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1 <br />This Shipping Order Must be legibly filled in, in Ink, in Indelible Pencil, or in Carbon and retained by the Agent. <br />Shipper's No. <br />Carrier Agent's No. <br />RECEIVE, subject to the classifications and lawfully filed tariffs in effect on the dote of the issue of this Shipping Order, <br />peperty dtacribed bolo+., in epva.enr poed oder, estop/ oa oared Icon and <ond'uio of canrenM o/ pwhoges rntnw.nl ,nested, <emigned and da+lined m sho.+n bele.+, ,.hicF said company 1/hr +resd co,nDonY being u, high-od thrsrphert this tentrhel e <br />ning eny per+on w cprpwelipn in pessesa:en e/ the Property ander the <onuertl agrees to carry to Na rsrel piece of drlieery el +aid deHinor:en, i/ en in w.n railroad, water line, highway rorty or rou4s, es.rithin the Ierinwy o1 sf b:ghW ei epesatiem, ethe.wfae b be <br />hrer owner cosier en the torte ro +aid de+tinatian. It is mrlrally agreed, er re each carries of all w any or acid Wepe�Y ores all es any peshen el said torte tp drar:no/ien, end os tp eo<h perry w any rima interea/ed in ell w any o/ aa:d preperry, .Fat wary HrvKe to be <br />petro mrd herernder shall be srbiece ro all Ina cendiY.ena nal Wohibiled by lees whMFt1 tainted w written, hese:n contained, i,/clyd:ng the condirions on best heree/, wh:cF ore hereby agreed /o by rhr shipper end oceeWed /w Aimael/ and his warytns <br />�j Mail or street address of consignee—for purposes of notification only. <br />onsigned to �%� i �` .54i� �PPv � viG <br />Upestination ZW 422' ` State of 1.110 Zip Code!21-? W County of <br />ivering Carrier -Z <br />lett On Delivery <br />and remit <br />No. <br />Packages Description of Articles, Special Marks, and Exceptions <br />Vehicle or Car Initis <br />City State <br />'Weight I Class I Check <br />(Sub. to Cor.) or Rote Column <br />C. 0. D. charge Shipper <br />to he paid by I Consign <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 shall sign the fol- <br />lowing statements: <br />The carrier shall not make delivery <br />of thisshipment 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 $ *o 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 />'1 <br />rr/, i– <br />•If the shipment mo- bel.reen 1. pdnsby o carrier by .rotor. the lam reQrirw thol the bill el lading shall .role ..haMe. it., cornor s or shipper's eight." NOTE—Whore he rote is dependent an <br />roh,e. shippers are�agy'', to. store;specifically i .rrnirq the agreed w dedorrd wire of the Wope yry <br />The agreed er derlert verve *;the property is hereby <br />speciticelly oohed by the shipper to be set exceadirp Per $ <br />Shipper, Per <br />ermonent post -office address of shipper, <br />(This Bill of Lading is to be signed by the shipper <br />and agent of the carrier issuing some.) <br />WAgent must detach and retain this Shipping Order <br />and must sign the Original Bill of Lading. <br />FFEWO MT 6S 683 <br />�POLYPAK (50 SETS) 6P683 <br />1 <br />ri <br />CARBONLESS SPEEDISET <br />