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- .. — .—..,,.y......�... r.....,.�.�... ,.�.... r.r. e�e.vtv.ree■.� va.va • a us sea Shipper's No. (Name of Carrier) Carrier's No. RECEIVED s bject to .he cl ssi (cations an tariffs in effete, n the d e of a issue of the Bill of ceding` at / 1 GII From the property described below—In appr;ent good order, except as not (contents and condition of contents of packages unknown), marked, consigned and destined as indicated below, which sal tamer phe word carrier ing understood mroughout this contract as meaning any person or corporation in possession of the operty under the contract) agrees to carry to its usual place of delivery at said tlestination, If on its route, otherwise to tlelivar to anomer tamer on the route to satl tlhro,ugtion. It is mutually agreed, as to each earner of all or any of said property over all or any gonion of said route to destination, and as to each parry at any time interested in all or any of said property, that every service to be performed hereunder shall be subject to all the terms and conditions of the Uniform Domestic Straight Bill of Lading set forth (1) in Uniform Freight Classification in effect on the date hereof, if this is a rail or a rail -water shipment, or (2) in the applicable motor carrier classification or tariff if this is a motor carrier shipment. Shipper hereby cartii',as that he Is familiar with all the terms and conditions of the said bill of lading, Including those on the beck thereof, set forth In the classification or tariff which governs the transportation of this shipment, and the said terms and condhlnjR a hereby agreed to by the shyer and accepted fog himself and his assigns. Consigned to Destination+--*'�-✓f,�L ( / State Route Zip County (Mall or street address of consignee—For purposes of notification only.) Delivery Address* 'To be filled In only when shipper desires and governing tariffs provide for delivery thereof. f Delivering Carrier L k iltio/iCar Vehicle ��710 or Initials _�� No. NO PACKAGES HAZARDOUS MATERIALS DESCRIPTION OF ARTICL S, SPECIAL MARKS AND EPTIONS *WEIGHT SUBJECT TO CORR. CLASS OR RATE uDlect w on T of conn s o •ppppl1icaWe bill of lading, It this ahlpment Is to be delivered to the consignee without racouraa on the ti con Gri-, the comilgnor anal) tion the following gatemant. The carrier shall not make delivery of ihla ahlpment without payment of �j✓` height A. all other lawful charges. par fill I gnsblre Iter �( If charges am to be prepaid, write or 'To ZIV i gamp here, be Pre-psld.' 6 ,/ o Received s to apply In can ym�yrI�aelIh� -the c� la erl the McWrtY went hereon. Agent or cashier. Per (The signature here ackrwwt ges only the amounts prepaid.) SHIPPERS CERTIFICATION: This is to certify that the above-named Charges advanced: materials are properly classified, described, packaged, marked and SIGNATUR TITLE s labeled, and are in proper condition for transportation according to the - applicable regulations of the Department of Transportation. • If the shipment moves between two ports by a carrier by water, the law requires that the bill of lading shall state whether it is "carriers or shippers weight.' C.O.D. SHIPMENT •• Shipper's Imprints In (leu of stamp; not a of BIII of Lading approved by the Interstate Commerce Commission. Part Note -Where the rate is dependent on value, shippers are required to state specifically in writing the agreed or declared value of the property. C.O.D. Amt The agreed or declared value of the property Is hereby specifically stated by the shipper to be not exceeding THIS SHIPMENT IS CORRECTLY DESCRIBED. " The fibre boxes used for this shipment conform tothe Spec- Collection Fee ifications set forth in the box makers certificate thereon, and all Shipper Total Charges CORRECT WEIGHT IS LBS. other requirements of the Consolidated Freight Classification. per Shipper, Per Permanent post office address of shipper J Agent, Per ?331