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Poway/Fu// So/uNons�
<br />norandum
<br />acknowledgment that a bill of lading has been issued and is not the Original Bill of Lading, nor a copy
<br />plicate, covering the property named herein, and is intended solely for filing or recons.
<br />xner P.O. No.
<br />Back Order Date
<br />property described below is in apparent goal order, except as noted (contents and conditions
<br />adages unknown) marked, consigned as hereafter rioted, which said carrier agrees to carry
<br />sestination, if on its route, or otherwise to deliver to another carrier on the route to
<br />lination. Every service to be performed hereunder shall be subject to all conditions, not
<br />hibited by law, whether printed or written hereon, including terms and conditions set forth
<br />fassitcation, filed tariffs, or contacts between shipper or carrier then in effect, which are
<br />ft agreed to by shipper and accepted for himself and his assigns.
<br />pe - p
<br />gned to:y ° S. e i
<br />baton:
<br />I ,
<br />�..- ,.-� �" <� �/� Date �I t_
<br />r p Shipped Carrier's No.
<br />SHIP FROM: low
<br />h -
<br />s�
<br />Back Order No.
<br />SALES ORDER NO]
<br />DATE
<br />REGION
<br />If prepaid; send freight Bill with B/L attached
<br />FREIGHT CHARGES
<br />Freight Charges are PREPAID
<br />unless marked collect or third
<br />part.
<br />CHECK BOX IF COLLECT ❑
<br />CHECK BOX IF THIRD PARTY ❑
<br />--------------------------------
<br />EM FREIGHT COLLECT sxlrMEnrrs•
<br />to the following address:
<br />ENERSYS INC.
<br />r
<br />Dept#ENE
<br />MOT PWR EXIDE
<br />P.D. Box 2000BILL
<br />OF LADING NO.
<br />Sugar Grove, IL 60554
<br />Freight Terms PREPAID6. COLLECT❑ THIRD PARTY ❑
<br />1 1 t: 1 1•• 1 • 1 • 1 r
<br />BATTERIES, WET, FILLED WITH ACID, 8, UN2794, PGIII ITEM 60720, SUB 2`
<br />FREIGHT CHARGES
<br />Freight Charges are PREPAID
<br />unless marked collect or third
<br />part.
<br />CHECK BOX IF COLLECT ❑
<br />CHECK BOX IF THIRD PARTY ❑
<br />--------------------------------
<br />EM FREIGHT COLLECT sxlrMEnrrs•
<br />ENTER PERCENTAGES
<br />IN BLOCKS AS THEY
<br />APPLY
<br />'4 , It
<br />BATTERY FLUID, ACID, 8, UN2796, PGII, ITEM 4540, SUB 1
<br />BATTERY FLUID, ACID, 8, UN2796, PGII, (WITH DRY BATTERY) ITEM 66724
<br />MOT PWR EXIDE
<br />f ' f %
<br />NON -SPILLABLE BATTERY [EXCEPTED PER CFR 49173.159(d)] ITEM 60682
<br />MOT PWR GENERAL
<br />BATTERIES, ELECTRIC STORAGE, DRY, ITEM 60720, SUB 3
<br />BATTERY PARTS, LEAD, N.O.I.B.N., ITEM 60880
<br />MOT PWR SERVICE
<br />t `'
<br />STANDS, N.O.I.B.N., OTHER THAN FURNrWRE K.D.-FLAT, ITEM 178690, SUB 9
<br />to tl0 ' of commons•if this
<br />shipment is it be corhreoo ed to the
<br />signee, without t recourse on the
<br />consignor, the consignor shall sign foe
<br />following statement•.
<br />The comer may decline to make defiv-.
<br />ery of the shipment without payment of
<br />height and all other lawful charges.
<br />ENERSYS INC.
<br />By:
<br />PORT. PWR
<br />%
<br />CHARGERS -BATTERY, ITEM 61270
<br />..
<br />✓= ` 7
<br />RESV PWR
<br />❑ ❑
<br />.,'.•- "'
<br />is &S
<br />.;« p
<br />P
<br />E...f
<br />SCRAP
<br />%
<br />%
<br />Signature of Consignor
<br />Overages, shortages
<br />& damages must be'I
<br />reported by email to:
<br />osd@enersysinc.com
<br />sp
<br />f %
<br />i %
<br />%
<br />I I TOTAL NO. DO NOT PACKAGES OR TOP LOAD FREIGHT WEIOUBLE STACK GHT /
<br />(ARKS AND/OR THIRD PARTY BILL TO. Iiq
<br />r
<br />hipper 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 />( type legend: P = Pallet B = Box D = Drum
<br />PPER SIGNATURE / DATE CARRIER SIGNATURE / PICKUP DATE
<br />to certify th the above materials are properly classified, Carrier acknowledges receipt of packages and required placards. Carrier
<br />Sed, marked labeled, and are in proper condition for certifies emergency response information was made available and/or
<br />8'r—t0ion accor g the applicable regulations of the DOT. carrier has the DOT onse guidebook or equivalent
<br />documental in therty described above is received in
<br />rh 4 1 good o etccept
<br />s"^ it
<br />kh X —617r
<br />r
<br />DATE _
<br />FOR 24 HOUR EMERGENCY ASSISTANCE, CALL CHEMTREC 1-500-424-9:100
<br />SHIPPER'S CHECKLIST
<br />LABELS APPLIED
<br />�!
<br />ND SECURE
<br />PER DOT NAMEALL
<br />E
<br />PACKAGES
<br />(✓
<br />DOT AUTHORIZED
<br />CONTAINERS
<br />CHECKED FOR
<br />PROPER SEALING
<br />t `'
<br />❑ YES O
<br />• �
<br />CARRIERSHIPPER
<br />❑ ❑
<br />
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