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t&NFQRM,, TOR CARRIER'S B/L 6S683/6P683 <br />CARBONLESS SPEEDISET 912 3 -PART <br />UNIFORM STRAIGFR BILL OF LADING Original—Not Negotiable—Domestic <br />Shipper's No. <br />Carrier Agent's No. <br />RECEIVED, subject to the clossific.'.0 50ries4vIly filed tariffs in effect on the date of the issue of this Bill of ding I <br />Ot .J 1 L k /y_�Q 19�from EC-jK ! C91t4bele.. n app rent good wder, accept os red Iconrenrs and coalition o/ conrtnn of pockege u .—t .caked, cemigned and s she..n bolo.+ ..hid wid .pony 1 he ..or pony being underrrood lhrougbwt 'his cenrr.. o <br />_eo..q any person w clepwarion in ponession of the wopersy ..d., still cenrroc' 1 .groes to cony'. is usual plwe of d.li.ery o1 raid destino'ion, it on its o..n caif—ef, water line, high -.y twit or rouses, w -i,hi. the tempary oI its '.ad <br />open f;i , wher..ise 1 tde <br />:.e• ro enerher cosi on If. ro.te to said destino'ion. Ir is mutually ooreed, o each [wrier of ell or any .f said properly over all or any pwtien of said route to desein.'ion, and os to ewh pony .' any rime interested in .11 0• any o/ sold properly,'be, emery senile ro be <br />pe.fo—sed <br />b --d., A.11 be wbi.c' to ast he condi'ions trop wohibi'.d by I—,'.+herber pii.tad w written, herein contained, including he conditions on back hereof, rhkh are hereby o9reed to by'he shipper and ....pled for hi.aell and his .signs. <br />ek (Mail or street address of consignee—For purposes of notification only. <br />Consigned to <br />II s <br />Destination Neer <br />RoutingL // OIca <br />Delivering Carrier 1 T It, <br />Colle_ cf"O_ n Delivery <br />$ and remit to: <br />lJo. <br />Packages <br />11 <br />Description of Articles, Special Marks, and Exceptions <br />l <br />State of Zip Code County of <br />tr 10, rgTj9- <br />Vehicle or Car InitialA� <br />C. 0. D. charge Shipper ❑ <br />to be paid by I Consignee ❑ <br />Subject to Section 7 of conditions, if <br />this shipment is to be delivered to the <br />City State consignee without recourse on the con- <br />signor, the consignor shall sign the fol - <br />"Weight Class Check lowing statements: <br />(Sub. to Cor.) or Rate Column The carrier shall not make delivery <br />of this shipment without payment of <br />freight and oil other lawful chorges. <br />---- - ----- _T <br />'If me shipment mo.es between I— pwn by is ctirriw by ..titer, the 1.- req.;,. shot the bill of loding shell sole ..he'her it n "carrier's or shippei s waigAt." NOTE— Where the rote is dependant—k- <br />ependant an <br />—k-eh,ppws we r.q.i ed . sbte specifi.dlr in -i'irg the -greed w doctored —I— of !M properly. <br />"" a -.,I « d -1 -fid vas_ of she property ie herby <br />spesid:cdty ~.d by she .hipper se be nes ..—di., Per <br />�Perma-sent post -office address of shipper <br />6S 683 <br />POLYPAK (50 SETS) 6P683 <br />, Per_ ._ <br />(This Bill of lading is to be signed by the shipper <br />and agent of the carrier issuing some.) <br />If charges ore to be prepaid, write <br />or stomp here, -To be Prepaid." <br />Received $ to apply to <br />prepayment of thecharges 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 />Agent, Per_ _ <br />CARBONLESS SPEEDISET <br />