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SHIP FROM: SALES ORDER NO. <br /> B'p`l f <br /> T <br /> Pow6//Fu//3o/ut(ons^ T „�%{ �' <br /> y �y DATE <br /> orandum �]�� � C� ° C1 <br /> acknowledgment that a bill of lading has been issued and is not the Original Bill of Lading,nor a copy <br /> licate,covering the property named herein,and is intended solely for filing or record. -57ll <br /> "* iocr fcy �i r{;7a d � REGION <br /> mer P.O.No. Back Order Date Back Order No. <br /> property described below is in apparent good order,except as noted(contents and conditions <br /> tekages unknown)marked,consigned as hereafter noted,which said carrier agrees to carry <br /> estination, if on its route, or otherwise to deliver to another carrier on the route to <br /> ination. Every service to be performed hereunder shall be subject to all conditions, not <br /> ibfted by law,whether printed or written hereon, including terms and conditions set forth <br /> assification,filed tariffs,or contacts between shipper or carrier then in effect,which are <br /> by agreed to by shipper and accepted for himself and his assigns. <br /> If prepaid,send freight Bill with B/L attached <br /> gned to: ti V^ ! ! ^�' to the following address: <br /> ENERSYS INC. 152222 <br /> Dep #ENE <br /> JJ ! P.O tBox 2000 <br /> nation: ` C, or 1 ` Sugar Grove,IL 60554 BILL OF LADING NO. <br /> Freight Terms PREPAI COLLECT[] THIRD PARTY❑ <br /> P c sc oto C, <br /> K <br /> } <br /> i. <br /> Date )� <br /> r/ ; ch' j Shipped-)= � � � Carrier's No. <br /> T7RY <br /> r •• FREIGHT CHARGES <br /> rFreight Charges are PREPAID ENTER PERCENTAGES <br /> RIES,WET,FILLED WITH ACID,8,UN2794,PGIII ITEM 60720,SUB 2 0 unless marked collect or third <br /> RY FLUID,ACID,8,UN2796,PGII,ITEM 4540,SUB 1party. IN BLOCKS AS THEY APPLY <br /> FLUID,ACID,8,UN2796,PGII,(WITH DRY BATTERY)ITEM 66724 CHECK BOX IF COLLECT❑ MOT PWR EXIDE (' a <br /> NON-SPILLABLE BATTERY[EXCEPTED PER CFR 49 173.159(4)]ITEM 60682 CHECK BOX IF THIRD PARTY❑ <br /> MOT PWR GENERAL % <br /> BATTERIES,ELECTRIC STORAGE,DRY,ITEM 60720,SUB 3 -------------------------------- <br /> BATTERY PARTS,LEAD,N.O.I.B.N.,ITEM 60880 FOR FREIGHT COLLECT SHIPMENTS: MOT PWR SERVICE % <br /> STANDS,N.O.I.B.N.,OTHER THAN FURNITURE K.D.-FLAT,ITEM 178690,SUB 9 Subject to Section 7 of conditions,if thisshipment is to be delivered to the <br /> consignee,without recourse on the PORT.PWR % <br /> CHARGERS-BATTERY,ITEM 61270 consignor,the consignor shall sign the <br /> �y following statement: RESV PWR % <br /> `qct, --fir The carrier may decline to make <br /> deliv- <br /> feihmelsmhgsof <br /> reigt andaer lawfuI care. IS&S <br /> ENERSYSINC. SCRAP % <br /> f u <br /> By: % <br /> Signature of Consignor <br /> Overages,shortages <br /> &damages must be <br /> reported by email to: % <br /> osd@enersysinc.com <br /> TOTAL NO. DO NOT DOUBLE STACK TOTAL , L4 <br /> PACKAGES OR TOP LOAD FREIGHT WEIGHT pbsl / ' <br /> MARKS AND/OR THIRD PARTY BILL TO: DOTLABELS APPILIED <br /> AND SECURE <br /> B <br /> PROPER DOT NAME ` <br /> shipper moves between ports by carrier by water,the law requires that the bill of lading shall state whether it is carrier's or shipper's weight. <br /> ON ALL PACKAGES <br /> W type legend: P=Pallet B=Box D=Drum DOT AUTHORIZED <br /> CONTAINERS <br /> TIPPER SIGNATURE/DATE CARRIER SIGNATURE/PICKUP DATE j k? <br /> is' <br /> certify the�Ihe above materials are properly classified, Carier acknowledges receipt of packages and required placards.Carrier CHECKED FOR <br /> caged,markedlabeled,and are in proper condition for certifies emergency response information was made available and/or PROPER SEALINGsion accolabeled,applicable regulations of the DOT. carrier has the DOT emergency response guidebook or equivalent <br /> p documentati in the vehicle. dY described abova is received in <br /> 3! <br /> F Ad good ord ,�rrcept as noted. . •s <br /> I'l v t / 11 YES <br /> ANO <br /> �w"`"w Rik <br /> CARRIER SHIPPER <br /> -E �/ DATE D + . ❑ ❑ <br /> MEMORANDUM <br /> FOR 24 HOUR EMERGENCY ASSISTANCE,CALL CHEMTREC 1-800-424-9300 or 1-703-527-3887 <br />