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This Memorandum is an acknowledgment that a Bill of Lading has been issued and is not Original Shipper No. Bill of Lading,nor a copy or duplicate,covering the property named herein,and is intended solely for filing or record. ) Carrier No. Advarwed Ctternicat'rran5port tri~IDEsA ACTENVIR4. f . Page of , Date (Name of carrier) (SCAC) On Collect on Delivery shipments,the letters"COD"must appear before consignee's name or as otherwise provided in Item 430,Sect. FROM TO: Shipper 3fia1c tier Cotrrpxany of r atitorr:ia Consignee Ad%ance(j C"hernicat Transport, Inc (LA) Street 1010 Industrial Driv&- Street 1 w7 2 C.armenita Road city State Stockton ZR ode City {;?tnt Fe SP-11VAte A Zip Code 37U 9&&8- '" 225 24 hr.Emergency Contact Tel.No. Route Vehicle Number No.of UnitsM BASIC DESCRIPTION TOTAL QUANTITY WEIGHT CHARGES &Container Type HM UN or NA Number,Proper Shipping Name,Hazard Class,Packing Group (Weight,Volume, (Subject to RATE (For Carder Gallons,etc.) Correction) Use Only) i)UrltvsmM+Haste Lamps. mtCf`tseeit umps 14Ff VAES) f�—7 P :ACTS ) PLACARDS TENDERED: YES iM NO p REMIT C.O.D.TO: Note—(1)Where the rate is dependent on value,shippers are required to state I hereby declare that the contents of this A DRESS specifically in writing the agreed or declared value of the property,as follows:"The consignment are fully and accurately agreed or declared value of the property is hereby specifically stated by the shipper to described above by the proper shippingC.O.D.FEE: be not exceeding per ." name and are classified, packaged, COD-- Amt: $ PREPAID ❑ (2)Where the applicable tariff provisions specify a limitation of the carrier's liability absent marked and labelled/placarded,and are - a release or a value declaration by the shipper and the shipper does not release in all respects in proper condition for "" COLLECT ❑ $ the canter's liability or declare a value,the carrier's liability shall be limited to the extent transport according to applicable Subject to Section 7 of the conditions,if this shipment is to be delivered to the TOTAL provided by such previsions.See NMFC Item 172. international and national governmental consignee without recourse on the consignor,the consignor shall sign the CHARGES $ (3)Commodities requiring special or additional care or attention in handling or stowing regulations. follovnng statemen�tt,, - must be so marked and packaged as to ensure safe transportation.See Section 2 e of g The gaarieother l not make delivery of this 5hip�ent without payment of FREIGHT CHARGES P 9 P () freight rind all other lawful charges. �.. item ontr Bilis of Lading,Freight Bills and Statements of Charges and Section i(a)of � exceptFREIGHTwhen box t Check box if charges the Contract Terms and Conditions for a list of such articles. Signature except when ed at are to be (Signature of consignor) fight is checked ❑ collect RECEIVED,subject to the classifications and tariffs in effect on the date of the issue of this Bill of lading, tination and as to each parry at any time interested in all or any said property,that every service to be the property described above in apparent good order,except as noted(contents and condition of con- performed hereunder shall be subject to all the bill of lading tens and conditions in the governing clas- tents of packages unknown),marked,consigned,and destined as indicated above which said carrier sification on the date of shipment. (the word canter being understood throughout this contract as meaning any person or corporation in Shipper hereby certifies that he is familiar with all the lading terms and conditions in the possession of the property under the contract)agrees to carry to its usual place of delivery at said desti- governing classification and the said terms and conditions are hereby agreed to by the shipper and nation,if on its route,otherwise to deliver to another carder on the route to said destination.It is mutu- accepted for himself and his assigns. ally agreed as to each carrier of all or any of,said property over all or any portion of said route to des- SHIPPER I teat;cher C mpryany cf alifor,3i CARRIER stanc C- enwc PER LA R( PERF 6'1 %Iil �{ f` 4✓+.. L.. DATE Permanent post-office address of shipper. ® =a �sw�so.aEaH�M1, Ea STYLE CF375-4 ©2012 LABELI$IASTERO (800)621-5808 www.labelmaster.com NK