COMPLIANCE INFO_2019 - Laserfiche WebLink

Home Browse Search

0Copy1741112010 J,J.KELLER&ASSOCIATES,INC 11�Neenah.WI a USA•(9001 327-6B6s•Akeller Com•Pnnled In mo untied Slalon STRAIGHT BILL OF LADING—ORIGINAL—NOT NEGOTIABLE v Shipper's No. Carrier Tic G'r �7�.s ✓.SCAC A-) �T Carrier's NO.-andr�■.S_ Sn�d ales that haao bee=r RECEIVE➢,Subiecl Ip lndlti wally,determined rales or Con that have been agreed upon in writing balwean the carrier and Shipper.II OPVI rihle,al henNeQ to OVAbti8hod by the carder and are avallabfa to d+e shipper,on request;and all appl+C.able stale and federal regulations: at 1%Srda w ��50 A-c ,PJ, T date 7 from G YAA Q t the Property doscdbed below,in apparent good order,except as noted Iconl tied condition or contonts of packn0es untmownl•marked,coneigr1W.and QeSlmod as' ' to"below. ich■id:�,„p°ny [the word company being undo island throughout this conlrect as meaning any person pr Cdrpprallon In possession of the property under the corritaw agrees to Carry rd dollrory at said 68611r4w,it on rte mrde.Or OShernV+SC ID dt:bver to anelner Lamer on the mule to Said destination!1 8 litulu811y agreed e5!89th carrier of all yr any of wild Properly Dyer eh oDhlbrle�d by I■wrhon lSaid,who Brito doWALID11.and as lo pnnted ot+ARiRal flare'" each parry at airy ume wrtaresled in all or any of said Properly thal every servlce tp be performrod hereunder 5ha11 be subject to d the condilikWO nal W conte ri including the conditions on I"back heredl.Which are hereby agreed to by Ilse shipper and accepted for himself and his assigns TO: FROM: Consignee 547 Shi er 'rf2A r .nrk r Street cj) uiwStreet 2 3`eaa w4 Destination % Zi 95,�7—7 Origin 71e%ok.. Zi `�3s Route Delivering Carrier Vehicle Number U.S.❑OT Hazmat Reg. No. -7�X,#--y r7E r, Av. /--) QuantityNumber and Type Hazard Pk9. Total D. Description (Man.Vokinia.or (Sublect to OtPackages HIM Number I.q z- i Q n5uq t to a thh r d 60 he A/�R LOO FCC: tlemit coo to- .'.p rix n to..dQn ibo q1 rn.sonalgnea 41�/]kD AMT: GG lnov+ r +.a on me conrrynor, rn. Address: �� ;; en.e ; d e a Prepaid ❑ CityState- Z n+wrree+.,loam aArMenr I and a Collec C I t yr dnnrlewiw cAuDaa �"-,WMTV-65bilay OTE why the rale is dependant on vWUB.s1h rare r0Vu1 emirs [wcrlkully in vmlinu TOTAL CHARGE EIGHT CIiARCaES declared value of the property The a sseclardd valuo of the p�pony le PreId"ly slaled by the shipper 1c xcaedmg S Per i min W C-0 sgnul Linutalion or darlr■ge in this shipment may be els.See ig L.S.C. .■ ,, ■ �BYSHIPPER &Y CARRIER 11006(yr7 A and Farr.l.. rwyr,Ir...s ,wjd uwwr1,nu Ara praWrW d■s5AW descnhe0.pedug.d,ma a DRIVER'S y a h ulr m pr�l�r L�ndrwn im rranepw+nae uc�vrmr+9 w my apo"Wea regui4o"at SIMATURE: irAL;,,:i:Rr..-,1 1!a+•W411•,Lpn Per r.� ~ T 'T- �/ p _. SHIPPER CARRIEF: +' DATE: PER: DATE: —An - PER: NAME OR CONTRACT NUMBER EMERGENCY RESPONSE TELEPHONE NUMBER. _ OR OTHER UNIQUE IDENTIFIER: [i 436(Rev.g1/rtQy ,