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956308/0396910V �.ADAMS BUSINESS FORMS '... 9013 (3-PART FORM) UNIFORM STRAIGHT BILL OF LADING Original—Not Negotiable—Domestic Shipper's# / Q , � Carrier Agent's No. Q J RECEIVED,subject to the classifications and tariffs in effect on the date the issue of this Bill of Lading, at dcf./ J-�� /.��from /;'7 1-' /g the property described below,in apparent good order,except as noted loontenls andcondition at contents of packages un )marked,consigned end destined as shown below,which said company(the word company beimd understood flubs rcut this c'wuract as meaning any person or corporation in possession at the properly under the contract)agrees to carry to hs usual place N def ry at said destination,d on as own railroad,water line,highway route or mutes,or within the territory of its highway operations oth-to def r to another carrier on the route to said destination.It is mutually agreed as to each corner of all or any of sold property overall or any portion oI said route to destination,and as to each pany at any time iNeresled in all m any d said property,that every service to be perimmad hereunder shall be subject to all the conditimvs hatpmNbiled by law,whether printed m written,herein contained including '.. Xhe conditions on back bemol,which are hereby agreed to by the shaver and accepted for himeNt and his asenma. Consigned to Mail or street address of consignee—For purposes of notification only.) '.. i' / /�� Destination ��G_� ! � �°� o/7-rZ5CG, State of Zip Code -rCounty of �; Oj Delivering Vehicle Routing `Carrier or Car Initial No. Collect On Delivery C. 0. D. charge Shipper ❑ $ and remit to: to be paid by Consignee ❑ Subject to Section 7 of conditions, if this shipment is to be delivered to the Street City state consignee without recourse on the con- No. 'Wei ht 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: li The carrier shall not make delivery of �p this shipment without payment of freight n 6a �f and all other lawful charges. (Signature of Consignor.) " - If charges are to be prepaid,write or stamp here,"TO BE PREPAID." Received$ to apply to prepayment of the charges on the property described hereon. Agent or Cashier Per (the signature here acknowledges only the amount Prepaid.) i '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"carrier's or shipper's weight" NOTE—Where the rate is dependent Charges Advanced: on value,shippers are required to stale 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 $ Shipper, Per ` Agent, Per Permanent post-office address of shipper, 2- 1>_ �4�+z 4'''v�- �� (This Bill of Lading is to be signed by the shipper and gent of the carrier issuing same.) Bill of Ladngi