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Tis memoranduma Is an acknowledgment that a Bill of Lading has been issued and is not Original Shipper No. <br /> Bill of Lading, nor a cod ! or duplicate, covering the property named herein, and is <br /> ~ intended solely for f)' at record . {^! <br /> r Carrier No. <br /> Page / of / ( G.��. �� � t f' 1 , "r % T % : •a Z2 :r: r % ,+`• . �__ ' v / �- <br /> y - (Name of carrier) % (SCAC) Date L: �' / <br /> , <br /> On collect on Cerrvery Womente• the letters 'COD• must appear becue conaignes's tante or as od:ereisa proroed in item a30, Sect . FROM: -� <br /> Shipper . ; ,lea. <br /> , <br /> : ., <br /> TO . <br /> ��� <br /> Consignee r :r ;f . .. a:r' ^ % T • /. !� <br /> Street 5 'i (.c�� 'f .-, . , .v ,•7i <br /> Street - "� r..• City 1. a eq, State t' Zip Code i r. <br /> City " <br /> State ;' l • - Zip Coda <br /> ! ' _ 2s • . Emergency Contact Tet. No. <br /> Memo <br /> Vehicle <br /> Route ' Number <br /> TOTAL QUANTITY WEIGHT CHARGES <br /> No. of Units BASIC DESCRIPTION RATE <br /> H M UN or PIA Number, Proper Shipping Name. Hazard �Class, Packing Group (Weight,Gallons, <br /> volume, Corrects n) (=err Carrier <br /> 3 Container Type Gations. etc.) Correction) Use Only) <br /> 4P 1 <br /> '—rte ,- 7 �r l i= r Yi IJ: e .� –r - . i-�! " „0 <br /> yawe we <br /> 1 <br /> 17 .E ,� r y.^ r 1 lot' �, % jJ : to <' r ' ev IN <br /> ' ) .. t 11� r 1 . <br /> Y <br /> PLAC <br /> RD. cy <br /> Note — (1) where the rate is d <br /> scectifccaay N wddrg the agreed <br /> agreed or declared value of ft ;r C.O.D.PAID ID <br /> to not exceeding G <br /> COL <br /> (2) where ins applicable tad" Frcvk COLLECT L S <br /> a release or a valwa declaration •eta a clot TOTAL <br /> tre caresses aatairy or dod re a va a list the CHARGES S <br /> ^raked ty atxh prvlsions. Sae N 110110 <br /> lel Cdrrrt:ddides teairing s,-edai rayment N FREIGHT CHARGES <br /> rust be so marked end packaged FR 90W PFVAM Gwc 7.a 3 <br /> item 3E0. sills of Lading, Frets" ii IXcem con box et ❑ are 50 :*one contract Terams and Cendcons xi a �«ka r_ree: <br /> RECENEG. v ury said picoary. that svery same :o <br /> e•e property of mu and Grkd:kns H Ye ;cvaromi; dos• <br /> tents of paeka <br /> s <br /> the <br /> (d:e word carr. to lading tents ante the shra H at <br /> possession of t 'e hanby agreed m ty tkper td law <br /> ' nallem if on its ' <br /> any agreed as „$�}, ^ ''� <br /> 1, ` M � <br /> ar <br /> SHIPPER <br /> ' *a- <br /> PER ,e, � _ .. j am.PER % ' Y <br /> at ._. `�: . ' ” • � > <br /> DATEdee r <br /> 7 s' Jr <br /> 011 <br /> v <br /> Permanent post•office address of shipper. STYPE F370.4 0 2012 LABELMASTER m (800) 621 .5808 trma.labeimaster.com <br /> AMR <br /> a i <br /> SEP �q <br /> l <br /> P <br />