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3-PART STOCK FORM NO.B-3876 STRAIGHT BILL OF LADING— SHORT FORM ORIGINAL—NOT NEGOTIABLE 11 Shipper's No. Carrier's Name: � - � (:) Carrier's No RECEIVED,subject to the classlllcaho and lawfully filed tariffs In effect on the to of the Issue of this Bill of lading, e7 (Date) 1 t 7 FROM�eA�22 at 9 1 the property described 1 I tib r below,in tgtpa rant goodorder,em la I nmrd tr mire,nt.and ronditir of c menta a cont act)unknown),carry a rnn usual and destined as sato below,ration srif company(the word company nein'uudrt•.rtonA ihmughout�tltis rontrncl as nu•nnm'any tmxou nr rerura'err in ss'ecsimt of the tm!rort under the contract) k 1 l I 1 Y )n said a tarry n.talks usual al]?, of delivery at said destination,if on it own talie. water lino highway route or mutes, to within the•tn. rd' o its ch 1mny tit anyt in ern r to d.11 a or car carrier y. the route[s said destination.It is mutual) a6'tmd av to each canter oe all or any of..aid f t le y neer all n xuy nation f;'fid mutt in destination,ane)as to each tarty at any time 1 avled in all nr any of said property,firer carry servior,ur Iw porfnnned hercune�rr shall Ire subject m all the terms and conditions of rite Uniform Ilurnrstir S)trai'ht (till of Lading set forth(I)in the tharornn Freight Clarrlri,atlon in rb(ert on the date hereof,if this is a rail or rail-water chi nnrnt.or(2 in lke applicable motor carrier classirication or tariff it this is a tnrtor carrier chi meat. Shi qa•r hcre•Iry et ]Pies tltat hr is familiar with all the hells and......[shoos of the acid hill of lading.including those on lite�ack thereof,set forth m the elaassfbation or tariff which governs the tianspcntathal of this shipment, :mel the.aid Irmo and rv+ndiiiuns a o hereby agreed In Iry the sliipprr mul acoeptrd for himself and his assigns. Ceel address for purposes of nolificalion only.) Subject to Serono 7 of cmtditma"if this ship- ment is to be delivered to the consignee without Consigned TO reonnse on the eonsignoq the consignor shall On Collect on Delive y Shlpmenls,the Idle rs'COD a pear before consignee's me or as otherwise provided in Ire 430,Sec.I. sign the billowing statement: 7 t,� The'artier shall not make delivery or this Destination reet ,2� S1 �V C shipment without payment of bright and all 1 City other lawful charges. County L t - State �,>�L rt Zip Route ��e7tvery Address (#To be filled in only when shipper desires and governing tariffs provide for delivery thereat) (Signature of consigner•.) Delivering Carrier Car or Vehicle Initials and No. C. 0. D. Charges to be Paid by Collect on Delivery$ And Remit to ❑Shipper ❑Consignee I] ha.gr.- am to be prepaid, write or Street City— State stamp fere, 'To be 1'm1mitl.' No H.M. Kind of Package.Description of Articles.Special Marks,and Exceptions 19 (Subject Glass Check Packages /l/�`�t• l to Correction) or Rate Column 'L ` ` \ �•\�� Received 4 to apply in prepayment of the charges on the property described hereon. 7 Agent or Cashier \ Per (The signature here acknmvlcdges only I'll umnunt prepaid.) Charges Advancers: t f $ 1"The fibre ranlainrr.v usrrl for this shipment conform to the cperuicatmtts set forth in the box maker's"nificcue thereon,and all other requirement of Rule 41 of the Unirr e'm Freight Ciaxrification and Rule 5 of the National Motor Freight Classificathal.. 'If tine shi anent moves between two Janes,by a carrier by wale],Ila•law requires that the bill of kid mg.shall state whether it is carrier's or shipper's weight. t Shippers imprint in lieu of atamp;tint a part N(Yrr—\('herr the rate is dependent on value,.rMplien+an,required to state specifically in writing the ague eel or declared value or the property. of bill of lading approved by the Interstate The agrerd nr declared value or the properly is hereby specirb,anl slated by the shipper to be not exceeding I,„r Cmumeme Commission. Agent Permanent post-office address of shipper, Per