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This Memorandum Is an acknowteogment that a bill of Lading has been Issued and 1s not Unglnal <br /> Bill of Lading.nor a copy or duplicate,covering the property named herein,and is Shipper No. <br /> intended solely for filing of record. <br /> Carrier No. <br /> ADVANCED CHENCAL TRANSPORT,INC. <br /> Page of Dare 1112112017 <br /> (Name of carrier) YW��.tca��,. (SCAC) <br /> Ury,' n Dei vashipments,the IehereD-'COmust appear before cormgnrwkse ee's name or as otheprovided in Ilam 4wg Sec.l. FROM; ktkr* UnrPted School Fr/ish iyi(E&MLkLion17i9h) <br /> TO. UNifta Unkftd School DisiftI Shipper <br /> Consignee <br /> 2271 W loin Ave Street <br /> Street City State CA Zip Code rim <br /> city state Gk Zip code 95338 <br /> 24 hr.Emergency Contact Tel.No.— — <br /> Route Vehicle <br /> NUmhe- <br /> No.of Units BASIC DESCRIPTION TOTAL QUANTITY WEIGHT CHARGES <br /> &Cor)-miner Type UN or NA Number,Proper Shipping Name,Hazard Cass-Packing Group (weight.volume. (Subject to RATE (For Carrier <br /> GEIIOrte.etc.' Correction) Use Only) <br /> acme,tn111l,13.#).51. r I <br /> (SUKUrk acid?Wdrob16 Wid),9,PWJ f j <br /> action.1ROF9c.,n A.S.. <br /> L. t=dFunc acid hydro fit sidle 8 ,PON {'i <br /> n.�. c copper <br /> ln.c.s. (barlisn cnx4uw,capxr <br /> quime),9 PGO <br /> PLACARDS TENDERED: YES D NO O REMIT <br /> TO <br /> MOM—111 Where the rate is depenoem on value. shippers ere required to state I her tlarlsre Ihel the rantenls of this 'G-O.D.SS <br /> epearcally In wncrg the agreed or decleretl value of the property,as follows;"rhe cherabyrlenl are lulh and accUretey ADDRESS <br /> agreed or declared value of the property Is r erehy specdreaby staled by the shipper to describedabove by the proper chipping �. C.O.D.FEE: <br /> be n01 e1ro°°dlrrg p°'----- name and aro ciassilied, packaged, COD ��-_- Amt-$� PREPAID ❑ <br /> (2y where The appy'®bla tone pmuiaiorw spedty a iimilation of the cerriefs Lability ahsent marked end IabelleNplecertlad.antl are <br /> t release or a value declaration by the ehlppar end the shipper does not release in all respects in proper condition for -'� COLLECT ❑ $ <br /> me moist'.Newdry or declare a value.the camel°Nabllky shell be Imited to the ektenf transport according to applicable Surlw th Sill 7 nl-me condtlone-,'ifv�r>Lanr�rnent®lo ne dxirwow to me TOTAL <br /> provided by such provisions.See NMFC hem 172. imemationel and netipnaV govemmantsN gaea,.khpla'rfacourw°^th.—ignur; Irt�cone�gn.r ahaN ergn yrs `(��`il <br /> (3)Commodities requmng epmal or eudR:onai care or adentioe in handling or siming regulations. toe autdmem-. -- <br /> III <br /> must be ser marketl and packaged as m ensure sale transportation.See Sectbr�t(e)of farrier shall iw make dellvmy or this snrpmeM'Wlj lly oe,Tn-I of FREIGHT CHARMS <br /> freight erre all other ter'lj Charge, <br /> Rem 360,&IIs d Lading,Freight BNIs and Statements of Chargee end Section 7[a)c I#IeFrr PF1�AID gtetlr aeelrnrrgw <br /> the Corsdad Terms and Condinom fora Get d such arbclaa. xhrr baa err en b ba <br /> Signature [yo,,,a,,,,d„�,,,I �r3.e.e 11 aoa.d <br /> RECEIVED,subject to ine oleealaceaona and W is n epe:S err the data pf tre Issue of eas sal of Lading, limon antl as to el early at law tilltsMtesMtl In AN Of arty Bald property,el every seMce m <br /> the property deacdbec soave n apparent good order.-�dl as oulm(contents and condrbon a carr be pw bmsd hare)xW"I be su' iD all til°N d <br /> (thea or pacrri ea being <br /> Ude rtoodsth dugho in ani ial red a n6—tw rov a wncn sere®mer <br /> C1etT �9 leans and mrlt♦mr6 PS the gdtlYilalg Wa- <br /> (pie wort carrier being unoeraroth ltvarrgtto,n this torah as is use rg any person a mrsact 6 m AOR m ere allhereby <br /> of srapmera. <br /> Possession tY ble Property rawer the Cornrac)agrees to carry ro a usvat Pude oI deirve at sold des4 l;Shilch hereby ea nd lhai he h ra and <br /> v wirb all pts lading lormagree and y the ship in drd <br /> 7 ptsremrtg daaalhcaaon end the said tears and wrdisorrs are hereby agreed to by the shaper and <br /> airbag.a an as mute. ttarrwiaB wt or m ro another property <br /> v the route 10 said n of said r h a thaw- �to himaas and his ssaigrta <br /> airy agreed as m eaM�came•01 alt W try d,said property over 80 or any portion c said route to des <br /> PER ;' Ct'.' iTice CARRIER iA►A 3:Ycedi Chem�� Tr� p�a�t, l�,C. <br /> t � <br /> PER PER i f t -.1 <br /> DATE f � <br /> Petmanerlt post-office address of shipper. STYLE F375-3 '82012 LABELI Al T 0 1800)621-5508 www-labelmaster.com <br /> 0— <br /> oarrcuenerneRi rte xrra <br /> relne soreswn srtc M INtC I� <br />