Bill of lading
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: |
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(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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