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<br />This Memorandum Is an acknowledgmer Bill of Lading has been Issued and Is not Original
<br />Bill of Lading, nor a co upi.cale covering the property amed herein, end is
<br />Intended solely for filing or record.
<br />Page of
<br />;Name of carrierl
<br />iSCACt
<br />Stopper No _
<br />Carrier No.
<br />Date
<br />on Cour,+ aN ^ pr,v.ahpmema. tra ;mere 'COP` m.+t epees' ",1,*.ens pAee b ^.a'_..e -, as rme,v, sx. o'-� .o ..sin a)^ Sec '
<br />TO:
<br />Consignee _.—
<br />FROM: �a"" +}' 'T�; <:, "€ ', !#a !t 'kr'
<br />Shipper
<br />_
<br />Street
<br />zjiI` tt.ia r'5�,
<br />Street
<br />I«ta:at
<br />City State Zip Coda
<br />City
<br />IwAwd t..,a �A�
<br />City State Zip Code
<br />Route
<br />Vehicle
<br />Number
<br />No. Of Units
<br />6 Container Type
<br />BASIC DESCRIPTION
<br />UN or NA Number, Props, Sntpping Name, Hazard Class, Packing Group
<br />17 7
<br />TOTAL QUANTITY
<br />±wsignt, volume
<br />Gallons, etc I
<br />WEIGHT
<br />Subject to RATE
<br />Gorrectiont
<br />CHARGES
<br />;For Car^.er
<br />Use Only;
<br />of 77
<br />17
<br />f+ 7 y
<br />'S6,17 I Pc D1E)TA rr-:ht-
<br />PLACARDS TENDERED: YES C NO C] REMIT
<br />COD TO
<br />"a" ,.. III wrier, the also dependent or vlvu# "Pea 411 r#a ' '.o site nemby osows Ire' It's tdnlerft 0! tnl' ADDRESS
<br />swill ally In writing no agrrro m dors,,; arae a' '1,a V"w fy ++ cmow+ T*, ,onotgn"ni ■m tui v sore annuntry C 0 D FEE
<br />.gond or dreNrrd w;w of Me pmderty a nrrrtry ape0'Rda.Y sterid ey ra an;pcer to 1,#d"bra .twee dy m« P open +niop" ^OD PREPAID :3
<br />torwt awed'ng Pe nem. an am oto ed. paakaPed. V Am.. 5 COLLECT p 8
<br />(2) when me epplxdad1e 1*4 prav adrr apse ry a 1 salla at ra urtre eabii•ry ansa`nl maned at! Do so rsa dW, and are
<br />a misses o" a value dedtarit 1,r 1,y "n! rrlppa and the ,hippo- doer .w relNn n 8;; mopadtb n prop, Cdrdllian 0, 9.Alec In 9.•. i =-. ' a 4 t'.�^n-i c^. r 0 01 as n n tom, A
<br />{1,r NmY#'apnity a, dectere a YYI4 thr oan'r'a napf y a,-ai Oo llrx¢#t: to Me .—1 ••onspon 'nccra ng fo eppl',r*ble a peat w Ra tip 1,e an `ri t b b � '^a J -. x' CiHA�oae
<br />ptdviWd W 11udn prwmara ffier NMFC, Har^ 172 :memavorai ano nabanai gdvarrroartx f =p xi tea e
<br />49Y CommoWt a +spa=ring sols", or additonol Dare c" atlemlor. '.n nx,I w Brow' p ,rgut!Idna 1,a « ha' r1 •+•,+tae eocva v . r x. en o..,a^i a 1"au. earTam u' FREIGHT CHARGES
<br />must a w mRoad.rd prekegod ata enaurr uta uan#ponatton see Ser. on Zia, of r dr: old ai „r1,,, aw'" >nergas Fr1EIGN' ageeAlo Gex:k Dox n
<br />Sam iso Bill# a, udsng pro,., alff .1,d etiaVment# M ,rt,g4o and arcv- tial of e.a#pI a"'r pd eI — e•,roa
<br />,no con rav Tama and Coneaedna rdn a ut of 111-01, art1111o. Signet:/e OO else t 4._ "u, ,pnl # oleavd
<br />RECEIVED 01600 to Ins Cktal!foaUrr}a and !arlha In eaeea 011" ost or the "Us of ins &n c' Lading. ':^et or enc x z neon pang ■ b -, m.
<br />ihe Propsny 1,K Abad above A WSW, gond ardor ee0apl a ^WW ;Coni#ma and 10nVD1 dt 071 ;*It, a raarar�ar "r w +.Batt ,c air, I" bR1 of ea:",g Ire $'C cmm+ona In. torr^ v .vu•
<br />tads d package' anknorI marked. coneig^ad Ord *W nod a 'rolutoo aoeva wn�er 1,e Dame` ci'cat d1, dr ins U41 of eripmam the �Wing [antra and cdndficne •n tno
<br />[tri' .01Cwhat being v100wood tnroughouf Ire bona t a manmg any Damon a, rrrpa'aror -r ave ,, plaesr�daia l a
<br />and d o %,00 m"m*aandcondrrian' era nanbY Wood 10 by In►,hipper Ord
<br />p0aowa ar ma properly una, Me tortr'r'I agnea K ovry 10 a u..:a: pica �' Ds"I" m. ago �,. icdept� for nimaeli arc ha4—gra16141 d or m rout, ntnerwa' to aw`41 It anolhn tams, 0� tnr rout b sem w5 notow s mus
<br />.fly ag'ra a Sa Ow a'1, ' pl a ar any d sal R nNrYi' .0, 6.1 d' any pttl eam '0at it to
<br />"<4, tr.i CARRIER
<br />t:�1"r'M 1'"14, fIt, "F+l:.
<br />SHIPPER
<br />PER
<br />PER
<br />DATE
<br />Permanent post -office address of shipper IS ,,.
<br />STYLE CF375•4 IC. 2012 LABELMASTER9P 1800) 821•6806 www.lsbetmastar_com
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