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r <br />UNIFORM STRAIGHT BILL OF LADING Original—Not Negotiable—Domestic <br />Shipper's No. <br />Carrier Agent's No. <br />RECEIVED, subject to the classifications and lawfully filed riffs in ffect on the date of the issue of this Bill of Lading, <br />s .19 9(,, from <br />W p•we•h dercnbed bola., i opponent good ands ep1 os noted (contents and condihon o/ <en snit of pa pn unYno+nl marled, comigned and dntined as shown below, which raid contpony Ifhe word <emppny baiwq understood thraughwt Ihir cont•-- <br />eie'e°"'°e any person w corperolion in porserrion of the property ander the <onroct I -press to <a•ry I* its V'III Plece of deli," at raid destination, if on in own rislr d, water Iine, high -.y route e• roufn, or within rhe te•rilory of its highway epn-ripnr, olharwiu to c <br />i— to onWhn [osier on the route ro said destination. 11 it muNelly .geoid, os to each corrin of all w -ny of said property over all or any portion of said •out, to dnfinolion, and at to each pont It any time inreresred in oil w onr of said po ty, that every reni<e ro <br />—*--it hneunder shall be wbiecl fo all rhe -dl; ­not prohibited b, Io-, -bother p.:nrod w wrinen, herein con nod, including rhe <ondilions en bock hereof, which o•e hereby agreed to by the rhipPer old accepted for hi -,elf and his -;q ­ <br />(Moil or street address of consignee—For purposes of notification only <br />�� 50, �k� <br />Consigned to � < <br />Destination f,��lt <br />��� <br />Routing��� <br />Delivering Carrier l` VL LSI <br />Collect On Delivery <br />$ and remit to: <br />-Street— <br />No. <br />treet_No. <br />Packages Description of Articles, Special Marks, and Exceptions <br />L w <br />Cie <br />L <br />0 <br />of Zip Code County of <br />) lKo r ct, r 11, <br />Vehicle or Car Initial <br />No. <br />to be paid by 2 Consignees <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 car, <br />signor, the consignor shall sign the fol - <br />'Weight Class Check lowing statements: <br />(Sub. to Cor.) or Rote Column The carrier shall not make delivery <br />of this shipment without payment of <br />freight and all other lawful charges. <br />ffi one MtpneM moves between Iwo ports by o comer by +-ter, the low reawrn that rhe bill of lading rhall rrora +hethar tf n " r chipper"s weight." NOTE—Whna the .oro is dependent an <br />+mow. Mippars ore req,ired ro rloro sp.<ificplly in writing the -gleed a coda -d! .aloe at 1M propert, <br />niv, pre•d or declared I." of the prop." is her. by <br />r#' sally stated by th. ahipp.r to bo oat exceeding per <br />________.Shipper, Per_____ <br />Percnnnent post -office address of shipper, — <br />�(�RXIMt, 6S683 (This Bill of Lading is to be signed by the shipper <br />POLYPAK (50 SETS) 6P683 and agent of the carrier issuing some.) <br />0 <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 />Agent, Per <br />CARBONLESS SPEEDISET <br />