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0NTA' INS HAZARDOUS.MATERiALS1. <br />STRAIGHT BILL OF LADING — ORIGINAL — NOT NEGOTIABLE <br />Shipper's No.Ja <br />Carrier rS�IJli3 r.,G <br />mil/ p-�J"r7tt_�<=Oy SCA r Carrier's No. <br />RECEIVED, subject to individually determined rates or contracts that have 6een agreed upon in writing between the carrier and shipper, if applicable, otherwise to the rates, classifications and rules that have been <br />established by the carrier and are available to the shipper, on request; and all applicable state and federal regulations; <br />at date from <br />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 <br />(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 destination, it on Its <br />to <br />route, or otherwise to deliver to anomer carrier on the route to said destination. 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 <br />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 conditions not prohibited by law, whether printed or written, herein <br />contained, Including the conditions on the back hereof, which are hereby agreed to by the shipper and accepted for himself and his assigns. <br />TO: <br />FROM: <br />' Const nee r Yn l'rt '' <br />Shipper <br />Street ti V <br />Street <br />`iL 8/ '" <br />Origin G (AZi �Z'v� <br />Destination ill Zi <br />Route <br />Delivering Carrier Vehicle Number <br />Description of Article s <br />-�, ��n►� �2=j <br />R r <br />- <br />4$a oil <br />�. <br />1I <br />JUN <br />13 <br />2014 <br />ENVI ONNA <br />N <br />L HEA <br />H <br />..... ... .... _ <br />DEP <br />i <br />RT <br />ENT <br />l 0l conditions, it this COD COD FEE: <br />Subject o be <br />Remit COD to: shipment Is to be to the coruigthe AMT: ' <br />the <br />without recourse on the consignor, <br />,h,.n ,1 <br />Address: consign or shall sign the fcllovnngsatemenC Prepaid El <br />carrier small not make delivery cf this <br />State. ZIp. shipment without payment of freight and ail Collect El State: •p <br />City. r' other lawlul charges. <br />NOTE: Where the rate is dependent on value, shippers are required to state specifically in writing TOTAL CHARGES: c FREIGHT CHARGES: <br />the agreed or declared value of me property. The agreed or declared value of the property is $ Prepaid Collect <br />hereby specNically stated by the shipper to be not exceeding $ Per (Signature al const or, <br />See 49 U.S.C. 1 <br />NOTE: Liability Limitation for lass or damage In this shipment may be applicable. .. <br />BY SHIPPER BY CARRIER <br />14706(c (1)(A) and B).'PLACARDS <br />REQUIRED DRIVER'S <br />SIGNATURE: <br />SHIPP _ CARRIER: <br />PER: - DATE: PER: DATE: <br />o 3[d - �7 <br />t ® • :t/a�i'I��� GVIV IP111VJ nr+cr�nvvuv.rran.,_....-•.-.. <br />