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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: � V Carrier's No RE EIVED,subject to the classlhcab nd lawfully filed tariffs In effect on the ate of the Issue of this Bill of lading, at (Date) � �� 19 ►CZFROM� Z2 O15 till'pnlperty dexrritx'li below,ill app.l'e11L good order.CXI`Ill aR III `d(rnlltrnla stint rnlnllt rn of Cnllll`I1W nr pArkAgea Illlk llnw'll),marked,fnrllalgllyd,olid llesl{Ileal aR"flnN'll I1CIIr\\',iV llle'Ir sA{d<'On1pa11V(tile 1\nf(I Cn111paI1V bell)r III11ICmtnl)fl t lll'nllgllnllt this rnlllrAl'I as meilll{Il6`(lily IrrlVlrll Ill'Cnl' .aLlnll 1 (llraYCRRlpll of the pill rt)'lllnlel'tllC cnlltml'tj 8gme.to cares to IW UAll.l pIRCC Of(lett\'er)'el sa1fl(II�YLlllalinll.If nil IIA nWll mlllnall,N'BtCY I)ne,hill\'8V nrllll` nl•mule,Y.m'within the territory of its hrghw"ay nperaho U Wrxr to deliver to snot 'r carom on the route to said destinabon.It is mutuallyy aggreed as In each carrier of RII or any of said pin rerty over all or Roy IIxx�1rtimn 1'+aid Inutr to IIrYI Illatlell,8114 AA IO 1`:Ir)1 tone at,uny limn ntrrt•sb`d in all or:Illy of.said property,Ulat every a %ire to ire prrrormml hrrrun(Ier almll ter soljrct to all the trrma said rood it tons ur atilt flniform Domrxt it.Smit Iht Iitll of tooling sot Ibnh(U in the Uniform might L lassifirariuu in effort nn the dad`hrrror,it thi.Is. rnif or—.,,.are, Id rmrnt,or(L)in the npplirabla.motor carrier classification or Inrifr if this IR R motor rattier xhi nn lt. sit,per hereby ern tries that he Is familiar With nil the Lernls mid rnnditimvs of the acid bill of lading,including th-c on the rack if rot,Rel forth m[hr classiriration or tariff which govcrus Lie transportation or this shipnu`nt. aull the soul terms.nd roudithms •rrby agreed to bV iflr shipper mrd steepled for himsrlr.ud iia.s.,igh". ( it or slfor purposes of notification only.) Subject to Section 7 of conditimu,it thio ship! meet i.to be delivered to the cnn.Yignr,•Wit haul Consigned TO rrrmlrve on the consignor',the conxignnr shall on f' oct fan D.livery Ship n ots.IheAetteraa"COD"I usl appear before coni else s name or as otherwise provided in Item 430,Sec f sign the following statement: `` The carrier shall not make deliver)'of this Destination C9 ., _ ao aw I" 1 �\ other lar ul ch u[ payment of bright and all Street _ City oiler lawful charges. County ^ State Zip Route e(very Address hr To be filled in only when shipper desires and governing tariffs provide for delivery thereat.) (Signature of rorulignor.) Delivering Carrier Car or Vehicle Initials and No. C. 0. D. charges to be Paid by Collect on Delivery $ And Remit to ❑shipper ❑consignee 11 charges are to be prepaid. Write or Street —City State stamp hire, "To be Prepaid." NO f{ki Kind of Package,Description of Articles,Special Marks,and Exception 'Weight(Subject G:lss Check Packages to Correchon) or Rale Column Received•$ to apply in prepayment or the charges on the property described hereon. Agent or Cashier (The signature here acknowledge.only the.mount prepaid.] " l , . Charges Advanced: $ 1"The fibre outaine"used for this shipnu•ul conform to the aprclfic.d.ns set feral, in Iho fox nmlkrr.s CCrtirMRle thereon,.0 I all of l." requircmcut.of Rule'IT of file Uniform ProigM Classification and Rule 5 of the National Motor Freight Classification." "If the shi{{Imellt moos behcern hen porta by a carrier by water,the law' aqui,,,,tlmt the bill or lading`hall"tate w'firther it Is carrier's or shipper's weight. 1 Shipper's imprint in lieu of stamp;not a p:111 N(YI'F.—tt'hem the I:nr is deprnde a,nn valor,shippers are required 1 state specifically in writing the agreed or declared value of the property. of bill of lading Rpptnved by the Interstate The rtrecd or eluted v, a or Ihrproperty is hereb" icRlt .toted b.the shipper Commerce Commission. g 3 ) pper tun he not exceeding per hipper,Per Agent Permanent post-office address of shipper, Per