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3-PART STOCK FORM NO.B-3876 <br /> STRAIGHT BILL OF LADING- SHORT FORM ORIGINAL—NOT NEGOTIABLE <br /> Shipper's No. <br /> Carrier's Name: Carrier's No. <br /> RECEIVED,subject to the classificatio�d lawfully filed tariffs in effect on the date of the issue of this Bill of lading, <br /> at -� ( at is�FROM �Z���_ <br /> Ihr prnpm'Iy'dcsrrihrd ,in npp;n'rnl geed nn rr.except; mo�•r nuents and rnndili a of runn•nts of packages unknown),marked,cnnsi�sl,and destined as shnwu la•Inw,«hirh said rongranv(tile wird com tnnv behi uulenctuul <br /> I g <br /> t rough this ont rant as mean miy jn•non nr rnrporan 'session of the pnsv under the ennUacQ agues tr carry to iLN usual place of delivery nt.saiA destbmtiun,if on its mi•n iailrnad,water fine,highway roue <br /> or routes,nr«•it ilio the t•rritnry of Its Inglm'ny nperatons..a h�•r«isr to deliver ter anot�rer rarricr on the mute to said destination.It is mutually Stiff as m rarh ran•icr bf all or;uuy of said pr rcr[v over all rn'an ort inn <br /> of wire ret I,..'test111.1 inn.and.s Io rarh rarh ata r lime ha ted in all or any of said property,that every.Nervier to Fre performed hereunder s hall tee sultirrt to ail the[runs and ronditians of[Ire flniform Domestic S)trai�ht <br /> ❑111 d laulmg set forth(I I ur the(Iniform I'nnght t'IZiruatiou m rffeet nI the•lade hr end,if fills is a rail or rail-water shi nnrnt,or(Y)iu the applical4e motor rarricr classification or tariff if this is a motor carrier shi mm�nt. <br /> Stn ryno'b-relfv certifies that hr is familiar ,iil.all the terms;end ronditians of the sai,i hill of lading,including those on lire�ack[herrn(,set forth ur the classification or tariff which governs Lim t•anxportation of this shipim•ot. <br /> .nrl the said h•rnrs nod fill are hereby agmrd to by flit shipper:nut rrrrprod for himself:aid his assigns. <br /> address for purposes of notification only.) Subject to Section 7 0l'conditions,it'Ilii.,ship- <br /> ment Isto be delivered to the consignev without <br /> Consigned TO recourse on the consignor,the consignor shall <br /> On Collect or941ivery Shipment 'ItINS must appearlbefore consignee's name or as otherwise provided in Item 430.Sec.I sign the fnllowiug statement: <br /> �,� r� The carrier shall not make deliveryfight of this <br /> ` `/,1("J\ rL\�`\`J\ .Nhipmrnt without payment or freight and all. <br /> Destinatio Street a _ City other lawful charges. <br /> 10 County State�t�t Zip <br /> Delivery <br /> Route Address* <br /> (*To be filled in only when shipper desires and governing tariffs provide for delivery thereat.) (Signature of.....signor,) <br /> Delivering Carrier Car or Vehicle Initials and No. C. O. D. Charges to be <br /> Paid by <br /> Collect on Delivery$ And Remit to ❑Shipper ❑Consignee <br /> If charges are to be prepaid, write or <br /> Street City State stamp here, "To be Prepnid" <br /> No' H M Kind of Package,Description of Articles,Special Marks,and Exceptions 'Weight(Subject Clan; Check <br /> Packages to Correction) ochre, Column <br /> Itrrerived$ m apply <br /> in prepayment of the 'barges on the <br /> property described hereon. <br /> Agent or Cashier <br /> IY•r <br /> (The sfgn.ture here acknowledges only <br /> the—nt prepaid.) <br /> 0 Charges Advanced: <br /> �J S <br /> I"The fibre containers used for this shipment <br /> ;-onfmnn to the specifications set forth fa the <br /> In. maker's certificate thereon,and all other <br /> rrquiremeuts of Rule 41 of the Uniform Freight <br /> Clacsificatlon and Rule 5 of the National&rotor <br /> Freight Classification' <br /> 'If the shi anent nmv".I"tween two ports by a ranic. by water,the la� � Ih lading shall state whether it Is carrier's or sl'ipper's weight. t Shipper's imprint fu lieu of stamp:not a part <br /> NfrrR—\Thor the rade is dependent ore value,shiPpa•-arc required to. 'r 1,�Tiealli ding the agreed or dedamd value of the prnperty. of bill of lading approved by the Interstate <br /> The agreed nr drelarr•d vahrr of the properly .hen•b •r•Ificnl 1 vt It, y th shipper to be not exc-clung 1,,. Commerce Co nnutsiou. <br /> Shipper,Per Agent <br /> Permanent post-office <br /> address of shipper, Per <br />