Laserfiche WebLink
�Ckpyh AMID J'J'KBJJM S ASSodATeS NBBr1ell WI•USA•1800)327.68N6•pkeller,cpm•Primed in the United States <br /> STRAIGHT BILL OF LADING-oRiGINAL_NOT NEGOTIABLE <br /> Shipper's No. <br /> Carrier J t SLAC ) SSSS <br /> �=N311sh d sirblec9 10,n Ws�ually defemwned rates O[Cnntr lhal have been agreed CBrne�5 Nd' <br /> Er�tab45r1Ctl by iiia tamer and are ava+lahte to die sh 9 upon in wnhng between the Carrier and sh+ppef 11 eppliCablO,alhenwise to Ino rahra,ctassitrWtrbnS and rules dial nave bean <br /> roper,On ragvnt;and all appllcabie Stele and ladefal requlalipna; <br /> at 1 +-e- <br /> M*ProP"0e3Crt6ed below,in apparent r date —!.'1 — I F1 from <br /> good order,e11 W as noted(Conlenls condition at contents o} <br /> [Ire+N°rd %4erng el`to stood throughoul IMS contract as meaning any Pumm or co packages unknown),marked.rly under a cmitr{e ll end nlest+nned as O dOW& Atbelow.Sam which said <br /> sane,a ly at any to def ter i9 a toner carter on the mule to said destination II ffi mutually agreed as to B�aCh0 ramassion l`01 All Or any of gird Properly OWW OR rs to Carry oOF any Pin of said route to destination,(Ind M 10 <br /> lion.11 OF?its <br /> Each'wty a!any erne interested in all W any of said Property Mat every&erg"to be POdomled hereunder shalt be subject to all the condlbOne 1W[PrOhlblled by law-whadw pnmed of*"an.harem <br /> mrniLnBd.ndudkh,,the cdndlions on the track hereol,which are hereby agreed 10 by the shipper and accepled for hirtnO and his assigns. <br /> TO: FROM: <br /> Consi nee !l2 r , i Shipper LgA 7 I7_L;4de <br /> Street <br /> Destination 1 Zi 935-7 <br /> Route ori in "T Zip-?3,T-7 <br /> Delivering Carrier Vehicle Number U.S.DOT Hazmat Reg.No. <br /> Number and Type ti I <br /> LD Hazard Pkg.ITOt@l Quant' weight Class or <br /> Of Packages Urn er Desuiption of Articles (5ijbi-1:1. <br /> Class lGrip. <br /> I <br /> 4d �yI <br /> ji <br /> IDLs a6, 4 sa <br /> I <br /> Il <br /> RBrnit COb t0: suoper no Saom 7 d oawrnn.amu /�{�y�R T COD FEE: <br /> .n,amonl n Io a a.¢vereA m ma sanegnee COD U AMT! <br /> noon recaur;.on nne on��nor.the V <br /> Address: ""leiei sola"w Prepaid <br /> Gj � tate: Zip: .n, q.Ynenso $ Q <br /> m.nrnn rn.p.e <br /> raOTE ora nal(is dependent On Value.shlppe ❑state spec,l"ly In wnlrng A FREIGHT CHARGES: <br /> 11, w decianed Value of the property. ed tared value of iiia property r5- _ - <br /> ypgcAr�lry[elated by the ship not elrceedIng S Per - I Prepaid COIIBCt <br /> r�ereayL dation or domags In this shipment may be 1e-See 99 1MG, '1 <br /> /faTE:LrabrGrY BY SIHPAER RRIER <br /> 147S6fc1!>�Aand -e <br /> Irau.r:rr+rd matenels are prupeAY c1es5Ared desn r+bctl,pdciu9r•a mance <br /> h,r lrznapataUvn rccprdev 0 Pr/applicable regolalions ilt 1 LSidYER'S <br /> ? 14 Film n IN 1:11111,111:! <br /> ryglWXr t WHATURF-1 <br /> �m-ewe to Irat.Valdt.;tr Pr <br /> G A4 — CARRIER: c J0 'S <br /> SHIP P — DATE:_ 7 1'1 4 PER: DATE: —► <br /> PEA: ' <br /> NAME OR CONTRACT NUMBER <br /> EMERGENCY RESPONSE <br /> TELEPHONE NUMBER: OR OTHER UNIQUE IDENTIFIER: <br /> 436(Rev.9114) <br />