Maritimo

 V.BILL OF LADING

BILL OF LADING
Page 1 of ______
SHIP FROM

Name:
Bill of Lading Number: ________________________
Address:

City/State/Zip:
BAR CODE SPACE
SID#:
FOB: o

SHIP TOCARRIER NAME: ShipNorthAmerica Transportation Inc.
Name:
Location #: __________
Trailer number:
Address:
Seal number(s):
City/State/Zip:
SCAC:
CID#:
FOB: o
Pro number:
THIRD PARTY FREIGHTCHARGES BILL TO:

Name:
BAR CODE SPACE
Address:

City/State/Zip:
Freight Charge Terms:
SPECIAL INSTRUCTIONS:
Prepaid ________
Collect _______
3rd Party ______

o
(check box)
Master Billof Lading: with attached underlying Bills of Lading
CUSTOMER ORDER INFORMATION
CUSTOMER ORDER NUMBER
# PKGS
WEIGHT
PALLET/SLIP
(CIRCLE ONE)
ADDITIONAL SHIPPER INFO

Y
N

Y
N

Y
N

YN

Y
N

Y
N

Y
N

Y
N

GRAND TOTAL

CARRIER INFORMATION
HANDLING UNIT
PACKAGE

COMMODITY DESCRIPTION
LTL ONLY
QTY
TYPE
QTY
TYPE
WEIGHT
H.M.
(X)
Commodities requiringspecial or additional care or attention in handling or stowing must be so marked and packaged as to ensure safe transportation with ordinary care.
NMFC #
CLASSRECEIVING

STAMP SPACE

GRAND TOTAL

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:COD Amount: $ ______________________
“The agreed or declared value of the property is specifically stated by the shipper to be not exceeding

__________________ per ___________________.”Fee Terms: Collect: ¨ Prepaid: o
Customer check acceptable: o
NOTE Liability Limitation for loss or damage in this shipment may be applicable. See49 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...