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3-PART STOCK FORM NO.B-3876 STRAIGHT BILL OF LADING— SHORT FORM ORIGINAL—NOT NEGOTIABLE — Shipper's Carrier's Name: Carrier's No. R EIVED,subject to a classificati lawfully filed tariffs in effect on the qate of the issue of this Bill of lading, at OQ ` (Date) tgla�&FROM �� lilt prnprrl c d�.rrihrd below,in apparent Rand noire,rxnB..'s •otdents and r didon of contents of packages unknown),marked,eansignrd,and drst(ned as shown bdmc,which said rum nury the wont Company living i thmughnnt il�n rnnunrt as lo-omyy any r.on nr cnrrasessinn of lilt I ( I u¢Imat^nxl nr rotrtea,nr wuhin l.hr trrriton•of its hi rha;,y tPnrtnaty under the contract)aglrrs to carry to ifs usual Place of drlicery at said destination,if on its own railroad,water line,highway .life or said rover to dra iu;ntion,:mdns nr recti 1:nty;ilrmnenvl inf all deliver �^mml mr carrier an the nnrte hr said dest.inat inn.It ie mu Wally a66rreed a...... to each carrier of nil or any of said pm certyy over all nr any fr(rrtian y f said polprury,that curry sen ice W be prrinrmrd hemunder strait jm sol Jret br all the terms and conditions of the Uniform Dmnrstiv Straight ilill of lalling sr•1 fnnif(I1 in the Uniforin i'n,iglot cla sfhcan��n in r(frc[mt Iltr daft Iotrol,if this is a rail nr rail-water sldpnnrnt,or(2)ht[hr nprlicahle motor carrier classification or tariff if this is a motor cnn•frr ahi me nt. Shi 1prr hrrchv rmYifirs that hr is ramflia- wide;dl Ihr n•rnrs;nut conditions of the said hill or lading.including throve on Ilnr back ihrrcnf,set forth in the classification or tariff which gnverus the nuns unxat.ion or tills shipment anti the said wrnls and r nditiui s an•hen-by agreed to by rhe dnpprr alta a qur d for IlinnItOr mod his essigus. I p Ca (Mail or street address for purposes of notification only.) Sul(ject to Section 7 of conditions,if this ship. ment is to he delivered to the consignee without Consigned TO • recourse on the consignor,the consignor shall On Collect on Delivery Shipments.the lellers"O s appear before consinnee's name of is oilier se prole Item 43Q Sec I sign tilt following statement: �j=� ^--{ �'� The carrier shall nnl make delivery ll this CL)�/'\J \ shipment without payment of freight moi all Destinatj Street City other lawful charges. c_ County De State .- Zip ivery Route Address* (*To be filled in only when shipper desires and governing tariffs provide for delivery thereat.) (Signanmr or musigi r.) Delivering Carrier Car or Vehicle Initials and No. C. O. D. Charges to be Paid by Collect on Delivery$ And Rernit to ❑Shipper ❑Consignee Ir charges are to he prepaid, write or Street (silt St ltP stamp here, "To be Prepaid" Na HM Kind of Package,Description of Articles,Special Marks,and Exceptions 'Weigh Co ec(i(Suon) r Cnrv:k Packages to Correction) or Il;r�r t'.nli titin Received 9 to apply fn prepayment or the charges nn the property described hereon. i\ Agent or('.shier \ per (The signsturc here aeknoo'ledges only h the amount pmpafd.) 1b+ Charges Advanced: 6 t"The rib rr ronwrnerx used for this shipment conform to the specifications set forth in the box makers certificate thereon,and nil other nerm,—neuts or]full 41 of the Uniform Freight Glassirication and Rule 5 of the National Motor Freight Classifkation.' 'If the ahigpient ones hrtwren two pons by a carrier by water,the hove mquin than the bill or tatting shall state whether ft fs cardcr's or shipper's weight. t Shipper's imprint hr lieu of stamp;not a part NOTE—Whrrr the rule is dependent on value,shippers err requinrd to state specifically in writing the agrcetl ar declared value of the property. of trill of fading approved by the Inlerwrte Thr agnea or declan•d mine or the property is hereby spceiflrnlh al acrd by the shipper to hr m1 exceeding I,,, Commerce Commission. hip er Pe Agent Permanent post-office address of shipper. Per