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Freight Charge Terms (prepaid unless marked otherwise)

Straight Bill of Lading

Original - Not Negotiable

BARCODE SPACE
BARCODE SPACE
Shipment Information
Handling Unit Package Commodity Description LTL Only
QTY TYPE QTY TYPE L W H Weight
U. 		H.M. (X) Commodities requiring special or additional care or attention in handling or stowing must be so marked and packaged as to ensure safe transportation with ordinary care.

See Section 2(e) of MNMFC Item 360

 NMFC No. Class
Totals
Order Information
Customer Order Number # PKGS Weight Pallet/Slip Additional Shipper Info
Totals

Where the rate is dependent on value, shippers are required to state specifically in writing the agreed or declared value of the property as follows:

The agreed or declared value of the property is specifically stated by the shipper to be not exceeding

FOB ."

The carrier shall not make delivery of this shipment without payment of freight and all other lawful charges.

Shipper Signature

NOTE: Liability Limitation for loss or damage in this shipment may be applicable. See 49 U.S.C. - 14706(c)(1)(A) and (B).

RECEIVED, subject to individually determined rates or contracts that have been agreed upon in writing between the carrier and shipper, if applicable, otherwise to the rates, classifications and rules that have been established by the carrier and are available to the shipper on request. The property described above, in apparent good order, except as noted (contents and condition of contents of packages unknown), marked, consigned, and destined as shown above, which said carrier agrees to carry to destination, if on its route, or other wise deliver to another carrier on the route to destination. Every service to be performed hereunder shall be subject to all bill of lading terms and conditions in the governing classification on the date of shipment. Shipper hereby certifies that he is hereby familiar with all the bill of lading terms and conditions in the governing classification and the said terms and conditions are hereby agreed to by the shipper and accepted for himself and his assigns.

This is to certify that the above named materials are properly classified, packaged, marked and labeled, and are in proper condition for transportation according to the applicable regulations of the DOT.

Shipper Signature
Date

Trailer Loaded

By Shipper

By Driver

Freight Counted

By Shipper

By Driver/pallets said to contain

By Driver/Pieces

Carrier acknowledges receipt of packages and required placards. Carrier certifies emergency response information was made available and/or carrier has the DOT emergency response guidebook or equivalent documentation in the vehicle. Property described above is received in good order, except as noted.

Carrier Signature
Pickup Date