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UNIFORM STRAIGHT BILL OF LADING Original—Not Negotiable—vomestic <br />Shippers No. <br />Carrier Agent's No, <br />FlarVED, subject to the classifications and lawfully filed tariffs in effect on the dote of the issue of this Bill of Lading, <br />9 from _ SG— <br />n,a popery drectibed bele.. m oppwenl good wdw, rrcep_r—ori d Icenlenh and condition of con ants el po eget ontno..nl m &.d, c ,igned and declined or thaw. bel.-...hich .id compo., Oh. -.,d ewnpeny br:nq end.,..—d IMoeghoul this cwdrect o <br />,weo.i.,g o*y person w cwpwotion in pocunion of che Wool," <br />under the comrottl agrees le carry to iti uwo1 plot. of delivery of soid de✓int . if on its o -n railroad, -oter line, high..oy vault w —1., n—ithi. the fwrilwy of its high—, operetiom. erherwne le de' <br />F... to o.efhw corriw on the rout, to soid destine n. It it m.—Ily agreed- m to loth [wrier of ell or o.y of "id prope.ty ww all or o.y pwho. of slid .tete to drui.oron, and 11 to loch pony oe ony time« rereclrd in ell w ony of soid property, that carry cervica Io be <br />perbr,.ed hweender droll b<subl— to all the conditions not pohibited by low, -h<Ihw primed w -vitt.., herein cemoinrd, including the c..diliom on hot' hereof, -hich e.e hereby ogrlrd to by the shipprr and occepf.d for himself and his assigns. <br />(Mail or street oddress of consignee—For purposes of notification only., <br />Consigned to1&;,C.,GC SrdSek2l69/�' K07.S <br />i <br />Destination12%e-, e% Coli ra!JyZ State of C 6l Zip Code County of <br />Routing H4rzll cQ9 lid 0 49 E� YC' <br />Delivering Carrier W 1 <br />Collect On Delivery <br />$ and remit to: <br />Vehicle or Car Initial <br />Street City State <br />No. •Weight CIO$ Check <br />Packages Description of Articles, Special Marks, and Exceptions <br />g (Sub. to Cor.) or Rate I Column <br />19 <br />/,o - <br />03T <br />r <br />•a ow Moment mover bet—en two pork by p colli., by —tor, rhe to. repairs thol the bill of lading shell sb to -hath., i1 n "corner s. or A.pp.r's waighl." NOTE—Where the rote it dependent on <br />.aIle. sh,ppws wa r*q,i,*d to 1111, speciricolly in writing the agreed w d-lor,d vol- of tM p* -"y. <br />Tb. epo.d K d.cler.d vol.. of th. preplrty Is h-liby <br />1p.nfiedfy .1.0N by th. lhipit., to bit ..t ,xewditq Per <br />Penvaonent post -office address of shipper, <br />RM:IFOrd% 6S 683 <br />POLYPAK (50 SETS) 6P683 <br />n <br />1 <br />Shipper, Per--_ -- -._—. - <br />(This Bill of Lading is to be signed by the shipper <br />and agent of the carrier issuing same.) <br />—No. <br />,or^- <br />—No. w— �L-191 <br />C. 0. D. charge S Shipper ❑ <br />to be paid by 1 Consignee ❑ <br />Subject to Section 7 of conditions, if <br />this shipment is to be delivered to the <br />consignee without recourse on the con- <br />signor, the consignor shall sign the fol- <br />lowing statements: <br />The carrier shall not make delivery <br />of this shipment without payment of <br />freight and oil other lawful charges. <br />If charges are to be prepaid, write <br />or stamp here, -To be Prepaid." <br />Received $ to apply to <br />prepayment of the charges on the <br />property described hereon. <br />Agent or Cashier <br />Per <br />(The signature here acknowledges only <br />the amount Prepaid.) <br />Charges Advanced: <br />I$ <br />Agent, Per <br />CARBONLESS SPEEDISET <br />