Bill of lading

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Date: BILL OF LADING Page1 of 2 |
SHIP FROM |   |
Name: | | Bill ofLadingNumber: |
Address: |   |   |
City/State/Zip: | |   |
SHIP TO | Carrier name: | |
Name: | | Location#: | Trailernumber: | |
Address: | | Seal number(s): | |
City/State/Zip: |   | SCAC:|   |
CID#: |   | FOB: | Pro number: |   |
THIRD PARTY FREIGHT CHARGES BILL TO: |   |
Name: |   |   |
Address: |   |   |
City/State/Zip: |   | FreightChange Termas: |
SPECIAL INSTRUCTIONS:| Prepaid: | Collect: | 3rdParty: |
  |
(Check box) | Master bill of Lading: with attached |
  | | underlyingBills of Lading |
CUSTOMER ORDER INFORMATION |
CUSTOMER ORDERNUMBER | # PKGS | WEIGHT | PALLET/SLIP | ADDITIONAL SHIPPER INFO |
| | | y OR N | |
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GRAND TOTAL |   |   |   |   |   |   |
CARRIER INFORMATION |
Handlingunit | Package | Weight | H.M. | Commodity| LTL only |
QTY | TYPE | QTY | TYPE | | (x) | description | NMFC# | Class |
| | | | |   | |   |   |
  |   |   |   |   |   | |   |   |
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  |   |   |   |   |   | GRAND TOTAL |   |   |
 Where the rate is dependent ton valueshippers are required to state specifically inwriiting the agreed or declared value of the property as follows: | COD Amount: $ |
 “The agree or declared value of the property is specifically stated by the shipper to be not exceedingper ” | FeeTerms: |
Collect: |
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Prepaid: |
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Customercheck aceptable: |
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NOTE Liability Limitation for lossor...
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