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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 date of the issue of this Bill of Lading, <br />at 19—from <br />the propesr, de hoed bele.., in .ppw I mde ,wasp as led Iconrenls .rid condition of <entanh of "rhoges .1hne-11 marked, consigned and destined os shorn below, which said company (the raid company bei" andenrood Ihro.ghovI this <anemt . <br />we.nr,g wet m cm -11, in pa.-..;— el the property oder be controsl1 .g.... to tarry Io ils.1.01 plate of dobe-, at said destination, it en it, oro railroad, water line, higheeoy route or routes, within the 1<rrirm, of ill high-., eperoriens, otherwise ea de� <br />heor .nahor cm.ior on the route to said deshn-lion. It n w.r.ol .greed, o+ to trash cor.ier of all ar any of said preparly over oil ar any portion of said route to destination, and os Io Bash parry .I any rime interested in .11 - any of said pepeny, to. every serene Ia be <br />porlmmed hereunder shalt be wbi-, to -11 the conditians not prohibited by Io-, whether printed or wirtten, herein tonte:ned, including the tondirions on back hereof, which ore hereby agreed to by Ph, shipper and accepted for hiwsell end his a+signs. <br />Moil or street address of consignee—for purposes of notification only.) <br />Consigned toj(, S' -"l J ,G <br />Destinationc g <br />Routing Ij4 <br />/ F .. /[ CtJ) <br />1 <br />Delivering Carrier ( V <br />r1lect On Delivery <br />and remit to: <br />No. <br />Packages Description of Articles, Special Marks, and Exceptions <br />State of Zip Code County of <br />r f ("'M "Xi _4111 <br />J <br />Vehicle or Car Initial'` <br />C. 0. D. charge Shipper ❑ <br />to be paid by 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 fat - <br />'Weight Class Check lowing statements: <br />(Sub. to Cor.) or Rafe Column The carrier shall not make delivery <br />of this shipment without payment of <br />freight and all other lawful charges. <br />'if she Mmraenl aso.es bel -eon oro path by a <-rriar by voter, the to- r.q.,r. that the bill of lading shall shote whether a ss "s—ries', or shipper's <br />We. M.p-ars en eep.ired ho ,sate specific-Ily in -rising the -greed or declared roles of he property, <br />agreed w dacls.aIf rmlaa a/ Iha M <br />propy is hereby <br />.<if:e.ay stated by the shipper le be flat •x<aaditp taw <br />NOTE—Whore the rote is dependent w <br />—___-- _Shipper, Per----_----- — --- - <br />one t post -office address of shipper, <br />ILPFla 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 />r11 <br />If charges are to be prepaid, write <br />or stomp here, "To be Prepaid." <br />Received i fo apply to <br />prepayment of the charges on the <br />property described hereon. <br />Agent or Cashier <br />Per e <br />(The signature here acknowledges only <br />the amount Prepaid.) <br />Charges Advanced <br />Agent, Per _ <br />CARBONLESS SPEEDISETT <br />