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1nismemoranoum ,�,..—La",n-g," -oil -C..Py.....p., ,a,g-,� P,rtY'u tete and
<br /> Bill of t-adin nor a Co or du liCate,Colrerin the roe named herein,and Is Shipper No.
<br /> intended solely for filing or record.
<br /> Carrier No.
<br /> ADVANCED CHMCAL TRANSPORT, INC.
<br /> Page air� -�
<br /> Date 02/W,/2017
<br /> (Marne of carrier) (3CAC)
<br /> C an Dativery shipments,Ina latlars'COD'must appear before consignee's name or as othetwrse prodded in Item 4W,Sac 7- FROM: 66 a l�:ie,J E�L�¢'1L�aw.,� $/ y
<br /> TO: Wntwa U�School
<br /> �id Shipper MR ifs~School i�rA Wil H10
<br /> Consignee Street 4U E Yosaa�Awl
<br /> Street �' 7 + City 1= State CA Zip Code "'M
<br /> City �4 State GA Zip Code 96330 OWK-72.26 PALMUM)
<br /> 24 hr.Emergency Contact Tel.No.
<br /> Route Vehlcie
<br /> Number
<br /> No.of Units H M BASIC DESCRIPTION TO'T'AL QUANTITY WEIGHT CHARGES
<br /> &Container Type UN or NA Number,Proper Shipping Name,Hazard Class,Packing Group (Will lot .oft.)Volume, (Subedit to RATE (Us Cal
<br /> Gallons.etc.} Correction} lied Ontyf
<br /> cxic� -1 Ems`
<br /> I UiiY3, C,.Tact,ft*t ,oepMit,Ro-S.
<br /> V -! LN�[Z a,Taxis„i ids,omit;Ro.s. io�+dorlri
<br /> � s r
<br /> TON14 31 all1�ll.Ras.( y
<br /> UN-1992,FIA.—Anable s.tom,eaoes.�Chl(iprCrFa'att,
<br /> L_ [►{ 2B10,Ttoti gids,oe�nie,ties. onl��errs
<br /> L1iZi2,FisnrU6le Rq�idt,taock,Ras. fa�orn�,,
<br /> 43267,CMTDSWC 5946,6asL-e,orpmr.n.0aL i J
<br /> 1 f
<br /> UNM10 "I'Mir.ii*idk o1VN bq,rL*L{
<br /> al
<br /> poll
<br /> -tNMC,Tor IBgWkh6 oWnir.nA3 a.{ddoil loo rn
<br /> _, y -1 1f),Tc� ti ,oq. sow i,noes.(dwivr+o a�Te
<br /> it 19 Pill,t I I
<br /> -X267, bade,atpirik tics.
<br /> -Cil lo,TO344�. �,.;Lts.�.#d>lialria�+arm L"2 f`
<br /> r. r
<br /> PLACARDS TENDERED: YES M NO =3 _REMIT
<br /> Nate—111 Where the rale is deponderll on value,shippem are required to mete COl TO:
<br /> specifically in among the agmed a dedvad value d She propery,es ldbws:"The I hereby daGere#+a"Vie contents of this ADDRESS
<br /> —
<br /> c
<br /> ce declared value d me consignmem are fully and accurd"
<br /> Property is hereby qty males M ore anirper to clear,shed above "fie roper sn _
<br /> m r,a a:�edng ver M P vying -- ^-+_ C.O.D.FEE-
<br /> Where the appgabie larm Provisions specify a laratrraon ar that comers kabety abserr. name aria ars classified. packaged, COD Alflt: $ '^--^-�� PREPND ❑
<br /> a release or a value dec"aration by ore shipper and the shipper does not release madred and Eanee'Ied�oacarded.antl are �''-ti-. COLLECT ❑ $
<br /> Me
<br /> camera habr in all respects in proper condition for
<br /> NY a dedare a value.the amens aehia[y ereall be rirtuteof to ire e>nanl transport according Ed ePPlirahle sugea d Srleam 7 of ar norr�usr.,a the.honarn a m r,a felrrered w eta TOTAL
<br /> provitletl q"sura provieorrs.Sae NMFC teem 172. intemadonal and natimai gpvemmemat canaipnea aarwut raeouna on the caaegnsr, in,conog—all sign the CFfARGE3
<br /> []}Commodores requiring special or atldldonel care or enen[ipn m nandeng or alaannp regdlatluna- m Tho ahao not make dfolrva poem wleraur pa mem m FREIGF{r CHARGES
<br /> must be W marked end packaged ea to amara sale transportation.see Sechon 2(a)at Ireign"coil as ornp.lewlu"•dterges, ry M this.hi pay
<br /> "m
<br /> 3W,Bills of Lading,Freight Bills and Statements of Charges And Section 1(a)of FREH3Hr PREPNQ Ct is hexa d,ar9..
<br /> the ControlTenn$and C°ndmons for a list at such articles. Signature "al at—hol m ❑ —t be
<br /> 1&t7�.wre a rm.,pnr'
<br /> V"is deededCad
<br /> RECEIVED,subject to the dansifiC2160M and tariffs in 2`10l on fie dale of the isle of M BN at Ladhg, tirarion And es ro each parry at any time intereatad m 0o arty sae property,Vim every serves m
<br /> the property described above in apparent good order e.cepl sa naiad(canons,and oondtepn at carr
<br /> tarts of packages tnkinal-marked,consigned,lmd tleatined as ett'ilaled abode which sold cikmar be performed hereunder she➢be sAill to all to bili of 4dN cerme ane conddi°ns n the gonamng oaf
<br /> snc�aWn on the date o1 shipment
<br /> (tlra word dorms pang undininly will
<br /> In fhmugho�t mea Donis-as me usual any perm er mrmid die n Sn,pper heresy c,a r s that fti is lemsar nn or pre�,aing term.and mndm_�.the
<br /> pcasasar°n d ate PropMy user the elver 10 a al m ca.^y to its rm,m Plain Of delivery rtnab an soa eaetr gnveming daeaifinal and the sed lemv and oxxi s are hareby agreed t°by the Shipper and
<br /> radon,d d dr re ow Otherwise o m format 10 anal opener on Ire route to said oeof mdoro t e odor
<br /> etxAp[ed for hmsell and his assigns-
<br /> mryagreed as to ern carne.sol all or any ol.said property over eA or any pcv>:on of said nada ro dei-
<br /> 'ER ar
<br /> )taCaUn fed School DiArfn.f(WntECa Hlgit) CARRIER AdY pe� Fh=kW Trwsporl Irm.
<br /> PERy—
<br /> PER '
<br /> DATES { [ I
<br /> Permanent post-office address of shipper, ,,,,,Ptrttr-��- STYLE F375-3 C 2012 LAKLT IASTER• IBM)621-5908 ..labelmaster.com
<br /> oruwrt&or:aecramsv,aan aiKno,err»•
<br /> ua»o sorapwa ir: $soy CNK
<br />
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