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STRAIGHT BILL OF LADING—ORIGINAL HOF NEGOTIABLE <br />SHIPPEC, ILr)jVV5-j(pi <br />^, CARRIER NO. <br />DATE `Z • <br />CARRIER SLAC <br />CONSIGNEE +�A lr N I V v 1 TOSSHIPOPER I j reA l V V <br />STREET ' U \J F 1 r " ' STREET W (C ! " J 1 t G IC V" <br />DESTINATI&� � �'I + STAT �p�— �Q ORIGIN �G�C STATE�i4 F Z) <br />ROUTE VEHICLE NUMBER U.S. DOT Hazmat Reg. No- <br />w <br />Remit coo to: 5aal.G w SOOM id mdlgta a bw GOD FEE: <br />�Mywrel�w as arrr aw 1rae CQD AMT: ' <br />Address: a�sre ^�•°• "� °°� "a <br />Prepaid ❑ <br />State: Zi : 1111110er *may + $ Collect ❑ <br />NOTE: MA" rhe rat to dapandety on wta., 4tipp" are required to state specMeally in vwribng the G���re� CHARMS <br />nMn� <br />agreed or dodamd vaim of ha property. The agreed w declared valva of the property is hereby TOTAL CHARS: FREICtHT CHARM <br />spedeCaNy shad by to slapper to be rwt sieceadny i Par ,$ D Pmpaid D omect <br />taECENEO. lkrblaN a ireridtsMy br_rarat:rad rdrea a m,raua Om hr a near mesa Wdn .n ,eahq aaaasn ew teeter ttrktl crypr Y appows to otlrarawa w dw rates. GWIMACadms and n"ln mat rreue aeen aaateadwe sY the rimer and ane avaa: <br />w aw rAepar. m weaaa(: wM al Avoka rM mw ane tayuaa raparwalta ew waaarr daartsed MOW a appatwM tam area; eaeay n nawd {danleNs ane cd deo a eonbtn at padeges urMa nenf, nernwd, eaes(ptad and dea1V Ed as indica <br />adarea ris W ar6 m W an lMe rad Cnperry behV w;botl >hrot q« ft oewact n awswR rI Oagr�rl «oap�aeat ar eaaaawt7n al 4w ee0patr tnaer ew pntatQ iQaa6 a wrr9 w d.1m, ar "a dieewwook a an is MAL «bewnwr <br />attar w ar dewaardxm 4wnaM b said dew"- a t: aalhwrN e0 aed ae w aadt tw card r gra y d sme RaparrY per tr «rq t e Mr r d read wnw ra dap eaean and n p 0aeh party al a" b" aMarasrb n •t a any al amp sorry awl p <br />farvMi w tw t+�0 aaergder � ee mLlatr w as dw Oaaedar• nal pr z." t" law. Mwtls ortnsd «rrnlwn, neran ciont—d �V dw awssam m am back Mad, akrw tea nxmr eWOW b by vw slapper aad aadapeM er t 144 and <br />NOTE: Usbatry Urrittatbn for less w da ape in 9da shipnaim may M app9table. yes 49 US.C. 147d6(Cgt I(A) ane (B� <br />This is to certity that the above-named materials are properly classified, described, packaged, marked, and labeled, and <br />are in proper condition for transportation according to the applicable regulations of the Department of Transportation PER. <br />EMERGENCY RESPONSE NAME OR CONTRACT NUMBER <br />TELEPHONE NUMBER: OR OTHER UNIQUE 1DENTIFtER= <br />12277 (Rev. 3/17) <br />