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i nis nnernoutnuum B;. �y. . . .. �. .. .9_ p..p� � .. .. Bill of Latin nor a co or duplicate,covering the roe named herein,and i8 Shipper No. intended solely for tiling or record. Carrier No. ADVA410ED CHEWCAL TRANSPORT, INC. Page of Date OUAy1T {Name d earned (SCAC} C. - on Delvery ahipmerm.the lehers'G marl appear before:orsignees name or as otharrase provided in Item 430,Sect. FROm: ■�Li�lKa Lktftd ftbooll Dial ii (Er F�ilR_Hich] TO: NhWAD=Uisah*w`baShipper Consignee 974* N [W*M RMI11 street Street�J City State GA Zip Code r ; City State Zip Code �` 1 =34854223 K-ALM129M) 24 hr Emergency Contact Tel.No. Route Vehicle Number Na.of Units u p BASIC DESCRIPTION TOTAL QUANTITY WEIGHT CHARGES &Contelner Type H M UN or NA Number,Proper Shipping Name,Hazard Class,Pacldng Group (Welpon volume, Correction) n) RATE (For Carrier Gallons,etc.) Corrediony Use only) -1 3,CW=21111111111111111 =3.moi.".S.(wpper r _ Lmm,CaeMsW kids,oxkraft rL;T—(«ate: -` a i 2 ps 4 1 PGI I PLACARDS TENDERED: YES C❑ NO O REMIT C.O.U.TO: Note—(1)tonere Line raw is dependent on will shippers are required to state l„ei,by declare that the wntares otitis Specifically in writing the agreed or declared eahw of ere propwly.se.follws follows-(he cons,gnmm eare fully and ar;oaetely All or declared venue of the property is hall epadlklMy smt6d by the shipper m described abovd M the Propler afrfppirq C.O.D.FEE: benatcceeda'gper name and are classiasd, petleaged, GOD '�`� Y- PREPAID ❑ (2)Meigs the apptmbie mnfl provisions stolidity n limitation of the carriers liability absent marked and Ie6elVediplerarded,and am mi _$ COLLECT 11 $ a release or a velus declaral by the shipper and the shipper does rot release In all respects in proper uwndrtion lar the tamer's liabghy or deciwa a value.the carrhei fieblltY"I pe Imlted to the extent banapon according Ic applicable SuW to Seddon 7 or the cord) ns.It aria"me!il li 6e delivered to the TOTAL provided by ei provraidns.See NMFC ham 172, iOeimatil and national govammonral eonslgrrea.-than i—isa an rha_consignor.the contlpner.shall sign the CHARGES S fmw�rq atelwr.,r ym FREIGHTCHARGES 13l Canrriotliti r and special or 10 addhional sate tr n ported in hiao Se o gpwng ragulatlass Stye carrier chef rnd-ayke delivery al this shPme,a wid,oui ca earn d must be so marked end packaged es to enaura seta transportation See Section 2(e)of �ri and u �„i dye, item 390.Bills or Lad,ng.Freight Bila antl Stirtemeras of Charges and Seaoon 1(a)d Flitill33HIlilliEPAID Chadcboxit es the Camera Tonna and Conditions lar a list d ouch artidts- Slgnatura - �J+vrwsa a�wvrs9 �r e1� FIECENrED,soloed to the and mill in etrect on the am Of the issue of this Bill of Laii tination and as to each parry at any time iraereeted in all or tory and property,hons in t gav si ci to the property deearibed shove b apparent good Omer,arocept as noted(comems and contlltldn N pdn� be performed trereunder she11 he subject m all the hill d Listing farms and Cdnditigne in hoc gavemrtg daz- IartS of parcel unknown),mai consigned.and destined as indicated above which add catriw alio®hnn en the dRte of shipment Ill ward tender being uMeratow vir ghani m,s--tract—meaning any pe,sm u mrprradim in Shipper hereby cemhes that he is fanilllar wth all the lading twhrs and mrici s in doe poseaeewn of the propeM under me contraetl agrees w carry pills usual place of delivery a.said dixi gweming classfimhor-and the said terms and mnduons am hereby agreed m by the shipper and nation.d an Its mute,otherwvse In deliver to erwmer carder w the,arta to taitl destination it si mun- scowl for hmseh and his asagna. sly agreed as to each tamer&all or any ol.sad property we'al or arty portion at said masa to des PER CARRIER Advanced ChuMkol Transpork htci. t PER PER - DATE Permanent post-office address of shipper. STYLE F375-3 02012 LABELMASTERe (800)621-5808 wwvv.labelmaster.com 14LPqI D ah REi lWgar q,rnF:p edN uaacsarel irac $Oy INK