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3-PART STOCK FORM NO.B-3876 STRAIGHT BILL OF LADING— SHORT FORM ORIGINAL—NOT NEGOTIABLE Shipper's No. Carrier's Name: Carrier's No. RECJIVEN,subject to the classtfica' nd lawfully filed tariffs in effect on the d to of the issue of this Bill of lading, at \ (Date) 19f-0-FROM the pnila—my descrilx•d belnu•,in apparent gond nrler,rxerp s no 11(emNenty and en a tion or contents or packages unknotvm),n a.k.d.--igned,:u(I dost hued as'I l Ix`bnv,n•hirh said company(Ute wort)company bring wvicrstnud throughout tins couu'art A9 mraumx�nay)x•rnm or rnrlsmut possrssian of the I rttrerty under 11x`rout colt)agrms fr earn' i,�ifs uveal plaer of delivery'to..;rid destinat inn,fr on its own railroad,water line,highway mute nr'rotes,or within the territory of ifX htghe ay uprr:urons.otherwise to deliver to.,,at ler carrier on the rutile m snid drstinati�,u, II is umhmlly agreed.as to eael;carrier of all b or xny fit wid pmPeplyy err all or any�mrtimt of void"role to destination,and as to oath party at any lime intrnrsa•d in all or any of.said prnprrty,that every service to br pr;kanod hereunder shall lay sntric,L to nil the toms and renditions of tine t'nifo�m Dnmtstir S[rairht Ifill of Lading set fnth 111 Ia Ihr Uniform I'reighl(71a riftcation in effect on Ute%Aire hereof,d Nnis nv n tail nr 1ai1-water shi nneut,or(2 in the applicable motor earlier classification ur tariff it this is a it carrier shi roan[. Shi tpl`I'hel'eh:, C1,r,,.that hr ix familiar with all the terms nnA -f olitkros of the said hill or lading.including those on the�ack thereof,set Forth m the classification or tanlT which goeerns the transportation of this slrtjnnent, nal the said irons and err `bc agreed re by)'Nshipper sal steepled for him.cr•If and his amigos. (Mail or street address for purposes of notification only.) Subject In Serif on 7 of cmrditimts,if this ship- moA.is to be delivered to the consignee without Consigned TO rerlau•se on the consignor.the consignor shali On Cdlact n Deliv y Shi ants,1 tars COD" an ar cell,ter nsgnee's name a as otherwise provided in Item AJO,Sec.t. sign the following statement: l� The carrier shall not make delivery of this shipment without payment of bright and all D stinatior Street Clty other lawful charges. C `` County �— l_�_ State Zip Delivery Route_ - Address* (*To be filled in only when shipper desires and governing tariffs provide for delivery thereat.) (Signmum if consignor.) Delivering Carrier Car or Vehicle Initials and No. C. O. D. Charges to be Paid by Collect on Delivery$ And Remit to ❑Shipper ❑Consignee If charges are to lee prepaid, write or Street City State stamp here, "To be Prepaid.' No. HM Kind of Package.Description of Articles.Special Marks.and Exceptions 'weight(Subject Class Check Packages to Correction) or Rate Column Received$ to apply to prepayment of the charges on the v property described hereon. Agent or Cashier per (The signator here acknowledges only W the a n of prepaid.) Charges Advanced: t"I'he fibre containers used for this shipment conform to the specifications set forth in the box maker's certificate thereon,and all other requirements of Rule 41 of the Uniform Freight Classification:Intl Rade 5 of the National Metal- Freight Classificatdnn." Shipper's imprint in lieu of stamp;not a part _7 of bill of lading approved by the Interstate 'Ir the stillnnert moors between two pmt by n carrier by water,the law requires tiro.the bill of boiling shall state whether it is rarrers o'shipper's weight. t Ni YrE—Where the rate is dependent on value,shippem are required to slate specifically in writing the agreed or declared value of the property. The agreed or declared valor of the property is herrby spreirirally'stated by the shipper to be not este ng I,,,,. Commerce comnnission. S Agent Permanent post-office address of shipper, Per