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UNIFORM STRAIGHT BILL OF LADING Original—Not Negotiable—Domestic <br />Shipper's No. <br />Carrier <br />Agent's No. <br />ariffs in effect on the dote of the issue of this Bill of Lading, <br />RECEIVED, su 'ect to the clouificotio and lowf�fh, <br />at 19 from <br />rhe w,perry d ribed below, in apparent good wder, cepf as and condition.4 coin--- of pachages..s.—I-arYed, c .,i9n,d and destined as shown bel,.., whicA +aid company <br />(the word ro-pony being r 1—lood lhr 91, rt 'h:+ c <br />mna any nen w co.porar:on in possession of Ih propertyIN:.,aosI I agree to cwry lo:ts,wol ploce of delnery .f so:d destination, if an in own r iib d, water line. highway torte <br />or tortes, or ..:thin he rer.:to.y of R, highway operw:ens, gh—is. me <br />h.er ro another cweier an the rorty to +aid deal:notion. 11 is -.trolly agreed, a+ 1. each carrier of all w any of said property ever all w any portion of said route to de iri ian, and as to each party of any h -e iweresfed in all w any of said w.peny, Ihet e•'N +-nice <br />perlw-ed hererndrr Moll be wbiM 10 ,11 IM conditions not prohibited by law, whefhw printed w -rine-, herein ned, indudmg the rond.riom on bac& hereof, which ore hereby agreed ro by the M:DDer and accepted ler A: -sell and his <br />(Moil or street address of consignee—for purposes of notification an <br />Consigned to <br />, <br />Destination Al State of Zip Code <br />County of <br />Routing <br />1 <br />Delivering Carrier Vehicle or Car Initial <br />No. <br />Collect On Delivery <br />C. 0. D. charge <br />Shipper [ <br />and remit to: <br />to be paid by <br />Consignee[ <br />Subject to Section 7 of conditions, if <br />shipment is to be delivered to the <br />Street City <br />:State, <br />consignee without recourse on the con- <br />signor, the consignor shall sign the fol - <br />No. <br />- <br />'Weight <br />Class <br />Check <br />lo`v'ng statements: <br />Packages <br />9 <br />Description of Articles, Special Marks, and Exceptions <br />($ub. to Cor.) <br />or Rale <br />Column <br />The carrier shall not make delivery <br />of this shipment without payment <br />, <br />sit <br />freight and all other lawful charges. <br />w <br />(Signature of Consignor.) <br />If charges ore to be prepaid, write <br />or stamp here, "To be Prepaid." <br />Received S to apply to <br />prepayment of the charges on the <br />property described hereon. <br />Agent or Cashier <br />' <br />Per_ <br />(The signature here acknowledges only <br />the amount Prepaid.) <br />Charges Advanced: <br />'If fhs ship---' mores between Iwo awn by a c.n:w by inter, the low rent—en that the bill of lading &hall store whs'her it n "c,rrver s or shipper's ..eight." NOTE— Whine the rola is dependent on <br />.eh.e. shippers ora reg,ired to start spxifically in -riling the agreed at declined .olue of the property. <br />Th..,read .r declared value .f the property Ir hereby <br />specifr.ally stated by the shipper t. be nM .....ding per <br />5 <br />--Shipper, Per -- - - — — ---- -- -- -----Agent, <br />Per---- <br />permanent post office address of shipper, <br />"yFOnM, 6S 683 (This Biu of Lading is to be signed by the shipper <br />CARBONLESS SPEEDISE' <br />1K (50 SETS) 6P683 and agent of the carrier issuing some.) <br />