Laserfiche WebLink
BILL OF LADING <br /> 3909 Park Road, Suite D <br /> Benicia, CA 94510 <br /> gNNM;E�nNTAtLSERVCES �i ulL(877) 748-3040 nvSYr'j bof! <br /> Westmm Region <br /> DELIVERY DATE JOB cif 19 { <br /> SHIPPER/CUSTOMER POINT OF CONTACT <br /> " <br /> ADDRESS PHONE# <br /> CIT`!STATE ZIP <br /> CARRIER/TRANSPORTER PHONE ilr <br /> :M ��1": 'C #FiPt;3 '�r �°may, Ck?✓ r i l-0 t8 tri 0 : <br /> CONSIGNEE/FACILITY POINT OF CONTACT <br /> �Cliw'NrtII, a . <br /> ADDRESS PHONE# <br /> rY f`t 1 - !,t= ;w;wt 'i + <br /> CITY STATE ZIP <br /> x'�ssz —vim (.fit ''13�c.S�.f <br /> BRW <br /> ,k <br /> C <br /> D , <br /> Special Handling Instruct on and Additional Information <br /> _ ���i'�1��-�� - £v� I�G���;�7t'7 �+4ir" S:.L�� tSt�I?� a�� ?� i���SW, - S:I �>3� ��'�i'g� ''ErC°F�fi�`T$� 3„ry�`N�t( "�;,�s'�'s•�v h��rR;�yc <br /> Placards Provided YES NO Emergency Phone#(8M 748-3W <br /> SHIPPER S CERTIFICATION i hereby declared that the contents of this consignment are fully and accurately described above by proper shipping name and are cias-I Pied,packed, <br /> marked,and labeled,and are in aft respects in proper condition for transport by highway,vessel,and rail according to applicable international and national government regulations <br /> (SHIPPER)PRINT OR TYPE NAME ,� - ! f r<--SIGNATURE i'T tit71W >aormi DAY YEAR <br /> ( R/TRANSPORTER)PRINT OR TYPE NAME' SIONATUFfE r %4ONr i DAY YEM <br /> t _ <br /> X X <br /> (CONSIGNEEIFACIIJTY)PRINT OR TYPE NAME !�' f SIGNATURE rrar[Fi Q Al <br /> X <br /> Form#PSC-201-RV s/oq I <br /> SHIPPER <br />