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STRAIGHT BILL OF LADING—aRFGiNAL—NOT NEGOTiAgLrz SHIPPER NIO. "" 4 <br /> CARRIER NO..DIM if D03 <br /> _ <br /> _.. DATE <br />�RRIER SCAC <br /> C]NSIGNEE t v 1 Ca SHIPPER <br /> FREET k V1 t i ��t G �•� STREET (050 M'61 C 011 n qc L ~. <br /> ESTINATIONNn L '�a� ��-/ STATE�J�'3 4��� ORIGIN i ° ��1C. STATC-44 AWV 3 <br /> DUTE VEHICLE NUMBER U.S.DOT Hazmat Reg.No. <br /> ■ Weight <br /> D-of Packages ■ ■ Class 0) <br /> umber and Type HPA + r <br /> 2� <br /> (subject to <br /> correction) Rate <br /> G� <br /> emit LOQ to: �BG i0 SGG10n 7 d Condileorls,if lhii �+ <br /> shlpmanf re delivered Id Ine aonaignea V ® RMT: COD FEE. <br /> . <br /> wilhnal recousa an the awfplar,the van�9rwr I� <br /> dress: sFWhsignlrlotpb0wingetelemenn Prepaid <br /> t lrfihee Carcler <br /> .0'0'me ery aaF IEneState: Lt of Irelghd iS <br /> - Collect ❑ <br /> _..- _ <br /> RE:Wherethe rate Is dependant an value,shippers Are required to state specifically in writing the TOTAL CHARGES FREIGHT CHARGE <br /> Gad or declared value of the property The agreed or declared value of the property is hereby E- <br /> iclfically stated by the shipper to be not exceeding $ Per y ar a r $ lar®paid o Callect <br />'.1k"IVE6.SvlljEt[!a irld+sduaNy rldteenilnAd Nes 4r f.0nle,kC15 lH3r Hav¢Doan agreelS irparl n xn!¢gi trelwcen lltrr GA1 rIRr ii+11i;IIR7SMN,it updicxb[a,afharellw CO the[BI@6,cia 54ilicatwlss anA 1rYea FOAr htW.1 u¢pn p9tlWigliad 0y Ins carr."r find am avarlr <br /> w stepper,qo regb r.find 3S w st3tc wid Iedesal r3g0r1rian$:Iha Pl67xly dMFibad-'410M to JApardllt{{0041 order 0%e0p1 as anlad(COrlkalp she candilms 01 r!otltrnis of pftc teem urd fit m1).marked.C9p5ignCiI,arnf desllilQO MP iWRU <br /> fila LLiffLtl SStd COnlp wy pho Mill emeh]ary M119 unda"Low 1h10 o4l)ul 111i3 Cetnirad A8 rrurnnpig:Inv Lemon 0r orpnml 0111h Ib swond 01 die PMMIy lwdw IhO w"llad)mjte0&t yr mm[y w'16.Cry Ar yard derlelaball d W1 rEx Mile.at olhviw <br /> m"td ahmnOr""Ier 011111E 401lu%31110evirTien-II is rnrHuc,uy aLyucd and to Ulicn Carne!al'70 m-Py dl sued preowly avar ail W ally p0fl:nfl 01 RW1fd+0nr010 de5lMti0h W IS t0 Gad,pvly al any INEW,wfiweil6d in at of we-A saki Rapany il,r ' <br /> rifle IA bo I)dAW10dd hp[■dn0d1 S110 Ila SueILC[!a�I In8 c0eVL WA AM w*hluitcd ray rww,whethe,Oftwo ot:Vtlllerl,harmn,:an rd1111i0,inCGukng ilia VWMUM',an DW hIC11110tegl,1044.410 heret j atIMW til try Gla Sllggw and amrfti tw P41,lig.11111iut <br /> TE:Untillity umltation far loss or damage In ails abipm■W maybe appl€cable.see 44 U.S.C.14706(c){1KA]and(B), <br /> its is to certify that the above-named materials are properly classified,described,packaged,marked,and labeled,and <br /> e In proper condition for transportation according to the applicable regulations of the Department of Transportation PER: <br /> 11PPEl t: CARRIER: y tv ream- la <br /> a <br /> PER: _ _-' t t der Viet vkk�. <br /> DATE: ' — <br /> IMERGENCY RESPONSE NAME OR CONTRACT NUMBER <br />'fLEPHONE NUMBER: OR OTHER UNIQUE IDENTIFIER: <br /> I <br /> 277(Rev.3117) <br />