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This Memorandumis an acknowledgment that a Bill of Lading has been issued and is not Original Shipper No . BIII of Lading, nor a copy or duplicate, covering the property named herein, and is intended solely for filing or record . CarCO 4423 rier No . Adel Med ChuMiafat 'Vert hX4MBA ACIEWRO Date Page ri of ) (Name of carer) (SLAC) on cow on Delivery shipments, the lettere 'CCD' must appear be fore consignee's name or as otherwise provided in Ilam 430. Sect FROM : TO : Shipper Nin POW_ LU At Consignee 1r45WVj If c"Etirw Street 811 7ep" +Ch Street 74S GdrAn 81, City slat lin State CAZ(p Code City R00,A41p State CA Zip Code %ma _ =7&5-727..5 24 hr. Emergency Contact Tel. No. - --- -- ---- Vehicle Route Number No. of Units BASIC DESCRIPTION TOTAL QUANTITY WEIGHT CHARGES & Container i e H M UN or NA Number, Proper Shipping Name , Hazard Class, Packing Group (Weight, Volume, (Subject to RATE (For Carrier Type Gallons, etc.) Correction) Use Only) 2 Y .S n P 1) EMMY CCWAPER RESOM LASt>~D COWAIM& Y:5s Y � E � 1 � � � � �� fr1f �� r f < < tfjt < � r � r . I f PLACARDS TENDERED : YES © NO 4' REMIT C.O. D TO: Note — ITh Where the rate is doperdent an valva, shippers am required la state ; hereby declare that the contents of this ADDRESS spectiicoFj n writing the agreed or dedared vahp of the property. ds A.kxrva 'Mo consignment are fuly and accurately agreed or dedarod value of the property is hereby speciricalty stated by the shipper to described above by the proper shipping C.O,D. FEE: Mrid exoa6&V __ per name and are classified, packaged, oAmt: $ PREPAID ❑ ;21 Where the appksbbng tri provisions spo" a firnitation of the camera iabicty absent marked and IabelledrplawWed, and am COLLECT ❑ $ a release or a value declameon by the shipper and the shipper does not rdesso in at respects In proper condition for the Camels Iiabfgry d declare a value, the certiefs ealkky shat be lirrdtod to the extent transport aaortltng to applicable Subject Is Section 7 0l rhe Condiaorq, K 1Ns SN t` to be dekvered to the TOTAL corulgnoo without recourse m the consignor, ==not shell sign the CHARGES $ povded by such provisions. Sae NMFC Item 172, intornational and national governments) follomng statement: 11} commoaes mquinng special or adddiorial caro or attention in har4iing or slowing negulatiorm The carrier shell not make deevmy of INS shipment without payment of FREIGHT CHARGES must be or i marked and packaged a$ to annum sate tionsportation. Soe Section 2(e) of freight end AN other IaWlur chargee. FRWHT PREPArD Check bon 'ldwpoe from 3W, Bills of Lading. Freight Bilis and Statements o1 charges and Section its) of a where box at Elere tie be the Contract Terns and Conditions for a list of Such articles. Signature ttiea"Ve d Conerrpr) � RECEIVED, subject to the dasvhwlions and tarots in ofed on r* date of the issue of tiffs 871 of Lad1g4 enation and as to each parry of any time interesiod in as or any said fimpetty that every Samoa to be he properly described above it apparent good ardor. except as noted (contents and condition of con. performed hereunder shat be shb)ed to as the bill Of WN terms and oo 4Wis in the governing das• fonts of packages unknoerri . marked cons". and desibnotl as indicated above wtdch said tattier sificaton on the dale of shipment, fine word tamer being understood throughotA this contract as meaNvp any person or corporation in Shipper hereby certifies that he is Ismilear with as the lading terms and conditions in the possession of the property under the contract) egress to prop to as usual piece of def" at said desr goveming classification and the said lames and wnd(lions are hereby agreed to by the shipper and nation, it on its mute, Ol arw;sa to deliver to another carder on the rdra to Said deebeabon. It is menu• accepted for himsell and his assigns. sly agreed as to each carder of all of any d, said propery over all of any porion at said rests to des• SHIPPER Niagara BoldIM LLC CARRIER A&MUW 0MratiiC41 Tqh h1a.1rRA PER PER yj DATE Permanent post-office address of shipper. X'«cO ° „” STYLE CF375.4 02012 LABEAM TER (& (800) 621 .5808 www.labelmasteccom two-