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1111) JnIrrIIVU UhL)L i must be legibly filled in, In Ink, In Indelible Penal, or of
<br />Carbon, and retained by the Agent.
<br />Shipper's No.
<br />Carrier's Name:
<br />RECEIVED, subject to the classifications and lawfully filed
<br />Carrier's No.
<br />tariffs in effect on ih ate oft issue of this Bill of lading,
<br />(Date) 5 Z\
<br />,9_�_ FROM
<br />the property descnbtd beluaw, '•n apps eu[ glad urd�r, except ns n (cmuten[s and confit n of cunt ns of packages unknown), market,
<br />throughout flus wntrect
<br />consigned, and deapned
<br />mranmee� ny pawn r corporauo possession of the pm erty undc the contract) agrees [o enrr wits usual
<br />ur run«•e, or wrtlun [Lr territory of its highway
<br />lre��J Iaslinarachtcaru
<br />as shown 6rluw, which sail cu lilt,.+ wort confpany being unJrnu,ud
<br />uperetlona, tit rwlse w deliver w ,.not ler carrier n [tic route [ugsuid destinatanf. I[ is mutuallyt•a
<br />r said route to destination, and as [o cacti any at any time i11tC1'eSted In
<br />pp
<br />rrmtrun, If on its ,tart rwlroaIf water line, highway note
<br />illi
<br />Bill of Irdin all or all �
<br />y of laid property, [hat every service to be pet formed hereunder s tall �e
<br />g se[ forth [he tlndorm F'reigh[ Cla—ficauun in effect un the date hereof, if
<br />u! any u( salt pro IY9 over tlll Orduly yon lull
<br />o", -c[ [o all the terms x0. cundrta nl of [Ile rinifunn DomesGe
<br />5111 (his is a Ixil un mil -water shiLm,cut, ur (2)) in the upphcaLle
<br />cable,
<br />pp•r herelry certifies ILat hr is familiar with all the tempi and conditions of tLe set bill of Iadulg, mrludinghhost
<br />enJ the the back
<br />Straw ht
<br />motor carrier classi0canml ur wrdf if 'his is a g
<br />mover earrirr shupfltrnt.
<br />un thereof, set forth m [tic
<br />laud term, ant cuudmnns are hereby agre 1 to Ly [he shipper and lin ept, fur himself and his usslgns.
<br />lir IanlT which overns the trans
<br />g WrtrGun of this llup Irnt,
<br />/� (K4isLQr street aaddress for Wrpo es of rotilcalan I
<br />onsigned TO ` tLJ • \
<br />JULfe•c[ w 5rcuun 7 of condition, d this slug
<br />lit is w be delivered w the sunt
<br />�/
<br />On Colle<I on Delivery Smpments, the fevers "COD" moat appear before consiyrwe's earn or as otherwise providetl in IllNn 430, Sec. 1
<br />goer xnhout
<br />rcool r un the consignor, the culnseg Ir slwll
<br />sign the following statement:
<br />Destination. Q
<br />The earner shall no[ make delivery of [hu
<br />Street
<br />Cit y
<br />utilise Inxiuhcha geaayment of freight ant all
<br />County State ._
<br />r�ute Uel—werAddress*
<br />Ip
<br />(*To be filled in only when shipper desues and governing tariffs provxfe for delivery thereat)
<br />slivering Carrier
<br />Oignature of consignor
<br />Car or Vehicle Initials and No.
<br />C O D Ch
<br />C,iilect on Delivery $ And Remit to _
<br />Street
<br />dekas N M Kind of Package. Descnplaan of Anc�les, S
<br />9e pecul Marks, arq Lxcrptions
<br />`L_ L
<br />AZ`zQ � L� .
<br />�.
<br />�..� zo 5 24x6 f l
<br />Cit
<br />'Weight (Sublecl Class
<br />to Correction) or Fate
<br />�7 Z,880 G
<br />3 Z_ _
<br />N
<br />•If the hu i eat mutes between two �mYs by a carrier by water, the law I lines that the Lill if lading shall spite whether it a career' ,ii:
<br />NlYfli —Where the rate is Jrpenden value, shippers are required w state specifically in writing the agreed or declared value of the property.
<br />The agreed or dechill value of I I, rroo rty is hereby specifically stated by the shipper to be not exceeding
<br />Shipper, Per
<br />Permanent post -office
<br />address of shipper.
<br />0
<br />arges to be
<br />Paid by
<br />U Shipper ❑ Consignee
<br />II charges are to be prepaid, tart, or
<br />_ State !tamp here, -To be Prepaid."
<br />Check
<br />Column
<br />Received S E. apply.
<br />in prepayment- of the charges on the
<br />property described Hereon.
<br />Agent lir C'asluer
<br />I\•r
<br />(Thr siglnn[urr lura ackfwwledgel onlytHr al oft prrpaal.)
<br />Chalyes Advanced:
<br />[ '•IT+1ihrt• containers used for this slupua•ut
<br />soliform to the specifications sect forth in the
<br />box maker's certificate thereon, and all other
<br />e•gwrrmellu of Rule 41 of the Uniform Freight
<br />l'L."'ficauon and Rule 5 of the Na[wuwl Motor
<br />Fnnght Classification"
<br />f Shipper's imprint in lieu of stamp; not a pan
<br />of bill of Iwlmg approved by [he Interstate
<br />Commerce t:f11rIR11al1pIL
<br />L,t' Agent must detach and retain
<br />this Shipping Order and must sign
<br />the Original Bill of Lading.
<br />
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