARGES
<br /> �(� ,.�a�.ttrf care ta.,A's.t+�2,ttl s,f tdyxy>,n ty,t.r?:a�KC a,tiit)Cabah t.err:;ff%7 CarT' "t,{Qn
<br /> o-20-1 -F>Ack -
<br /> a
<br /> 'if the i hiprri"rTiwcl%between two ptsrts v a REMIT COD C.O.O.FEE: TOTAL
<br /> s+*ier by water tf a lista requires tfT site d, of W" C.O3 0.TO; Ii PAEPA)0 0
<br /> date whether weight it*c0rrier's or ehlppttr's weight. A00FM Arf1t. $ COLLE{;T❑ $ CHARGES: $
<br /> Nour Whare the rate is dependent on value, shippers are required to Sub*A to Section 7 of the condiwns,if tits shipment is to be delivered to the consignee without FREIGHT.CHARGES
<br /> state specifically in welting the agreed or declared value of the property, recourse an the consignor,the consignor shall sign the following statement.
<br /> The agreed or declared value of the property is hereby specifically stared The tamer shall not make delivery of this shipment without payment of freight and all other Check Appropriate Box:
<br /> )y the shipper to be not exceeding charges.
<br /> Freight prepaid
<br /> S per Ir' nature of ) ❑Collect
<br /> 1gEf E7VED. subject_to Ow cl�tssdtrat one and lawfully bled tariffs m effect on ate dew of the issue of thin Bill rrf Lading, the property descrfl)ed abaft In apper a goad order. dwept as'"'d(cunw rte
<br /> dcortf i of' of parkages unit.wol, inaried. consigned. and dirstine9 as mdrcated above which said narner Itha ward,carter tming undarit Wd�this oontroct as ineanrng any person
<br /> acavoratimr to fassession of the p;,"wrty under thu cnrrt,-ax arses to r:arry m its uaual plata of deliva,y at said destination, if on)tai route,odervvst m MRvar to enothrr tamer on the route tai and
<br /> wn6aan. it is mutually agreed as w eat;b aimfir Of all or any of, sold property oYur no or any portion of acid-a"W deviation mid at to stab=at anjr plat 41Ca SUOd tat all or any at said tvvp-
<br /> ry,=e+'@+Y Gem","to be performed Iwreunder shelf en sut"CL td all the terms mid uofulitions of tho Uniiornt Domtat�Bp'Wit EN of lam tall iort7t(1)In Unfonn pasefficabons in effect on
<br /> a dens hereof-, if this is a rail or a re"vetar sMprnent or 121 m he oppplicabin Mowr carrier clasaificafian air tariff, it this Is a nater viii attlprtrent 9Mppar'hereby r s atm tro is famtaar wish oil
<br /> terms aril oanditio+u of the slid la"lf d Iadalg, set forth in the ciassdn:atrort or tariff which gwerns the transportation of this sh�pmmW. ted itis eakl trine and condlgotts are hrW1y agreed to Uy the
<br /> ippar end accepted for h n ivelf and his assigns.
<br /> r:t With SLD•a apprw,naw to des;pnme Hwi"06i motivW.a dahnad in taw u 9 00P.Urer9 of The rurnua ural arnnnra a hamraiars earn eat re pieresponsibility of st*vlduw con. Note:Liability limitation for loss
<br /> ntarSortalatu rt Ragtdsuans go,&-rwq t1w trwnaporuttran ul hol`aoi maurW%.The uta of wig cxNwrtn is )arty inurp watinn d rotp*wn%of as deet�•iead in 40 of Fodvd"Oe"aaoru
<br /> optionA rtwUtdd for+dmaMying ttmardws+TataariaM an aft d LedaV per 171,2011.91)fw)d Tx)u 49 178,subpart G'-hdfW+'g papaw.5-.h dao 00-ao so d Um Mk+wing perSso- or damage in this shipment
<br /> ae at Fsdii F,;.g oaugn* Also ween ohVWV l uarooua ma*v Ws,the arvpner`e carullicai alu emnaw tans 172.2p1 lH ardaull Ads %I'fvb f and Samons 172.202 arta 172.203. may be applicable. See 49
<br /> —VAd et—Iu+ 172."04(al air the Fsytcar gagtfaorh a.as ,*'ated on a.e EW of U.11irg 634e UNIly. Power.,,Ppva UN�dr�•�fi::.ic.r�,,�u,�5��. :�...,,�a T"D. United States Code, Sections
<br /> see a utaafrtc.saoaWJA fr`ant the re:rtarwrnan:is aio.,sted In the 1`102.:etml fm a partrtnNsr"WBIkl. and-aydary Canales) 147061c(1)(A)and(B).
<br /> APPER � � CARRIER �iv1//to.✓fef�✓TyfL Go[►fS�1C$, T.vC
<br /> =R P>d PER
<br /> is la U&PUy ChM the hove flamed amtariels are property clessifrud, paohagod. Carne^e.. as gractapr of packages end any mcila vd placeeds.Carrier certifies emergenof response inlumta
<br /> 1 I marked. and taoaled. and ern fn .r..— ...wire.., fir u-,.n..nn.T,a..,n.r�-.,.•.t.nn—.— ..._____..-.. _. _ .-..-.I--_-.... .-
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