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SSiW ©Copyright 2010 J.J.KELLER&ASSOCIATES.INC!,Neenah,WI•USA•(S00)"A,"PWfaroom•Prirtled in the United STRAIGHT BILL OF LADING-ORIGINAL-NOT NEGOTIABLE Shipper's No. Carrier 7 r—�,cam, L�c (� .�� D ECAC Carrier's No. RECEIVED,subject to individually determined rates or contracts that have been agreed upon in writing between the carrier and shipper,if applicable,otherwise to tes.classifications and rules that have been established by the carrier and are available to the shipper,on request;and atl.applicable state and federal regulations; at � T' date from icated below,which said company the Property described below,in apparent good order,except as noted(contents dicondition of contents of packages unknown),marked,consigned,and destined (the word company being understood throughout this contract as meaning any pe �n or corporation in possession of the property under the contract)agrees to carry to delivery at said destination,If on its route,or otherwise to deliver to another carrier on the route to said destination.It is mutually agreed as to each carrier of all or any of said Property over all or any portion w said route ri destination,and herein to each party at any time interested in all or any of said Property that every service to be performed hereunder shall be subject to all the conditions not prohibited by law,whether printed or written,herein contained,including the conditions on the back hereof,which are hereby agreed to by the shipper and accepted for himself and his assigns. TO: FROM: Consignee lgrj, Shipper -"C" t N IF Street 3 o S 2 Street lelgog, 77 Destination l iG i Zi �'/S� Ori in I Zi 3S Route Delivering Carrier Vehicle Number U.S. DOT Hazmat Reg. No. << OL) S Number and Type Description of Articles of Packages HM N 1 )(Cl ttvt I�r!f}sT is -F�IZ Remit CO o: Sect fe$BchW of CO Mit sits a mIa shipment,e le Ire delivered IO the conugnae COD AMT: COD FEE: without Tito S n the consignor, the Address: o"telgnor!hall,.sh 11 statement:"° _y. $ Prepaid ❑ The Caroni sha4 nal me ery of INs City: p- shipment without payment of Ire,g all other Iewlul ch.,gtls Colle NOTL Whore the rale is dependent o .s ippers are req tale specifically in writing CHAR REIGHT CH the agreed or declared v.,i a property.The agreed or declared v the property is ARGES: hereby sDenbcallyyle y the shipper to be not exceedmg S Per iSgrn.wra of Censgra,) ❑Prepaid Collect NOTE: ty Limitation toff loss or damage In ilii,,shipment may be applicable.See 49 U.S.C. 147 c 1 A and e. •• 'HIPPER Tisa re to!!rely that Uta above-named ntaterwls we VtW�Y Uassnha,dux.nueo,packages,marked r ❑BY CARRIER lot transportation according to the applicable regulations of DRIVER'S and Inbeled,and are to proper oendltion rtspo f� SIGNATURE: Irw Ut�pirai�er'It of I Ii1I$perlatalrl Per 49 SHIPPER: L v 11aP '^ y CARRIEF�. [rr�F�r4 -0,:g_T�.� - -trdf'de� •--�-- DATE ?-/L-��'r PER:- I' ��I/ti9/ DATE: 7-/� PER:—�J-E,��' - EMERGENCY RESPONSE NAME OR CONTRACT NUMBER TELEPHONE NUMBER: OR OTHER UNIQUE IDENTIFIER: 436(Rev.W10)