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i nis memoranaum -uvv I I I�Uwua . ,I Ii u y <br /> Bill of Lading,not a copy or duplicate,covering the property named herein,and Is Shipper Na. <br /> intended solely for filing or record. <br /> Carrier No. <br /> ADVANCED CHEMICAL TRANSPORT, INC <br /> Date <br /> Page_ _ of <br /> _ (Name at carrier) (SCAC) <br /> C on Delivery shipments,the lettere'C0D"mugs appear before mregnee'e nano or ae Otherwise provided m hem 430,Sai FROM: �rULlfY l�l-iiRo/ouViiLd rjDn WsgN <br /> 1-. , Vnmd soho*;Dimiat Shipper <br /> Consignee ITIN K UI*M ROW <br /> I EAd Lit AVG Street <br /> Street CA 9w7 <br /> City State Zip Code <br /> C �r�_` Ems) <br /> City state Zip Code <br /> 24 hr. Emergency Contact Tel.No. <br /> Vehicle <br /> Route <br /> Number <br /> No.of Units BASIC DESCRIPTION TOTAL QUANTITY WEIGHT CHARGES <br /> &Container Type UN or NA Number,Proper Shipping Name,Hazard CI ISS,Packing Group (weight,Volume, (Subject RATE (For Carrier <br /> Gallons,etc.} Correction <br /> } Use Only) <br /> V} <br /> -UN3264,Coria& a 1qt,*.SCi0I , <br /> tJ~--Sidtc#Dbb JEMA MDR) <br /> PLACARDS TENDERED: YES i NO o REMIT <br /> C.O?i—(1)Where the rate is dependorn on value.strippers are requnatl to state ADDRESS SS <br /> specifically in writing the agreed or deelarad value of the pm es lotlows:'fine I hereby declare Thai the contents accurately of this ADDFiE55 <br /> Pent• consignmeld are tuAy and accurately <br /> agreed or dedared value of the properly is hereby spedficedy shrlatl by lite shipper to described above by line proper shipping C.O-D.FEE <br /> be not exceeding per name and are classified, packaged, COD ' <br /> PREPAID � <br /> (2)Where the applicable tadfl provisions spool a limitation of the carriers lability ebsern marked and labeiledfplacarded,and ane ".� Amt' $ —-�' COLLECT D $ <br /> release or a value declaration by the shipper end the shipper does not release in all respects m proper condition for <br /> the carne's 1 4111 or declare a value,the carters liability shall he limned to the extent trans on ao in p to nditioappliehi r Syb;M to Sei 7 or Vie canddo`ns„�finis stAP11 ent rc m be delivered to do TOTAL <br /> provided by such provisions.See NMFG Item 172 international end national govemmentei cdnsignae vnthokn racouree on the copaigngr.the C6MiQn0!st>eti s,pn tin. CHARGES S <br /> (3)Co <br /> rnodnise requmng special or additional care or attent on'r handling aT stowing re ulsliom to ldwnrp au emam �� <br /> must be so marked antl packaged es to ensure sate uansporratian.See Section 2(e)of g rhe carrier arae not make-aalrvery or this shiprnpntty=bout payment of FREIGHT CHARGES <br /> height antl aA ptherlawld[aheryes- <br /> hem 360.Bills of Lading,FleighE HiAs and Statemeruts of Charges and Section 1(a}of � _ Fr�]GHr PREPAID Clredrhar6 tlargrc <br /> the contract Terms and Condhions for a list of such artsles Si nature reco.Kwh bmm are m ue <br /> 9 ishnaarR d Corx9nd7 right is d dud ❑ ooasot <br /> RECEJYED,wW.w the dassticaticns and tariRs in a}feL:on the date o!the issue or Tie Bit of Lading, dnation err u m each perTy et any tiros intarasted in eA or ant saW Properly.that everyservice to <br /> The property described boom in apparent good order,except as noted(contents and condition of con- be performed hereunder shall be subiea to at the br,of re <br /> lading nes aM cmdhions inthe govmrrdng das- <br /> telus of packages unknown}.marked.consigned,and destined as indicated above which said career sairation on the date of shvnar,< <br /> rp <br /> (Vie word came,using rvrversmoa througnou:thio centrad as meaning any parson or corppralion n Scupper hereby[edifies that he is familiar with all the iieding teens and wnons hi didthe <br /> possession of the property under the wntrddl agrees to carry to its usual place of delivery at said lest- govemi ng dassihcation and the saic leans and conciftiens are hereby agreed to by the shipper and <br /> nation,i(on As route,otherwise to deliver to another carrier on the route to said destination,h is mina accepted for hInI and his assigns. <br /> ally agreed es to each carrier of all or"of,said property over all or any portion d said mule to des, <br /> S' '>ER CARRIER AdvanoW Chemkoal T=sem€,, Inu- <br /> PEA PER <br /> l � r <br /> DATE 3— <br /> Permanent post-office address of shipper. STYLE F375-3 02012 LABELMASTERO (SX)521-51306 www.iabelmaster.com <br /> OVQPNnceO ON aecvctso Paean rerxrso woe <br /> UswG sorrel INK t�Y tI4K- <br />