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0 0 0 0 0 * 1 0 0 • • . • • 0 <br /> 0 copyright 2610 J.J-KELLER A ASSOCIATES.INC:*.Neenah,WI•USA r(804)327.6868•llkeller.mm•Prinled in rhe United Stales <br /> STRAIGHT BILL OF LADING-ORIGINAL-NOT NEGOTIABLE <br /> Shippers No. f� <br /> Carrier T Q SCAC Carrier s Na <br /> RECEiVEO,subject td Individually determined rales or contracts 111&t have been agreed upon in writing between rhe carrier and shipper-d applicable,otharwme o the'n#".C18w6mb ns gfW��Ihat have Geen <br /> B61flhL4hed by the CBmer?nd are available ro rhe shipper,on reWasi:and all applicable state and federal regulations; <br /> at slate - l�, (� fromQA%V <br /> he Property describetl below,in sopa enl good order,a<cepl as ed ICootenls Condition of contents of packages unknowml-marked,consigned,ander 1pncamyglo dollvery al card which said <br /> on its <br /> Ithe word Company balm)understood throughout Ibis canhact a5 meaning any parson or Corporation in possession DI IN property raider Uig rdntraCtj agrees <br /> t pn oI sold roe e ro d@sthrdon,and as id <br /> mule,OF o[hervn&e IO deliver to another Carrier on the route to said deslinanon.II is mutually agreed as to each Comer of all dr any d sartl Property over ed or any po printed Or Wrafen,herein <br /> each party at any Ilme niereslad In all or any of said property that every sere=to be performed hereunder shat!ba subject Id all the conditions nos ptonlbiled by law,whether <br /> contakied-including the condition on the back hareal,which are hereby agreed to by bre shipper and accepted for hlmsetl and his assigns. y <br /> TO: FROM: <br /> Consignee Shipper <br /> Street 1 Street <br /> Destination civ ZiP Ori in Zi S <br /> Route <br /> _82� — 12,o u r,5 <br /> Delivering Carrier _ Vehicle Number U.S.DOT Hazrna[Reg.No- <br /> Nnw C-Paq !Cr�nJ��D Q ^7� 3 <br /> DescriptionNumber and T 1.D. Hazard Pkg..Total Quantity Weight Class or <br /> of Packages Ype HM Number <br /> Class <br /> � TT <br /> MON- �)►iZARpCUs LI.Cy A'� 0 0,A(b <br /> �•a.rws r rw2l?- t^t n_4?_f'G <br /> t�L L -Fo s- f2,4-_c_-_,1 l e_ <br /> AZ-3 Jab er <br /> Rennit COD to. suyxt ro Savin 7 01°-411ioriy d trxe <br /> MIpnrnl u m ekr vial b iris[Om{lgllp Cla!] FEE: <br /> 5. Common tocoures M OD AMT: LL2 r Ei <br /> CIt : Con, " «:°o,�°x".`.9a aid ❑ <br /> State. �jjp_tt�.,= <br /> .hipfGhi wnno�r permmu m ri.�gnt 0nd alt <br /> NOTE Where the rale is dependent on vote a r °�`l'"i"r s"Ofe"' <br /> Ina a or dedared value Dr Iha n-The r equCollect LJr ogre 9 TOTAL CHARGES: F CHARGE5 <br /> rierrlby speCllically stated by the er Ip be nor exceeding$ <br /> >NOTE! ily Limt r Ions ordamage in hit splprneni may be appl lCabie. egc $ ❑P aid Collect <br /> "rT: <br /> y rrWl Ina suave wrnnd ma4als are{xopvity dab5ih0d,dgacrtad,paygvd,markod BYCARRIER <br /> 0 uiopeii�noiaun!pr trap pnmiirP,accuryng td ey nppNcabla+,Murin cr or ■of <br /> Zr <br /> Per <br /> SHIPPER: CARRIER: <br /> e <br /> PER: DATE: �-r b-�9 PE DATE:EMERGENCY <br /> TELEPHONEBER <br /> NUMB (W l Ll 23 -�,g' 0 OR OTHER U QUE�DEAITIFIER �'��/r7q 7 Ee �iCP j r <br /> 136(Rev.9110) Cl, <br />