ARCHIVED REPORTS_XR0002988 - Laserfiche WebLink

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f filo IVItNWHANUUM h en aeknewledgemmw that a hill of lading has been Issued and is net the Orrglnsl Bill d Lading nor Shipper's No >a dopy cr 'oaftmg the Property named twain,and Is intended solely for fift or record. Camer's No Wignee RIER Date SCAC - FROM: I 1C i7,� ✓ - ►� _ Shippef 10? o ' ^AI ;<,!Ei "-1 Street � � w ��.. I r�7 }, '�#;� Lr ` Street G DestinationA �' ZIP L Ongin _ -,V,To 1,j �#-t ZIP Rout 1 r [' _ Vehicle Number US DOT Hazmat Reg No 3 �= (3 1 Y1, `+rJ i�' C i� s/ ��• {h�'t � ShippingNumber of o I► mar .- exceptions Units HM (subject to correction) RAT { Remit C O D to COD C. O. D. FEE: TOTAL CHARGES Address Prepaid 0 City State ZIP AMT $ Collect ❑$ $ 'If the shrpment moves between two ports by a carder by water the law requires that the subject to Section 7 at candGona it this shipment is to be delivered to the consWee without FREIGHT CHARGES bill of lading Shap cou state whether it Is carrier's or shipper's weight" recourse an the consignor Ire consignor shall sign the following statemem Note where the rate is dependent on value shoppers are required to state specifically in The Tamer shall riot make deWery of this shipment without payment of freight and all other lawful FREIGHT PREPAID writing the agreed or declared vajue of the property charg— Except when CHECK BOX The agreed or declared value of the property Is hereby Specifically stated by the shipper box of right ❑ if to be not exceedrn per ed charges are (S1gnaNre of Consignor) is checked to be collect iin VED subject to the classifications and tariffs in effact on the date of this Bill of tadirrg the property described above in apparent good order except as noted jeontents and condition of contents of packages unkrfown) d consigned and destined as Indicated above which said company(the wofd company being understood throughout this contract as meaning any person or corporation in possession of the property under the ct)agrees to Carry to Its usual place of delivery at said deshnadon if on its own road or its own water line otherwise to deliver to another tamer on the route to said destination It is mutual a reed as to each earner of ny of said property over all or any portion of said route to destination and asto each party al any time interested In all or said N gns not prohibited try law whether printed ar wrftm herein canlained(as specified in Appendix B to Pad 1035 which are here�a red to�ythe s ppe r service pt d performed hereunder shall ne subject to afi the by g by pper and accepted for himsel!and his assigns Is to certify that theabove-named materials are property classified,described packaged, marked and labeled anti Rroper condition for transportation according to the applicable re ulatfons of the Department of Transportation PER SHIPPER '? CARRIER t^ A!,-,,L 71 ., A( PER 1' rr '-' , DATE PER r r r, e r: f .f ^ DATE i.- S L. RGEN `t- SPON�' TELEPHONE NUMBER AT ALL TIMES(THEf HAZARDOUS MATERIALS IS IN TRANSPORTATION, TE ) INCLUDING STORAGE INCIDENTAL TO TRANSPORTATION(172 604) caev W")