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_...... _. ..._ - _ - ..__. .V......_ ... _ ----------------- STRAIGHT -- STRAIGHT BILL OF LADING—ORIGINAL—NOT NEGOTIABLE SHIPPER NO. CARRIER NO. 2'1-r-A^' DATE CARRIER SCAC E TO pC e.c c t.i�+ �o l tic r,c�..i S FROM J::jF, E �K_ SrrV_ CONSIGNEE SHIPPER a p y^ STREET OU'IT'l3001> AV c- STREET 45�2,D DESTINATION STATE ZIPQ�K4+ ORIGIN pC.I TCJt STATE CA ZIP ROUTE VEHICLE NUMBER U.S.DOT Hazmat Reg.No. •77-- Weight DescriptionClass or Number and Type of of Packages Rate Gli �P subject to Section 7 0l conditions,if Ihis COD FEE: Remit COD to: shipment Is to be delivarad to the cana�pnee Address _ wtthoat recourse an the consignor,the consigrgr C/OD..AMT: Prepaid ❑ shell a n the bikrwin statement �+ e carrier sh I not make delivery of this CI : Ott�te: ZI shipment without payment of freight and all other Collect ❑ lawful charges -- NOTE:Where the rate is dependent on value,shippers are required to state specifically In writing the TOTAL CHARGES: FREIGHT CHARGES: agreed or declared value of the property.The agreed or declared value of the property is hereby. It specifically stated by the shipper to be not exceeding $ Per yr® E]PrepCollect RECEIVED,subject to individually determined rates or contracts that have been agreed upon in wrong between the carrier and shipper,ft sppkeable,otherwise to the rates,dassiTieatlons and rules that have been established by the carrier and are available to the shipper,on request,and all applicable state and federal regulations;the Property described above,in apparent good order,except as noted(contents and condition of contents of packages unknown),marked,consigned.and destined as indicated above which said company(the word company being understood throughout this contract as meaning any person or Wrporatian in possession of the property under the contract)agrees to carry to delivery at said destination,It on Its route,or otherwise to deliver to another carder on the mute to said destination,it is mutually agreed as to each carrier of all or any of said Property over all or any portion of said route to destination and as to each pony at sty time interested In all or any of said Property that every service to be performed hereunder shall be subject to all the conditions rot prohibited by law,whether printed or written,herein contained,including the conditions on the back hereof,which ars,hereby agreed to by the shipper and accepted for himself and his r assigns, NOTE:Liability Limitation for loss or damage In this shipment may be applicable.See 49 U.S.C.14706(c)(1)(A)and(B). This is to certify that the above-named materials are properly classified,described,packaged,marked,and labeled,and aro in proper condition for transportation according to the applicable regulations of the Department of Transportation PER: 0,-% 3:_Z%AAi_Fr OF SHIPPER: E CARRIER: ) PER: PER: DATE: f 75- EMERGENCY EMERGENCY RESPONSE NAME OR CONTRACT NUMBER TELEPHONE NUMBER: OR OTHER UNIQUE IDENTIFIER: 12278(Rev.3/17)