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RAIGHT BILL OF LADING Shipper No. — ORIGINAL—NOT NEGOTIABLE 40 ( Carrier No. Page of Ski;C.&ZA4L-ps �n�L-0 Gi (Name of carrier) (SCAC) Date O Delivery shipments,the letters'CCD'must appear before consignee's name or as otherwise provided in Item 430,Sec.1. FROM: �/ Shipper r�. t Consignee tleah'1 l Street ) F Street �3C, (A) rY('A� J J City Ge l State Zip Code City Q�() .�♦X State Zip Code 96L.0413 24 hr.Emergency Coitact Tel.No. e � Vehicle Route I Number BASIC DESCRIPTION TOTAL QUANTITY WEIGHT CHARGES No.of Units Proper Shipping Name,Hazard Class UN or NA Number,Proper Shipping Name, (Weight, Volume, (Subject to RATE (For Carrier &Container Type HM UN or NA Number,Packing Group or Hazard Class,Packing Group Gallons,etc.) Correction) Use Only) . x - �J J . ",re Mite 4- tuk me, / d z- 1 0 Ir --� 3 O PLACARDS TENDERED: YES r—I NO O REMIT C.O.D.TO: 1)Where the rate is dependent on value,shippers are required to state I hereby declare that the contents of this ADDRESS s In wdting the agreed or declared value of the property,as follows:'The consignment are fully and accurately ogre r tleclared value of the property is hereby specifically stated by the shipper to described above by the proper shipping C.O.D.FEE: beet exceeding Fer name and are classified, packaged, COD amt: $ PREPAID ❑ (2)Where the applicable tariff provisions specify a limitation of the carriers liability absent marked and labelled/placarded,and are COLLECT ❑ $ a release or a value declaration by the shipper and the shipper does not release in all respects in proper condition for the caninrs liability of declare a value,the carriers liability Shall be limited to the extent transport according to applicable Subject to Section 7 of the conditions,if this shipment is to be delivered h the TOTAL ty International and national governmental consignee without recourse on the consignor,the consignor shall sign the CHARGES $ provided by such provisions.See NMFC Item 172. following statement: (3)Commodities requiring special or additional care or attention in handling or stowing regulations. The carrier shall not make delivery of this shipment without payment of FREIGHT CHARGES must be so marked and packaged as to ensure safe transportation.Sea Section 2(e)of freight and all other lawful charges. FREIGHT PREPAID Check box 0 charges item 360,Bills of Lading,Freight Bills and Statements of Charges and Section 1(a)of except=box et El ere to be the Contract Terms and Conditions for a list of such articles. Signature isignawre of Consignor) right is checketl collect RECEIVED,subject to the classifications and tariffs in effect on the date of the issue of this Bill of Lading, tination and as to each parry at any time interested in all or any said property,that every service to be the property described above in apparent good order,except as noted(contents and condition of con- performed hereunder shall be subject to all the bili of lading terms and conditions in the governing clas- tents of packages unknown),marked,consigned,and destined as indicated above which said carrier sification on the date of shipment. (the word carrier being understood throughout this contract as meaning any person or corporation in Shipper hereby certifies that he is familiar with all the lading terms and conditions in the possession of the property under the contract)agrees to carry to its usual place of delivery at said desti- governing classification and the said terms and conditions are hereby agreed to by the shipper and nation,if on its route,otherwise to deliver to another carder on the route to said destination.It is mutu- accepted for himself and his assigns. ally agreed as to each carrier of all or any of,said property over all or any portion of said route to des- SHIPPER CARRIER /j ✓ PER PER/'' �. DATE Permanent post-office address of shipper. _ STYLE F360-4 ©2003 LABELI$ R®(800)621-5808 www.labelmaster.com ®cs uswc sorasnx.ax 30Y INK„ •