COMPLIANCE INFO_PRE 2019 - Laserfiche WebLink

Home Browse Search

I ALTERNATE STRAIrHT BILL OF LADING - SHORT FORM Shipper No. am Copy Carrier No. L4 (Name of Carrier) Date FROM: insignee All Shipper 1 /,!IT FAfill[A) Y Street V -7 Street < Destination t-JI Y. A i? Zip Code, ECC;L!3 Origin "All Zip Code M R �E PHONE NO. Route: Vehicle EMERGENCY RESPONSE No. Number + Shipping Kind of Packaging, Description of Articles, Weight CHARGES it subject 0 units HM Special Marks and Exceptions 0 (fo C �ube-ct to Rate On,CfiO rr Ctio r Carrier I e n) (for Carrier use only) r -,v Tt v- I N 2 PCH 'o ik's A'i-T&6 A]T" 1111i")(1 V 41 0/4 3 0,7 E; jJ;D- NT I T j;: -7 REMIT C.O.D.TO: C.O.D.FEE: ADDRESS ICODAmt:S PREPAID 0$ COLLECT 0 -if the shipment moves between two ports by a carrier by water, NOTE where the rate is dependent on value.shippers 11 lect,',ifidt, Subject to Swim 7 of conditions,it this shipment is to be delivered the law.requires that the bill of lading shall state whether it is state sp-itcao,in writing th-gread or declared villua.'rhe woperty to the ccirisigne—thoui—r"'-thir-risighor.the consignor TOTAL 'car The agreed or declared value of the property is hereby ShelTS 'carrier's or shipper's weight". h�ll the follawfing stalement specifically stated by the shipper to be not exceeding e comer shail not of make delivery of Tis shipment without CHARGES $ other tShipper's imprint in lieu ofstamp;note part of bill of lading payment of freight and all or lawful charges. FREIGHT CHARGES approved by the Interstate Commerce Commission. Check Appropriate Box: per (Signature of consignor) 11 Freight prepaid L1 Collect RECEIVED, subject to the Classifications and lawfully filed tariffs in effect on the date of the issue of receipt by the carrier of the property described in the Original Bill of Lading, the 1 property described above in apparent good order, except as noted (contents and condition of contents of packages unknown), marked, consigned, and destined as indicated above, which t said carrier (the word carrier being understood throughout his contract as meaning any person or corporation in possession of the property under the contract) agrees to carry to its ususal place of delivery at said destination on its route, otherwise to deliver to another carrier on the route to said destination. It is mutually agreed as to each carrier of all or any of, id property over all or any portion of sa' if said id route to destination and as to each party at any time interested in all or any of said property, that every service to be performed hereunder shall be subject to all the terms and conditions of the Uniform Domestic Straight Bill of Lading set forth (1) in Uniform Freight Classifications in effect on the date hereof, it this is a rail or a rail-water shipment,or(2 in the applicable motor carrier classification or tariff if this is a motor carrier shipment. Shipper hereby certifies that he is familiar with all the terms and conditions of the said bill of lading, set forth in the classification or tariff which governs the transportation of this shipment,and the said terms and conditions are hereby agreed to by the shipper and accepted for himself and his assigns. 'This is plicable regulations of the Department of Transportation."certify that the above named materials are properly classified, T�filp d, describe , packaged, marked and labeled, and are in proper condition for transportation, according to the to SHIPPERCARRIER ci� P4 V: 1�VJ C E PER PER DATE o Permanent post Mice iir�6ss of Shipper + MARK WITH"X"TO DESIGNATE HAZARDOUS MATERIAL AS DEFINED IN TITLE 49 OF FEDERAL REGULATIONS. c For further details on SHIPPING HAZARDOUS MATERIALS see Federal Regulations 49 CFR, Part 172.