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6 0 s s • 0 s i 0 s 0 s s 0 -* 0 <br /> Copyright 2817 J.J.Keller 8 Associates,Inc.•Neenah,WI-JJKe6ar.corn•lSMl 327-6868•Printed in the USA <br /> f ' fit <br /> STRAIGHT BILL OF LADING -ORIGINAL- NOT NEGOTIABLE <br /> Shipper's No. <br /> V <br /> A�. <br /> Carrier ; SCAC Carrier's No.%DP�57 wo <br /> RECEI VED,subliad to rndiwdually deiermrned rates contracts that have been agreed upon in writing between the Garner and shippur.It applicable,otherwise Io the rates,dassiricalona and rules that have been <br /> esgblvJred tyy the Carrier and are available to the shi per.on request:and all applrcable state and federal regulations; <br /> at date from <br /> the Properly described below,in apparent goad order,except as noted(contents and condltlon of contents of packages unknownt,marked,consigned.and dasti nod as mdlcaied below,which said Company <br /> (the word eomparty being understood throughout ft contract as meaning any person or corporation in possession of the property undIar the contract)agrees to carry to delivary at said deoinahon,it on its <br /> raft.Or otherWise to deliver to another carrier on the route to saW destination It is mutually agreed as to each carrier of all or any of said Property over all or any pdrbon of said route to destination,and as to <br /> each parry at any time mterested in all or any of saki Property that every service to be performed hereunder shall be subJact to all the conditions not prohibited by iaw,whether printed or written,herein <br /> contained,including the conditions on the back hereof,which are hereby agreed to by the rshtpper and accepted for himself and his assigns. <br /> TO: FROM: <br /> Consl�cnee ( Shi er <br /> 1 <br /> Street 4 e' • _ Street W' L) 14e, <br /> Destination I Zi � - Ori in e I _ Zip �7 7 <br /> Route <br /> Delivering Carder Vehicle Number U.S. DOT Hazmat Reg. No. <br /> T.. r ■ • <br /> 11tA %,0, 4 <br /> 1 <br /> fi9mft COD to: s+opc+m Sacton r cn dmny.r am n COD FEE: <br /> .�m.nt n ko beoure do .d vtha rm„grua COD AMT: <br /> hhw casco no on eho ignvr. rhe <br /> AWress: �. arw.gn n.wua„,a.tawrner,r: Prepaid ❑ <br /> n,nr wr anar nix rw�awwy d qa <br /> C State: ZI ahlpmenr without payment of traignt and all <br /> • dna Collect El$ <br /> NOTE:Where the rate R dependerd an value eteppere are required b prate specifically in writing TOTAL CHARGES.' FREIGHT CHARGES <br /> Ine agreed ec or duyw vMw of"pr6perry.The agreed or dedtr <br /> Wld alus o1 the property is <br /> rH[eby�"lyalated by ftw shipper Ill G@ Plot exc&&diiiV S Per fsowri,nr of $ Prepaid (.pllBCt <br /> NDTE:wbxRy Um"I for Jolla w drt rAW In this ithiplrt■nt Hcy be■ppllcable.See is U.S.C. -■ <br /> !i c 1 A and 8 <br /> n.. „. w r,,,r••..:,ern r•yfry n y wnil„I w„ h,,•.�.,yr-,i .■ - IF By SFNPPEq 0Y CARRIER <br /> rnouod rr.d uo ft j .��,,It �o nr.-peri r err.,rev uyrspmraer,rr ar,..numy 1-7;l1), ble ! a DRIVER'$ <br /> rr�urtrru W u®lift :+ ,r.�. f SI NATURE! <br /> SHIP CARRIER: <br /> PER: RATE: PER: []ATE: <br /> EME GENCY RESPONSE NAME OR CONTRACT NUMBER <br /> T9:1 Fa1JnejV 1-101ILAMCD- OR OTHFR IINfflf IF IRFNTFFtFP- <br />