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This Memorandum is an acknowledgment that a Biti of Lading has been issued and is not Original Shipper No. Bill of Lading,nor a copy or duplicate,covering the property named herein,and is intended solely for filing or record. Carrier No. AdAm-ed Chemical Trar�l�t h�.fDBA ACTEWIR0 J Page E of � bate (Name cd carrier) (ECAC) On Callen.on pdwery srdwr a,t5e lessers-COP'must appear before oonmrle is name oras ablarwaa prvddad in hem 430,Sec,7. FROM: TO: Shipper Mwilleca LMed Scholl D w nw (East Uum Consignee Ss Cf6+erlc (h.Mji;,W Treat Med ) Street Street 6133 Eckth OW NECit 1700 R WW Road Y State Zlp Code7 1 Mweeca CIJ62"I�ilY State ' Zip Code A171 Ary 24 hr Emergency Contac!Tel No. Route Vehicie Numbe- No.of Units R� BASIC DESCRIPTION TOTAL QUANTITY WEIGHT CHARGES 8 Container Type M UN or NA Number,Proper Shipping Name,Hazard Class,Packing Group {Weigh:.vnitc (S rredi n! RATE ,Jcr Carrie - & ole: CorreMion; .ae On U PLACARDS TENDERED: YES o NO n REMIT '•,C.O.D.TO: Bole—(1)Whom the rid is depand l on value.ahpaam are required to atate I herady declare itl c V.contents of till A&} RESS nyedhaly n vrlerq the agreed or declared value d the property,as follawe.'The consignment are fully and aocuratery agreed or declared value d the P""eft o hereby speoftelry SWN tT the sr>ipper m dasedbsd abmro by the proper ehipping C.O.D.FEE: a not• ^g Der name aria an daaalfietl. peclnd Amt. $ PREPAID Cry a release are trr3 aP value to tel provisions a ski a ama d d the carders l:abddy acae a marked end 1adaReNdacaided.and ere10�� .�^�^ COLLECT ❑ S a rebase ora value tledarceon by the shipper and the shipper does net r*iaaee in alb respects in proper oon imor tar tho Carriers€abBity or declare a value.Vie cnmers labiyty,Nail de limbed w the astern transport aceordmg to applicable suited m Sensori 7 d ft -- lm ataprsrrn r m to dowsed m me TOTAL pravitled by such pronsions,Sae NMFC from 172. imamational aria natfanal govemmenml caneignae xia,out e'6P'the signor,the a lgnor shwa sign the CHARGES S {3)Commodities null spatial or eddibonal care or ffhantion in handling w so vdw regubtiona. twtawnp eGt FREIGHT CHARGES must be so marked and pa"aged ae to ensure sate transportation,See Section 2(e)of Tne a shall noI make dali.ary m a,Ill. peymem d (1 ria all serer Invert enargw- item 380,Blhs of Ladag.Freight B-119 and Satemanls of Charges and Section i(a)W FREieM PREPAID Chair toad pwrgee the Contract Tenns and 0ondhlons for a list of such arlicies, Si -' �' m¢ept when beast rlalUfB eremha a Islbnamro of carapran l a ended spend RECEIVED,sub w to Via dmskilleons and ladhs r sheet on he date cl the"W d this Bill d Lil Iinslipn and W m each party at any,time imermw In nil or tiny said property.that wary lerwc a to be tie Pwartl'described above in apparent good order.except as noted Imrlana and condmon at con, performed harelrrdtr shale be Rutted to All Ow bit of lading terms anti omdbom In the povarl cis€ tame of pemugee u-1-1,madwtl.wnelgned.end dal as indaaler——ick aad—, solmehon on the Bete of ahipmam. ltne ward call beep uncith otl tmwphoin hila OmVad as meanng any parson or corporation m Shipper hensoy certifies shat na is teadben with oa ine Lading term*and conddwns n Ina Poweww or Aa property under dna aanaad7 egress to carry io its usuaµex oe darivy at am ossa govaming o,s®Ifioelior and the aid temp and cmofi na are humpy agreed to by 111E ehppar and rammM a an a rails,oCferaim to defwr toaril raniar on the rwte m RM awenejg.. h a muh, Rolto,Nrnser and hs assigns +lir+vend as to M&rayl d all a any of.sad property awn at or any,pwW of sad rvum m deo- SHIPPER Marleu Wiled Schcxlil Disttirrx Xajil Llrtion CARRIER Admwad Ctlemil l Trwapart kc,/DBA High) Ft PER PER Q ! � DATE Permanent post-offroB address of shipper. ® °'.n.:"m`..ar � STYLE CF375-4 02012 LABELAASTER6 (BOO)621-5808 www.Iabeirnaster.Cofn rllyyltW(,_