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rr� p M� n acknowledgement that a bill flading hasb Issued nd is to Originalae fLading, r <br /> o SHIPPER NO. <br /> tllr' a copy or duplicate, covering the property arged fisgi addIs Intended solely for fll g or formalIrr <br /> tI& 1CARRIER NO. <br /> DATE <br /> SCAC <br /> FROM <br /> )ONSIGNEE - SHIPPER <br /> A, 1 7 4 2 r L <br /> . . .-. - y . , _- ., .. <br /> iTREET • , - _ STREETIf <br /> , <br /> )ESTINATION STATE .ZIP ORIGIN f STATE ZIP <br /> 30UTE VEHICLE NUMBER U3 & UOT I- li rtti i :J, o, <br /> r � . <br /> fn If <br /> tt � - <br /> If, <br /> if <br /> s <br /> ilAe <br /> „ s,r;. �°� r :°•r r tbE9-�r� <br /> It 'rA <br /> e ... <br /> ref 1% 7...- <br /> Ira, It <br /> ,, 3 . <br /> If/ If <br /> - t r`�ir� f . .r - •J f' �; lir, v,.= ` <br /> flirf <br /> s <br /> if It I <br /> cy <br /> Subject to silence ] of conditona f this COD FEE : <br /> iemit COD to: shipments to be delivered to the consignee COD AMT: <br /> signed rise on the consignor, he consignor <br /> lddress: hell g M1 folloang statement Prepaid ❑ <br /> The center shad not make delivery, of this <br /> ;ity: State: Zip: ia„pelehaas:m'tpaymentnureghtandalnxer Collect ❑ � <br /> OTE: where the rate is dependent on value, shippers are required to state specifically in wr9ing the TOTAL CHARGES: FREIGHT CHARGES: <br /> greed or declared value of the property. The agreed or declared value of the property is hereby dd.. <br /> emhcally stated by the skipper to be not exceeding $ Per (sgatue of Consigned W ❑ Prepaid ❑ collect <br /> ECEIVED, subject to individually determined rates or contracts that have bean agreed upon in waling between the carrier and shipper, if applicable, otherwise to the rains, classifications and rules that have been established by the carder and are availate <br /> the shipper, on request d all applicable state and federal regulations; the Proremay described above In apparent good order, except as noted houses and condition of contents of packages unknown) marked, consigned, and destined as Include <br /> which said company (the word company bong understood throughout this contract as meaning any person or conversion in possession of me property under me cal agrees to carry to delivery at said Best nat on, If on its route or otherwise <br /> river to another carder on the route to said derstnaton lf-is t mutually as to each carder of all or any of said Property over all or any proton of said route to destination and as to each party at any lime Interested In all or any of said Parody that eve <br /> airline to be preferred hereunder shall be subject to all thed' not prohibited by law, whether punted or written, herrn contained, including the conditions on the back hereof, which are hereby agreed to by the skipper and accepted for himself and <br /> ;signs <br /> OTE: Liability Limitation for loss or damage in this shipment may be applicable. See 49 U.S.C. 14]O6(c)(1)(Ahand (B). <br /> his is to certify that the above-named materials are propoily classified, descrlb irk packaged, marked, and Iausled, and <br /> to in proper condition for transpoifatlon according to file applicable regulations of the Deparinlent.o3 Tr nsponailo -i PER: <br /> - hr ,' ,y1Yf• ,I Std , . . . f Ar� <br /> NIPPER: CARRIER. ` ' f <br /> til <br /> 4 <br /> ER `E`� /r .11 'til ity . a ,fl l PER � `r o-.1 + � ll <br /> DATE t i <br /> MEHGEriC d 9ESPOINSE 'idkitlL Vit? C 1 T IRb,'i M4 kipsE0 <br /> I:ELEC`'& 9�3fiNE MUM�En: Q t 9I -,it idlNICIU, iDir3b)°d, '1"ag <br /> 1 -BLC-03 12267 (Rev. 9/10) <br />