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i • • <br />IREDIFORM' <br />� <br />CARBONLESS SPEEDISET <br />UNIFORM STRAIGHT BILL OF LADING Original—Not Negotiable—Domestic <br />C <br />11 <br />MOTOR CARRIER'S B/L 6S683/6P683 <br />913 3 -PART <br />Shipper's No. <br />Carrier Agent's No. <br />/RECEIVED, subject to the classifications and %wfully fiWjqWfs in effect t to of the issue of this Bill of Loding, <br />at 9�from <br />Ae it, rty scribed bNow, in .p",r good order, a pt a+ noted (contemn and condition of conlenl+ of Pecs q unknown 1 marked, cens:gned end desrined os +ho- betow, which said c <br />we.nirp any pnen w car 6..:n omPenY Irhe ..ord company being u, high-od throughout 'his contract a <br />pwo r poswu:on o/ the propMy under rhe contr.ctl ogees to carry'. :h usual plwe o/ detiuery o1 said deshnohon, it on ns own r.ilreod, wotw line. highwvy rouse or route+, .,within the rerrirwy of ih highway operations, otherwise to de� <br />I•.a. to orwshn comer on rhe roar. t. +oid desri—ion. It i+ m .oily agreed, wro ewh comer of all w any of said property Quer all or any portion of +aid route to derrinehon, end o+ b each "ItY of any rime :.termed :n all or any of said property, Ihor every seri_ to be <br />pe #,r d herwnder shat[ b, sublect to off the co.dtions net prohibited by to v,wh,ih,, printed w wrinen, herein contained including the condi':om on bock here./ which ore hereby .greed to by the shipper ..d accepted to, himself and his . igns. <br />J A Moil or street address of consignee—For purposes of notification only. <br />Consigned <br />Destination t kr c�Ke F et4n' State of Zip Code County of <br />Routing / r---v'ir—�/tb kcc hyt--�— S' <br />Delivering Carrier <br />Collect On Delivery <br />S <br />and remit to: <br />Vehicle or Car Initial <br />Street City State <br />No. •WeightClass Check <br />Packages Description of Articles, Special Marks, and Exceptions (Sub. to Cor.) or Rote Column <br />I <br />'M k N.pment mo.e+ between Iwo port+ by ooor by waver, the 1... req u:res'hot the bill .f lodrng shall w. wheMN it . corners or shipp�. <br />er'+ erghl." NOTE— Whme the tont is dependant m <br />.ohre. d..ppers we repaired to 00#0e specdicolly ir.writir'g the oW-d w term ed rola. of the p.perty. <br />Th. egrssN er declared -Ivo of the prep.rfy i. hereby <br />ge O..11y Noted by the Shipper to be net exceedielg per <br />post -office address of shipper, <br />"r'REDtFORMs 6S 683 <br />POLYPAK (50 SETS) 6P683 <br />I — <br />__Shipper, Per <br />(This Bill of Lading is to be signed by the shipper <br />and agent of the carrier issuing some.) <br />C. 0. D. charge Shipper <br />to be paid by I Consignees <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 />fignor, the consignor sholl sign the fol- <br />lowing he <br />The carrier shall not make delivery <br />Of this shipment without payment of <br />freight and all 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 />S <br />Agent, Per----- <br />CARBONLESS <br />er____ <br />CARBONLESS SPEEDISET <br />