Laserfiche WebLink
-- l <br /> Copyright 2017 J.J.Keller 8 Associates,Inc.•Neenah,WI•JJKeller.com•(800)327-6868•Printed in the USA <br /> W9181 0 111 fil I ki kv z • <br /> STRAIGHT BILL OF LADING-ORIGINAL-NOT NEGOTIABLE <br /> Shipper's No. ^J l� <br /> Carrier,4,1'12-e%► Tom, ,i 551 k^aCAC Carrier's No. /U Z <br /> RECEIVED,subject to individually detemuned rates oror c s that have been agreed upon in writing between the carrier a shipper,if applicable,otherwise to the rates,c�sifications and rules that have been <br /> established by the carrier and are available to the shipper,on request;and all applicable state and federal regulations; <br /> at fir be x S�l�, !I J ThO-C '4 y date 9 z from �.4 �e 7-11►1.-„4i ,�� <br /> the Property described below,in a <br /> ppathro good order,except as noted Conten s and condition a contents of packages unknown),marked,consigned,and destined as indicated below,which said company <br /> (the word company being er to an <br /> throughout this contract as meaning any person or corporation in possession of the property under the contract)agrees to carry to delivery at said destination,if on its <br /> 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 of said route to destination,and as to <br /> 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 <br /> contained including the conditions on the back hereof,which are hereby agreed to by the shipper and accepted for himself and his assigns. <br /> TO: <br /> FROM: <br /> Consi nee r /---t Y. Shi er _ <br /> Street � Street y w <br /> Destination Zi 91 Sc� Zi �3S7 <br /> Route Ori in <br /> Delivering Carrier Vehicle Number U.S.DOT Hazmat Reg.No. <br /> �w E3"r <br /> - Acts( . -- <br /> 3emit COD to: 6e ect tc Section 7o conditions,it this ///r��� COD FEE. <br /> shthout o be delivered to the consignee /"OD rr MT. <br /> tddreSs: without .Coron the consignor, the v H <br /> consignor shall sign ing statement: Prepaid E <br /> f State: The carrier shall not ma of this <br /> ZI : shipment without payment of freight an <br />)TE:Where the rate is depen e r -- otllerlawful charges. Collect e to state a of tine pin writing TOTAL C <br /> agreed or declared value of the pro a agree ed value of the property is RGES: i <br /> eby specifically stated by the r to be not exceeding$ <br /> iE:Liability Lim' or foss or damage in this shipment maybe applicable. C si nawre of conn nor a aid Collect <br /> c 1 A ,. <br /> is m y that the above-named ma are props ty classified,described,packaged •• 1 Ll BY SHIPPER Y CARRIER <br /> and iaoeled.and are in proper conMon for transportation according td the applicable DRIVER'S <br /> a a of We Department of Transpodatron. Per G <br /> SIGNATURE: <br /> PPER: CARRIER: <br /> t: DATE: ' <br /> PER: DATE: 8 <br /> RGENCYRESPONSE ��� U / NAME OR CONTRACT NUMBER '' // ---M <br /> PHONENUMBER: %��-6��� OR OTHER UNIOIIF inFNTIPIPR• tV_4-T <br />