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CARBONLESS SPt, <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 tariffs in effect on the dote of the issue of this Bill of Loding, <br />19 from <br />Wovrny elp.o�r6rL M good order. ecce or notedI..men and condition o/ confenit of Pott..et ..k.-1 marled. <enugned and d— tied at th— below. which toid tampon, 0b. wwd compony being ond.nlood Ihrougho.l Ihir <onnoc w <br />:nq any person w orporofion in pottett:on of the p,J'­,, under rhe conno<l1 ogreec to —,to itt swot Placa of delivery of raid d-6-1;... it on it n 61 ­d,, wolrr line, highway route w varlet, er w:th:n rhe Territory e/ in highwey ePeretionn, oth<rwitr To de <br />"v, to another <o ,w on the rorty to -id d—inafion. It is ..—H, agreed, w ) each corner of all or any of _id property over all or any portion of leid oweto is—i—t-, and os to each pony of any lime inro led in all w eny of raid propedy, th.. every s ke le be <br />pnlwmed h --d- thotl be wbie l to all the cenditi—, not prohibited by low,whether printed or written, herein contained, :nclydnq The eond-tion, on bats hereof, which ore hereby agreed to by rhe chipper and --pled for h:mcell end hit pc tignt. <br />(Moil or street address of consignee—For purposes of notification only.) <br />onsigned to <br />(estinotion �ff� <br />outinao• <br />slivering Carrier <br />ollect On Delivery <br />$ and remit to: <br />State of <br />Vehicle or Car Initial <br />Zip Code County of <br />Street City State <br />No. I •Weight Class Check <br />Packages Description of Articles, Special Marks, and Exceptions <br />(Sub. to Cor.) or Rote Column <br />p.e Nrpment mo.et between neo porn by ooe., r by ..olthe to. rearirn Iho1 the bill of toding <holl dote whether it .. carver t or chipper t weight." NOTE— Where the role .t dependent <br />an <br />+. M.pperc we .".w d fo slate a ificollr irrwril:rp the agreed w declared wire of the popery. <br />.9-4 or d.dand vela• of th. properly i. hereby <br />r.:ricolly etat.d by the Shipp., to be net .....ding oar <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 />consignee without recourse on the con- <br />signor, the consignor sholl sign the fol- <br />lowing statements: <br />The carrier shall not make delivery <br />of this shipment without payment of <br />freight and all other lawful charges. <br />If charges ore to be prepaid, write <br />or stomp here, "To be Prepoid." <br />Received S to apply to <br />prepayment of the charges on the <br />property described hereon. <br />Agent or Cashier <br />(The signature here acknowledges only <br />the amount Prepaid.) <br />Charges Advanced: <br />Shipper, Per- -- - ----------Agent, Per---- - — <br />•rmonent postofficeaddress of shipper, <br />n9!_F0RM, 6$ 683 (This Bill of Lading is to be signed by the shipper CARBONLESS SPEEDISET <br />IrYPAK ($0 SETS) 6P683 and agent of the carrier issuing some.) <br />