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SHIP FROM: SALES ORDER NO. <br /> y (C_ <br /> d f 1 <br /> DATE <br /> lorandum <br /> acknowledgment that a bill of lading has been issued and is not the Original Bill of Lading,nor a copy � I �•'� � � � " �' `''� / <br /> )Iicate,covering the property named herein,and is intended solely for filing or record. <br /> REGION t <br /> mer P.O.No. Back Order Date Back Order No. H!I <br /> property described below is in apparent good order,except as noted(contents and conditions <br /> ac kages 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 /> ibited 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 /> to the following address: <br /> fined to: ENERSYS INC. 150759 <br /> Dept#ENE <br /> P.O.a Box 2000 BILL OF LADING O. <br /> ration: t f <br /> d . <br /> i Freight Terms PREPAID❑ COLLECTED THIRD PARTY❑ <br /> J1 0�° <br /> \\t y �Y <br /> l <br /> Date ' <br /> r Shipped Carrier's No. . �, .� �..w.... ,. .. h. ,.,.-,4 d_ <br /> r 1 1 1 1 r • FREIGHT CHARGES <br /> e <br /> Freight charges are PREPAIDFg! ENTER PERCENTAGES <br /> BATTERIES,WET,FILLED WITH ACID,8,UN2794,PGIII ITEM 60720,SUB 2 unless marked collect or third <br /> BATTERY FLUID,ACID,8,UN2796,PGII,ITEM 4540,SUB 1 <br /> party. IN BLOCKS AS THEY APPLY <br /> BATTERY FLUID,ACID,8,UN2796,PGII,(WITH DRY BATTERY)ITEM 66724 CHECK Box IF COLLECT p MOT PWR EXIDE % <br /> NON-SPILLABLE BATTERY[EXCEPTED PER CFR 49173.159(d)]ITEM 60682 CHECK BOX IF THIRD PARTY❑ <br /> MOT PWR GENERAL % l <br /> BATTERIES,ELECTRIC STORAGE,DRY,ITEM 60720,SUB 3 -------------------------------- <br /> BATTERY PARTS,LEAD,N.O.I.B.N.,ITEM 60880FOR ° J i <br /> FREIGHTo CT SHIPMENTS: MOT PWR SERVICE /o �} <br /> STANDS,N.O.LB.N.,OTHER THAN FURNITURE K.D.-FLAT,ITEM 178690,SUB 9 shipmSubjeent to shipment is to he delivered to the PORT PWR <br /> CHARGERS-BATTERY,ITEM 61270 consignee,without recourse on the <br /> consignor,the consignor shall sign the <br /> following statement: RESV PWR % <br /> The carrier may decline to make deft, <br /> ery of the shipment witfout payment of IS&S <br /> freight and all other lawful charges. <br /> ENERSYSINC. SCRAP % <br /> By: % <br /> Signature of Consignor <br /> Overages,shortages % <br /> &damages must be k N <br /> reported by email to: % <br /> osdCenersysinc.com <br /> TOTAL NO. DO NOT DOUBLE STACK TOTAL / II <br /> PACKAGES OR TOP LOAD FREIGHT WEIGHT(ibs) <br /> MARKS AND/OR THJRD PARTY BILL TQC �}•,i ! i - ; DOT LABELS APPLIED <br /> AND SECURE <br /> -f,r <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. ON ALL PACKAGES <br /> 'K type legend: P=Pallet B=Box D=Drum DOT AUTHORIZED <br /> CONTAINERS <br /> iiPPER SIGNATURE/DATE CARRIER SIGNATURE/PICKUP DATE <br /> is to certify that the above materials are property classified, Carrier acknowledges receipt of packages and required placards.Carrier <br /> CHECKED FOR <br /> ;aged,marked and labeled,and are'irt proper condition for certifies emergency response info ation was made-available and/or PROPER SEALING <br /> sportatjon according to the app i ble regulations of the DOT. carrier has the DOT emergen esrponse guidebook or equivalent <br /> documentation In the vehtc PP-_dy dppodbed pdove is received in <br /> J good oMer,except as ed. •e <br /> ❑YES ❑NO <br /> X <br /> CARRIER SHIPPER <br /> E DATE m ❑ ❑ <br /> MEMORANDUM <br /> ^^ FOR 24 HOUR EMERGENCY ASSISTANCE,CALL CHEMTREC 1-800-424-9300 or 1-703-527-3887 <br />