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is an acknowledgment that a Bill of Lading has been issued and is not Original This Memorandum Bill of Lading,nor a copy or duplicate,covering the property named herein,and is Shipper No. intended solely for filing or record. Carrier No. ADVANCED CHENCAL T NSPORT, INC. Page of mDate -g,2112011 (Name of canner) (SLAC) pi m Delivery shpmerhrs,the letters'CCU must appear before oonapnae's name m sa oinanmsa pmvided 0 ham 430.Sec.i. TO: Marde_ Shipper �t�A Unfflad Scholl Distrid(East Union blight) Consignee ..3 �rF`7 �i'"�ibO)a,J�S�`« Street 1706 N Wilson Road Street 2271 IN mise Ave itlr�teoat CA 06M City State Zip Code City MwIll State C-4 Zip Code gra-785.725�12MO) 24 hr.Emergency Contact Tel.No. Route Vehicle Number No.of Un is R n BASIC DESCRIPTION TOTAL QUANTITY WEIGHT CHARGES &Container Type H M UN or NA Number,Proper Shipping Name,Hazard Class,Packing Group (weight,volume. (Surfed RATE (For Carrier Gallate,etc.) Correction) Use Only) PLACARDS TENDERED: YES p NO q REMIT Note—:1)Where the rate is dependent on value,slippers are requ.ed to slate I nareby tleaare that th rnthtents C.at this ADDRESS.D.TO: apedfiraly In writing bhe agreed or d"risrod value of ehe propery,as Iollo'w -rho consignint are fully and accurately agreed all declared value of the property is hereby spetlrraly stated b5'the shipper to described above by the proper ehippinq 'C.O.l7.FEE: benotomthe per name end are cfaselriatl, packaged, COD - Amt- $ /'� PREPAID ❑ A When the applicable'alcl rad}f pmvisiry t spechy a limitationthe the per d's habit abeern marked and labelled+placarped.and are _ y-^`r COI I FoT p y --- e+e lease or a value tluGarafion by the shipper end the shipper does not reVeaae in all reapeote m proper condillon for Ene llama's Eablhty or declare a value,the Lamers aabasy strap be Infled to the eJraent p-K*d by sari praNswns See NMFC Ilam 172, transport according to applicable rode �� r+daaiu iteral■u m w eeaw■d ro illi TOTAL (3',Cammotliees requiring special or addrimm rare or ahermon in heridlrrhq a Su i mtamahmsa and neaonat govemnrenrel loiso q cramrtren� __ 4� t!!-�pr"r"Hall hrgn tn■ CHARGES $ most be so marked arm packaged AN m ensure sate t regu1ahoRS, Trra tamer sfuC-not-ratoa�atWa of obis sni merit/wtptorr� M ranspaarges sea section 2(e)a tr.igrd and.Ii Darer tnwwl v.■ • ry P ��-rr:1°"r FREIGHT CHARGES item 380_Bills of Laing.Freight Bills and statements al Charges and Sedbn 11a}of r�� "�.., the Contract Toms and C itrtions fora list of such articles_ - F� I'Rc.'EPAIp>echh ho"-nrarghss Signature Is�,�w■o,r:a,�o "�^°"�u � �tim h PWarity dW ad q One daeairapparr and Imus rn.Ileo or the oak of the issue et des gill n l wo- Nation and as to"Ch Parry at any Um Imuarastatl m all or serf omperty,that every service to the Pmpery riuo6etl above h aPParerd good ower.e>tcept as noted(contents and rnrhmdon d Con be performed hareurnar".be suged to al'!the bill or ledmg Immo and eontlrhona m the gmemmg cli tare d perdmga uiaerny,marled,ca'ng'h■tl.am derai,ed ae rhea■d above arn•-J..ea ra+rw, Ithe+yard Terrier bdrrp urhdwa0ood Cnes9lhora Yi nd dr■n as meen.hq any Perera or carparel�on n sifrCbeon rr the sate a intprrhpnt- Poaeassion Atha P"IY udartr*m*EM agrahra b airy M as usual puce all delhawy at said doi govemrngg daMh Shqpw eon lathe saetl temm anld ccoodbons are llar WHI all the��a reed oterms ri the ship r the neigh,h m ds mule,pateraYlae b hleFerb andlhx carrier On ora route 1o.aid tleepruGon.his mato hereby g q' shipper and eczwpled to himself antl his essigi sly agreed as to each terrier a1 all or any d,eaitl property over all all any portion of said mute to des- 'ER ea'ER eca WOW School Distrid CARRIER Advipno,ed ChamIcar TrartspoM Inc, PER =1 t �i �'} f � PER DATE I Permanent post-office address of shipper. STYLE F375.3 02012 LABELA STUm (app)621.5808 harww.labelmaster.eom rna/tea o"arnnEn ahsEr+ n viae v r