Document 4JnpBzb9D34MdDRNZ2QgqZOOR

(Uniform, domestic Straight Bill of Lading -- Short Form adopted by Ratl and'MotprCarners Jgqe 10, 1949.) THIS MEMORANDUM is an acknowledgment that a bill of lading has been issued and is not the Original Bill of Lading, nor a copy or duplicate, covering the property named herein, and is intended solely for filing or record. RECEIVED, subject to the classifications and tariffsin effect on the date of the receipt by the carrier of the property described in the Original Bill of Lading. - . FROM SPTilMil- I flUA.t S4LSS S'O* the propertyAJescrihed below, in apparent good order, except as noted (contents and condition of contents of packages unknown), marked, consigned, and destined as indicated below, which said carrier (the word carrier being under stood 'throughout.this contract as meaning any fsrson or corporation in possession of the property under the contract) agrees .to carry to its usual place of delivery at said destination, if on its route, otherwise to deliver .to anotner earner on the route 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 party at any time interested ai`._?r ar!>' ( said property, that every service to be performed hereunder.shall be subject to all the terms and conditions of the Uniform Domestic.Straight BQt of Lading-set forth (1) in Official, Southern, Western and Illinois Freight Classifications in effect on the date hereof, if this is a rail or a rail-water shipment, or (2) in the applicable motor carrier classification or tariff if this is a motor carrier shipment. Shipper hereby certifies (hat he is familiar with all the terms and conditions of the said bill of ladings including those on the back thereof, set forth in the classification or tariff which governs the transportation of this shipment, and the said terms and conditions are hereby agreed to by the shipper and accepted for .-himself and his tvssigpsi . At KgtgCh. 3DrT,9feg' ____ Shipper's No. Consigned to Destination Route o/o Cunningi&m BVos-. Beloit, ;rt, Delivering Carrier Car Initial NO'. PACKAGES . DESCRIPTION OF ARTICLES, SPECIAL MARKS, .AND EXCEPTIONS -Mineral vt&ol- Company Agent's No. (Mail or street address of consignee--For purposes of notification, only.) County of Car No. WEIGHT . (Sub, to Correction) t 3 cZ*# Subject to Section 7 of Conditions of applicable bill of lading, if-this shipmentis to be delivered to the consignee .without recourse on the consignor, .the consignor shall sign the following statement: The carrier shall not make delivery of this shipment without payment of freight and all other Lawful charges. . CLASS, or RATE CKCOL. (Signature of consignor.) If charges, are. td- be prepaid, write r stamp hero, "To be Prepaid." - Received' :____ ':__________ --: -___ . to apply in. prepayment.of the. .charges on the property described hereon. . Agent or Cashier. (The signature here acknowledges only Ute amount prepaid.) Charges advanced: This is to-certify- that tire- above articles are properly described by name and aie packed and marked and are in proper condition for transportation according to -the appli cable regulations prescribed ;by the Interstate Commerce Commission .and' the Secretary, of Comiheroe. ; ... \-.?' . ' Shipper's imprint in lieu of. stamp; not a part of bill of lading approved by the Interstate Commerce Commission.'' The hbre boxes used for this shipment conform to the specifications set forth in Die box .maker's .certificate thereon,'arid all other-requirernents-'of-Ruterfi of the Consolidated Freight Classification. *ff the shipment moves between two ports, by a carrier-by water, the-hw. requires that the bill of .lading shall state whether, it is "currier-s or shipper's weight," . ' ' ' ' ' .. ' v Note.--Where the rate is dependent on value, shippers are required to state specifically in writing the agreed or declared Value of ithe-property. The agreed or declared value, of the property J hereby specifically slated by the shipper to be not exceeding . _ Shipper,. Per.____________________ Permanent post-office, address of shipper: . -6W W, tofisfe P-Z9, Per. -Agent BSIS-Robers onO 0 4 8 6