|
RIS IYl$frlOfaRQUR7 gl11 of Lading,nor a copy or duplicate,covering the property named herein,and is Shipper N0.
<br /> intended solely for filing or record.
<br /> Carrier No.
<br /> ADVANCED CHEMICAL TRANSPORT, INC. �� ✓JAI
<br /> Page of
<br /> (Name of carrier) (SLAG)€�a1�,��f Union
<br /> tai
<br /> C -or poll ahiOnol the letters"COD°must appear hetare conAignee's name or as oherr iee provided in hem 430.Sect. FROM: Mem�rgW,�q„afma D � ��$ Union MO)
<br /> T--. � U Sick"DT a Shipper s
<br /> Consignee ii N U:''0
<br /> 2-271 W Lol Ave Street
<br /> Street
<br /> �� CA Zip
<br /> 3�_5tate CA Zlp�Code
<br /> y �p���rr
<br /> city state Zip Code
<br /> 24 hr.Emergency Contact Tel.No.
<br /> Vehicle
<br /> Rcute
<br /> Number
<br /> No.of Units HM BASIC DESCRIPTION TOTAL QUANTITY WEIGHT CHARGES
<br /> &Container Type UN or NA Number,Proper Shipping Name,Hazard Class,Packing Group (We to ,etc.)e, [Subject n) RATE (For Carrier
<br /> Gallons,etc.) Correction] Use Only)
<br /> isa",3 ,MIN
<br /> v �+
<br /> 1 i■
<br /> ` t L n1trata), 5.1 , P'GHI a LIP
<br /> w ate L..wW .. .tf*l a
<br /> sui I , Pill
<br /> iftydrochlork an silA al 8 a
<br /> KA3902, WWI rLto s. barkEn chkAft copper e
<br /> Pill
<br /> PLACARDS TENDERED: YES o NO ,REMIT
<br /> CiO-D.TO:
<br /> Now—(1)Where the rate is dependent on value,strippers are required to stale I hereby declare that the contents of this ADORESS
<br /> specifically in will the agreed or decLared value of the property,as follows.'The conslgnnni are fully and accurately
<br /> agreed or declared value at the property is hereby specifically stated by the shipper to descnbed above by the proper shlPPln9 `'� C.0-D.FEE'
<br /> be not exceeding per name and are classified, packaged, COD PREPAID :
<br /> (2)where the apple bla tarts provisions specify a irrtilaton of the carriers liability absent marked and labels a Amt: $ �"`` COLLECT O
<br /> a release or a value declaration by the shipper and the shipper does Trot release in all labelled/placarded,an,
<br /> are
<br /> the Tamers rabllhy or dedate a value,the condone Ilabitty shag he IvrNtetl to the scram raepecia in proper condi dor ' _
<br /> transport according to applicable Subject b Seuhon 7 d the!ondlliona,It t1Aalhlpm6Tii s m be oedveretl to re TOTAL
<br /> pwtled by such provieians,See NMFC Item 172. Vmemmmnai aotl nelionaf govemplicil cansigrree wrMoui recourse o :o,se6'rphor.Me CiVralgnw eheY elan me CHARGES $
<br /> {31 Commoditea requiring specter or atldhionef rare or anention in handling or slowing regulations. tdiowing sntement =`
<br /> Mi
<br /> be so marked and
<br /> pacvaged as to ensure sale lransponatan.Sae Section 2{e1 of Tr,e center aha8-vrdt'metre aell,rery at utis shipment wahaw�psymsnl of FRBGhT CHARGES
<br /> 1nsill and all'bitr lawlw h.M-.
<br /> item 360,sills d Catling,Freight Ellis and alatemems of Charges and Ser-yiwr 1(e}of r'aFJGM PREPAID [Txkbox edrerges
<br /> the Conti Terms and Conditions for a list of such articles. Signature eo�ept nicer bort M ani
<br /> re to be
<br /> Israrwn,re of carwArmr! rtpht ischseketl ❑ mese
<br /> RECEIVED,subjec.to the classifications and tell in i on hs data d the issue Of the gill of Lading, ta,abon and as to sad party at any sme interested in all or any said properly,that every sendce to
<br /> the property described above in apparel good order,except as noted(contents rodim
<br /> and nn of coir as perfo,,l hereunder shell be subject to all the bill of lading leans and conditions in the gnvsming ale
<br /> leets of pactages unknown),marked,consignee,and assured as indvafed above which said can siricavon on Me date d shi
<br /> prw wore corner taring unoorelood throughoir,this tertian as meaning any person or corporationinpeter!_
<br /> Shipper hereby wild s that ht is familiar with en the lading ramie and conditions it the
<br /> possession d the property under the rontratli agrees ro carryto hs raual place of deliveryet said destF gmeming classfication and Me said terms and conditions are hereby agreed m by the shipper and
<br /> nation,if on Its route,otherwise to dekver to aneMer carder on the route to said destination.P Is ri accepted for hint i and his essigre,
<br /> ally agreed"to each wrier Of all or any of,said property over all or any portion of said I to des-
<br /> S' ,ER "i UF' D�rk`' CARRIER Advahcad r hem ii Trarmpm s '� t
<br /> PER PER3
<br /> ,r
<br /> DATE I.
<br /> Permanent post-office address of shipper, STYI_F F3'S-3 C 2212 LABELTSIAS M (900)629-5808 www.labefmaster.com
<br /> ri+w,eooaaewceoenreR so was
<br /> 1501INK SOY IMK"
<br />
|