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Shippers No <br />e of arrier Carrier's No. <br />RECEIVE, subject to the and lanais In eMso .le da,,%f <br />e orthe Issue of this Shipping Order, • <br />at s 1 From '?5 7, t <br />onivitMwooptwr#owo ( lan4 and a conante a parkilges w known), maisd; and kwi.. d www. wM Y saki carrier Nte wocdunyr bs4q w7ratood Krwypn true <br />oonaaor r mrrsrp sgjyrwn «dorp«tlbn h po�eassbn d pr q�ty,undK sty cmtrsct) epra w carryi. Iy uaa�i Wce a 001vi ry st Wd duaWwn, it on b routs, oswwAe w dNiveryo snWw nnW on tM rocas w &W dMWrlbn. s n <br />k0boy apesd, r b Saw comer a M « cry a said proprty ovte,�r�Yy por arty portion a said route w destination, and u w each party st arry j To yrwe In al « a wkl <br />ft terms and condoors a the untilonn Donwtfc Straight Baa 7 ' so brth (1) h uniform Freight ClYrficati0n h H dos is ■roll «a cell -water may' 09WAVYssnics w w i�srwmrsd hwftu sfwl w sutHeccb n <br />mow trnr shrp e t ar 7 1 J °°h• shiprtwr4 ( appfeabls motor cwiw daarfi noon « bre a Vr a ■ <br />&tprw hradY e0rtlfies khat M b hmYW rMM tl11M oro of me add bill of lading, 01000 on the Dack etereof, est form In the a.a.hnuuon or twill wAdd gov«rr the bwwporbaon *I V" 1 erW <br />y�.I q ( i <br />me add brad srd oondMlana an hrbY wnadls M Ow tlYppar �+d �f« nnwn and had rtlpr. <br />19 _ n n <br />Consigned to �Eft DestinatlofL.C��iSLGt State — Zip <br />vW <br />Route <br />Delivering Carrier <br />« wstl aadrw d conalw --For purpoess of namntlon <br />De very <br />County Address* <br />'To w feted to orty IMMII afsppr desks. and govOnWy hrhMO Puede for ae1Mry vler•at. <br />r _ar nr Vahlnln Inlflnte <br />NO. <br />PACKAGES <br />HAZARDOUS <br />MATERIALS <br />DESCRIPTION OF ARTICLES, SPECIAL MARKS AND EXCEPTIONS 'WEIGHT CLASS <br />SUBJECT T CORR. OR RATE <br />fig a ads <br />m a <br />y eeYvOrad b 1M <br />11pn00 wehqut r0oaraa on air <br />c�0nns0p Viatabrnert�w <br />- <br />00 airs sign ale <br />" wi <br />1•.. <br />7ha Gw=setas not wraa daiNery of <br />tlya <br />/ <br />Mprwt eAtrolt payrnrll d <br />haiplt rid as alar Iwkd aherpee. <br />_ <br />Manrp�; RhOn. 0l A= wee or <br />1114tielmed It <br />. <br />m�arly� a hd"w.a�r. <br />Aert or Ceshter. <br />Par <br />(me tlanaMe h.n .eenoeA.dges <br />a+r ttr ttmslnte pnWa.) <br />SHIPPERS CERTIFICATION: This is W certifythat the above-named <br />charges advanced: <br />materials are property classified, described, packaged, marked and SIGNATURE n <br />labeled, <br />s <br />and are n proper conddion for bansportauon according to the _ <br />applicable uletkxle of the De t of Trane tion. ' <br />•it the shipment moves between two ports by a carrier by water, the law requires that the blll of lading shall state whether it is'carhers or shipper's weight.' C.O.D. SHIPMENT <br />Shlppeh Imprints In Ileu of stamp; not a of Bill of Lading approved by the Interstate Commerce Commission. <br />Z• Part <br />Note-WWhhere the rate is dependent on value, shippers are required to state specifically in writing the agreed declared <br />or value of the property. C.O.D. Amt <br />The agreed or declared value of the property Is hereby spwAlically stated by the shipper to be not exceeding <br />THIS SHIPMENT IS CORRECTLY DESCRIBED. <br />•• The fibre boxes used for this shipment conform to the spec- <br />— Collection Fee - <br />ificabons set forth in the box makers cenificate thereon, and all <br />Shipper Total Charges <br />CORRECT WEIGHT IS �. <br />other requirements of the Consolidated Freight Gassificadon. <br />per <br />Shipper, Per g2e Agent must detach and retain this Shipping <br />Order and must sign the Original BIII of Lading. <br />Permanent post office address of shipper j <br />