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STRAIGHT BILL OF LADING —ORIGINAL— NOT NEGOTIABLE Shipper's No. Carrier rz*n2afj SCAC Carrier's No. RECEIVED,subject to Individually determined rates or contracts that have been agreed upon in writing between the carder and shipper,if applicable,otherwise to the rates,clessilicalions and rules that have been established by the carrier and are available to the shipper,on request;and all applicable state and federal regulations; at , date fro �� t,322c5 the Property described below,in apparent good order,except as noted(contents and condition of contents of packages unknown),marked,c igned,and destined as indicated below,wh ch said company (the word company being understood throughout this contract as meaning any person or corporation in possession of the property under the contract)agrees to carry to delivery at said destination,if on its route,or otherwise to deliver to another carrier on the route to said destination.It is mutually agreed as to each carrier of all or any of said Property over all or any portion o1 said route to destination,and as to each party at any time interested in all or any of said Properly that every service to be performed hereunder shall be subject to all the conditions not prohibited by law,whether printed or written,herein contained,including the conditions on the back hereof,which are hereby agreed to by the shipper and accepted for himself and his assigns. TO: FROM: Consi nee l�E��/, y ,,y d Shipper , ,,.7 o ' e?,,z ekl, Street j z �, c� 7 �5�� Street Y-1 r ,Yy9jA p Destination ;1� Zi ��+' c Origin Zi � 5 Route Delivering Carrier Vehicle Number U.S. DOT Hazmat Reg. No. CQ Try It r'' _._._........... -- - - SMr Z/513�s _ -- -1..._.-_._.____._ ._..._...__._. .._......._.._.... -- ------ - _............ ..................._.__...__. emit COD td: Subject to Section 7 of conditions,If this }� C®D FEE: ahlpMarl is to be delivered to the consignee ® AMT: �ddreSS: wllhout recourse on the consignor, the cons)9nor shall sign the following statement: The carder shall not make delivery of this Prepaid ❑ _,ItY: State: Zip: shipment without payment of froighl end all Collect ❑. =without charges. TOTE:Where the rale is dependent on value,shippers are required to stale specifically in writing TOTAL CHARGES; to agreed or declared value of the property.The agreed or declared value of the property is FREIGHT CHARGES: sreby specifically slated by the shipper to be not exceeding$ Per (Signature of Consignor) $ ❑Prepaid ❑Collect OTE:Liability Limitation for loss or damage In this shipment may be applicable.See 49 U.S.C. .g 3706 c 1 A and(8). ❑BY SHIPPER ❑BY CARRIER its is to certify that the above-named materials are property classified,described, ° ° P oP Y packaged,marked •• id labeled,and are in proper condition for transportation according to tho applicable regulations of e ° DRIVER'S a Department of Transportation.Per SIGNATURE: HIPPER:+ Oi CAR IER: ER: tkDATE: DATE w: r [WEPIGENO—V RESPONSE NARIE CIE"'. CONTRACT UMBER 'I..Ir?i C3tii?::t�iLIftR15E C9��7Z�-'r�� bri ar I-IrR I.NIC),U7 IDEM T sFff-:: 3LS-C3 969(Rev.9/10)