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Is an acknowledgment that a BIII of Lading has been Issued and la not Original <br />This Memorandum <br />BIII of Lading, nor a copy or duplicate, covering the property named herein, and is <br />Intended solely for filing or record. <br />Adbanoed Chill ilcsl TrairtSport Hear. {Sv} <br />s of <br />(Name of carrier) <br />r ,1 on Delivery shipments, the lettere "COD' must appear bolero eonelgnee's name or as oli lm provided In Ilam 430, Goo. 1. <br />Tb: AchowAxii G ical Treatment <br />Consignee <br />Street 813.3 Edth Bhd NE <br />City Albuquerque state � Zip Code 57107 <br />Shipper No. <br />Dom <br />Carrier No. <br />Date if� <br />(ECAC) <br />FROM: Tracy L coatics DBA Slloi tun Loosttcs LLC <br />Shipper <br />Street 41991 Gibtraher Cf <br />City Stockton State CA Zip Code 95211M <br />-$W785-7225 <br />24 hr. Emergency Contact Tel, No. <br />Route <br />Vehicle <br />Number <br />No, of Unite <br />&Container Type <br />�� <br />BASIC DESCRIPTION <br />UN or NA Number, Proper Shipping Name, Hazard Class, Packing Group <br />TOTAL QUANTITY <br />(Weight, Volume, <br />Gallons, etc.) <br />WEIGHT <br />(Subject to <br />Correction) <br />RATE <br />CHARGES <br />(For Carrier <br />Use Only) <br />1 11, W41950, ernedist, 2. 11, UnivmMai Waste 2 <br />HEA1 TIi [ F <br />�a 2Trlick- <br />PLACARDS TENDERED: YES I:= NO O <br />REMIT <br />C.O.D. TO: <br />ADDRESS <br />Note — 0q Where the rate le dependent on value, shippers are required to state <br />speclllalfy In writing the agreed or declared value of the property, as follows: 'The <br />agreed or declared value of the properly is hereby specifically stated by the shipper to <br />benolexcesdinp per_ <br />(2) Where the applicable tariff provisions speolfy a limitation of the carrel liability absent <br />a release or a value declaration by the shipper and the shipper does not release <br />the cal liability or declare a value, the carrier's liability shall be limited to the extent <br />Provided by such provisions. Son NMFC Item 172. <br />(3) Commodities requiring appwlot or additional core or Attention In handling or stowing <br />must be so marked and pacul as to ensure safe transportation. See Section 2(a) of <br />Item 36018111a of Lading, Freight Bills and Statements of Charges and Section 1(a) of <br />the Contract Terme and Conditions for a Ilei of such articles. <br />I hereby declare that the contents of this <br />consignment are tufty and accurately <br />described above by the proper shipping <br />name and are classified, packaged, <br />marked and labelled/placarded, and are <br />In all respects In proper condition for <br />transport according to applicable <br />International end national governmental <br />regulations. <br />Signature <br />'" <br />COD Amt: $ <br />C.O.D. FEE: <br />PREPAID ❑ <br />COLLECT ❑ $ <br />Subject 10 9ecuQ of oonditlas, If Ihle ahlpmenl IN to be delivered to the <br />conal nee without recouree Ina comignoa the consignor shall sign the <br />IellowPna ata' nt: <br />The earn shall not make d. Ngry of this shipment without payment of <br />freight and all r lawful chergex' <br />.� <br />TOTAL <br />CHARGES e <br />FREIGHT CHARGES <br />FREIGHT PREPAID Check boz N oharyee <br />t when boz I ere to a <br />ams?.=d' <br />dgm Ps chocked ❑ collect <br />laittl oI contig r) <br />RECEIVED, subject to the classifications and tariffs In effect on the date of the Issue of this BIII of Lading, linadon and as to each parry at any time Interested In all or any said property, that every service to be <br />the property deecrlead above In apparent good order, except as noted (contents and condition of con• pardoned hereunder shall be subject to all the bill of lading terms and wndillons In the governing cles. <br />tents of packages unknown), marked, consigned, and destined as Indicated above which said carrier ellicadon on the date of shipment. <br />(the word carder 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 condldons In the <br />possession of the property under the contract) agrees to carry to Its usual place of delivery at add dean• governing classification and the said terms and conditions are hereby agreed to by the shipper and <br />nation, If on Its route, otherwise to deliver to another anter on the route to said destination. It is muco• accepted for himself and his assigns. <br />ally agreed as to each carder of all or any of, said property over all or tiny portion of eaid route to dee• <br />PER lacy Loglistics DBA Shx.*tw Lxiostics LLG CARRIER Adiumced ChwuiiA Tranftt'.�slt Irtc (1,N) <br />PER <br />Permanent poet-oNlee address of shipper. ,, . -o -� <br />.i".o..r:,, ....r #,- <br />P <br />PER <br />DATE <br />STYLECF375.4 02012 LABELMASTER® (800)821.5808 www,labolmaster.com <br />11 <br />IN <br />