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95B30e/039691OV rM ADAMS BUSINESS FORMS 9013 (3-PART FORM) UNIFORM STRAIGHT BILL OF LADING Original—Not Negotiable—Domestic Shipper's# e�Carrier Agent's No. 0 4C2 RECEIVED,subject to theclassificationsand tariffs in effect on the date he issue of this Bill of Lading, at t cre/ ,ry6I 'r Pfrom the progeny describetl bebw,m apparent good order,except as torted(coMenfs and condition d wntents of packages un i marked,consigned and destined as shown be—,which said company(Me word company being understood throughout this c nowt as meaning em person or corporation in possession of the progeny under Me contract)agrees to cavy to its usual placeof delivery at said deSination,it on its own redroatl,water line,highway route or routes,of within the lertitory of its hghway operalrons,dherwise to tleliver 10 another tamer on the route 10 saitl tlestinatron.It is mutually agreed,as to each carrier of all or airy of sad property over an or eery portion of said rouse to destination,and as to each party at any time interested in all or any of sand property,that every service to be penormed hereunder shall be abject to all the cordir d,rwl prohibited by law whether printed or written,herein contained,inchrdirig y(he cnrdilbra on back hereof,which are hereby agreed to by the shier and accepted for himteff add his assgia. �� Mail or street address of consignee—For purposes of notification only.) Consigned to Destination/Mk C-41 a""'k�/olL�ti State of — Zip Code -��Count y of �! � Delivering Vehicle Routing Carrier or Car Initial—No- Collect On Delivery C. 0. D. charge Shipper ❑ $ and remit to: to he paid by { Consignee ❑ Subject to Section 7 of conditions,if this shipment is to be delivered to the ` Street City.r - State consignee without recourse on the con- No. eight lass heck signor,the consignor shall sign the fol- Packages Description of Articles,Special Marks,and Exceptions (Sub.to Cor.) or Rate Column lowing statements: / The carrier shall not make delivery of / - this shipment wpayment of freight I�b and all other lawfulful ch charges. - -- (Signature of Consignor.) If charges are to be prepaid,write or stamp here,"TO BE PREPAID." Received$ to ap prepayment of the charges on - - - property described hereon. Agent or Cashier - - Per (the signature here acknowledges only the amount Prepaid.) 'If the shipment rooves between two ports by a carrier by water,the law requires that the bill of lading shall state whether it is"carrier's or shipper's weight" NOTE—Where the rate is dependent Charges Advanced: on value,shippers are required to state specifically in writing the agreed or declared value of the property. The agreed or declared value of the property is hereby specifically stated by the shipper to be not exceeding per $ ✓1 _S-hipper, Per �� Agent, Per Permanent post-office address of shipper, �- cw,.5„ (This Bill of Lading is to be signed by the shipper and agent of the carrier issuing same.)