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t - 0 0 <br />UNIFORM STRAIGHT BILL OF LADING Original—Not Negotiable—Domestic <br />Shipper's No. <br />Carrier Agent's No. <br />RECEIVED subject to the classific nsjen�-ia y filed tariffs in effect on the date of the issue of this Bill of lading, <br />at OR 5;_2 <br />l�C 8 [ V` 19from <br />M p tv described belo.v, i apparent good aider cep a noted Ica ef, and condition of cM,enh of p hag lnownl marled, amigned and declined of he., bolo., .. hich aid company [the .,,it company being enderuoed thro.ghavl this conlrxl e <br />s-, any se, o w cwpssor n aossenion of the prapeny under the an —l1 .greet ,o <wry t. its ....1 place of delivery as said de in ;ri if on its own railro d, .,.ter line, highway route or rovto.. or within the lerrdaiy of i,l <br />highway.pero,ieas, eMerv.ne ro der <br />-v, to .—,he, carrier on the taupe to aid declination. II if ..'.ally .greed- os to each <.•rier of all w any of said papal, over all or any pe•tion of laid route 1. de.,in*tion, and as to each party *t any lime i ...... led in all w oily of said p.perty. If— livery service a Is,pe•lwmed haev,der shall be ,bice, Io ell she a c ilio snot prohibited by low. whether prinlad is, <br />rine,. ha *,,pined, including the *"d;liom on ball hereof, which a e hereby *greed to by ,he shipper and _laled for himself end his <br />�---1 (Moil or street address of consignee—for purposes of notiricotiort only.` <br />Consigned toot 2 l C 4 L/ r e ts <br />Destination< le_no7­`ccvc t rt" State of_ <br />Routing i�_ 1 � i C [ l� ;; r,c <br />Zip Code County of <br />Delivering Carrier r V if \ Vehicle or Car Initial No. <br />Collect On Delivery <br />remit <br />No. <br />Packages Description of Articles, Special Marks, and Exceptions <br />�_ i %_ a _�__is " <br />MN <br />F7 <br />0 <br />I <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 />City State consignee without recourse on the con- <br />signor, the consignor shall sign the fol - <br />Weight ClassCheck <br />lowing statements.The carrier shall not make delivery <br />(sub. to Cor.) or Rale Column of this shipment without payment of <br />freight and oil other lawful charges. <br />'N M shipment moves between two pwh by a <on.er by water, the low reeuves that the bill of lading shalt store whsfher it n "<orrier's or shipper's weight." NOTE—where the rate is dependent on <br />wine. N.ppea aie repvired ro state specifimlly in writing the ograed w declared aloe o/ the property. <br />The egread e, dectered .alas of " prepsrfy is hereby <br />noecilFiesilly stared by the shipper N be net eeceeding per <br />1. <br />Permanent post -office address of shipper. <br />e 6S6113 <br />POLYPAK (50 SETS) 6P683 <br />ipper, Per <br />If charges are to be prepaid, write <br />or stamp here, "To be Prepaid." <br />Received $ - so 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 />-__ _ --------------Agent, Per <br />(This Bill of lading is to be signed by the shipper <br />and agent of the carrier issuing some.) <br />CARBONLESS SPEEDISET <br />