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This Memorandum to dr acnuueneuyuiatu ural kA 0111 1Luunly nes ueen 15sueu gnu is nut engine
<br /> Bill of Lading,nor a copy or duplicate,covering the property named herein,and is Shipper No.
<br /> Intended solely for filing or record.
<br /> ADVANCED CHBOCAL TRANSPORT, MC. Carrier No.
<br /> Page_ _ ')!
<br /> Date (30!7_01 S
<br /> (Name of carrier) (SLAC) ��
<br /> Or. 1 Dalrvory snJrnoil the"M-COEY must appear beloe consignee's name or as odrervdae pnirl r Item 430,Sect. FROM: � 5ri�E Ai*yi�rrne
<br /> TO: i(e Li.-Vued.S"-i _4w 0:3vi _'1 Shipper
<br /> Consignee Uffi—M NO
<br /> . EM LoUbe AVG Street
<br /> Street
<br /> Gel,
<br /> l City State Z p,Code
<br /> City State Zip Code e
<br /> 24 hr.Emergency Contact Tel.No.
<br /> Route Vehicle
<br /> Number
<br /> No.of Units M H u p BASIC DESCRIPTION TOTAL QUANTITY WEIGHT CHARGES
<br /> &Container Type UN or NA Number,Proper Shipping Name,Hazard Class,Packing Group (Weight,Volume, (Subject to RATE ;Far Camer
<br /> ��..ya��..,,.�,,�� Gallons,etc.) Confection) :1se Cnlii
<br /> �
<br /> I�� rad. �a'4,
<br /> . .. 'lI A300,FiOMM10e0,A'JK MXLL PVW plc,La!artd
<br /> t;. l �9,Poli
<br /> -UNi716t1,C.offasive bquWs, ma4.(BariUM Chionde,S,e. -.
<br /> Murata).8poo
<br /> UK176k CorrioMA ice,A.oa.tBWkmm d+brids.mkw
<br /> .9,PIM,
<br /> V i M k
<br /> r
<br /> r
<br /> psi i
<br /> PLACARDS TENDERED: YES o NO O REMIT
<br /> C.G.D.-TO:
<br /> Now—(t i Where the rete u;dependentian m rre o the
<br /> ro are redu:reo to sate i hereby declare that tree comm�ts M this AD
<br /> 90141 Or o al Fi me1 agreed or tlerJaied 1p a tlta property,as he Ship er to cm•ig,nmant are tuliy and accurately DRESSr.,�
<br /> be not e value d fee property har•by aparAlcaFy stud by the anpper b descrbed above by me proper shpprg wOD �`�^-�--�'' C.O.D.FEE:
<br /> 12)Wherethe speciflill name am ere cldlipim d, packaged. ■V- r—s�� PREPAID ❑
<br /> applicable d talar tion ar■w ships r ran d th d the geeos s not
<br /> abeam noodles entl IabeMeaplacardad.and eie _f' COLLECT❑ $
<br /> a(Aisne or a value declaration W die shipper aittl the shipper does nal release in all respecu In proper oondihon lo*
<br /> the
<br /> &d by]iaail:pr a decare a NW- then 177 16thi aha11 tz ranted m the eidam transport according m applicable Suojm h➢rtpf1"•t i*h sd 1,Me TOTAL
<br /> praridsd by suc�prwisioru See NMFC Imm 172. � 7 d the mnyeprrs,a aria e'
<br /> Imamabonal and natorry gorammenml LO'161 whneur recourse m U.comighor,era raruigna Sher all am CHARGES S
<br /> (3)Control requinrrg special:m additional rare or sporti�i'n hal Sec or 2(s) f p mrarrrrC
<br /> mull by w rrsarkeo end pacwged ss tc unsure sato transportation- raguletgne. The moral afar not make del al this shpmem wkhout
<br /> tern 360,Bills or Latin Frei ht Bills and Statemembe ni Chaoosu see sextan 2(a)d rWa^'M' WYrrrem d FREIGHT CHARGES
<br /> Lading 9 Charges Brod Section 11x1 d freight acrd w etrrer iawtm rsvr
<br /> rpM is I uo Check aas a aa,ga
<br /> the Contract Terms and GarlCeiions for a est o1 tlldlt artlGes. Signature aahldt nen bm n eR 10 be
<br /> Isipreienr a�rapmry nFb•d•� 0 roue¢
<br /> RECEIVED,euhtec m the cWssif Icor•and laoft tt aired on the date of die kmes d the air of Lading, tinehon and as toeach party at any time interested in all or any said property,iota.every service to
<br /> the property deall above In appwara good order,a:r pt ae noted(contents and condtllon of con to performed herrn shall he Subject to all tine hill of lad terms and condif lin the wemr das-
<br /> tsrrts el patdrapea unghovnl,marked,consigned,and destined as indicated above which sad canner sillcation on are date or shipment g
<br /> Me vrord cantor being"'demtcod drrougtror,t the rnraract as m cal any person or oorporstion'n Shipper hereby certi that he is Iamitiar with all rite laden terms and conditions In the
<br /> possession o`the property under the mntral agrees m tarty to rte usual place of dallvery At avid deatr g
<br /> nation,0 on In mute,otheiw'tea fo deliver to another cantor an the mute to mid damnabon,It is mil 9ovemingicistalhration and the said terns and condemns are hereby agreed to by me Shipper and
<br /> atly agreed as ro sacra carrier of all a any o1,�property over all or arty portion d send route in dee- aaapted for himself and bre ast".
<br /> DEFT MWIti Lki ied SdXKA OtSittill(EaSt t ^) CARRIER a dvan C1w-_- w
<br /> _ I71
<br /> PER , I ' _ `} PER
<br /> DATE 1 l r
<br /> Permanent post-office address of shipper. STYLE F375-3 C2012 LABELT*' O (800)621-5808 www.labolmaster.com
<br /> Pwaim on orre .m rxi'fu neo mm
<br /> USING sorrel wK SOY lNK
<br />
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