Laserfiche WebLink
t r r c r r - <br /> Copyright 2017 J.J.Keller&Associates,Inc.•Neenah,WI•JJKeller.com•(800)327-6868•Printed in the USA <br /> STRAIGHT BILL OF LADING-ORIGINAL-NOT NEGOTIABLE <br /> Shipper's No. <br /> Carrier 4-4 C44�c <br /> -�- 4 SCAC fi) � Carrier's No. <br /> RECEIVED,subject to 1. vldually determined rates or contra is that have been agreed upon in writing between the carer and shipper,if applicable,otherwise to the rates,classifications and rules that have been <br /> established by the carer and are available to the shipper,on request;and all applicable state and federal regulations; <br /> at IWnb 10. s,.--L7 t,Jte PJ Tr,r date z from T <br /> Me Property described below,in apparent good order,excep as noted(c ntents and condition of contents of packages unknown),marked,consigned,and destined as indicated below,which said company <br /> (the word company being understood throughout this contrail as meaning any person or corporation in possession of theproperty <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 r f said rPropertyentove alloror an rees to carry trtiono delivery at said destination,if tion,and as to <br /> its <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 coditins not prohibited by law,whether printed of mid route to tiorawritten,herein <br /> contained,including the conditions on the back hereof,which are hereby agreed to by the shipper and accspied for himself and his assigns. <br /> TO: FROM: <br /> Consignee Shipper <br /> Street 331{, Street (t- PDQ„ <br /> Destination <br /> Route ZiP9 a ► ori in Zj —7 <br /> Delivering Carrier Vehicle Number U.S.DOT Hazmat Reg.No. <br /> r r ct <br /> — --- <br /> Remit CO o: aubep to section r of roth'eMcns.if lhis COD FEE: <br /> without is to be tleln th to the consignee COD AMT: <br /> without erourae on the onelgnor,the <br /> Address: conalgnor'shall signlhe lost tame^c Prepaid ❑ <br /> Tha caribi shall not- a de of this <br /> Cit State: Zip: shlpmerd wdh°al paymanl m freight d es <br /> other lawful charges. <br /> NOTE:Were the rate is dependent Ica ly in writing T� ES' <br /> the agreed or declar a pro The agreed or declared value of the property <br /> is FREIGHT CHARGES' <br /> hereby sped stated by the shipper to be no ding$ Per Otinanne of C--.,) Prepaid ❑Collect <br /> NOTE: ability LimiMion for loss or damage In this shl a be applicable.See 49 U.S.C. .•s <br /> 14 c 1 A and B. ,t s Ll BY SHIPPER BY CARRIER <br /> This is to canny mar r,,above-nametl materials are properly classified,described,packaged. a DRIV <br /> marked and laceied,and are in proper condition for Iran rtahon accortling to the applicable <br /> regWabons or the Depanrnem of Transponauon.Per /I/ - SI641AN <br /> SHIPPE V CARRIER: �s <br /> PER: 6 n �/J, DATE: ,8 PER: — DATEEMERGENCY : b <br /> TELE HO E NUMBER:SE ob /�3 �(`�60 OR OTHER UNIQUE IDENTIFIER:IER: aJO <br />