Document 7R7VNZ3aEX9boV842x8jo1yda

(Uniform Domestic Straight Bill of Lading -- Short Form adopted by Rail and Motor Carriers June 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 tariffs in effect on the date of the receipt by the carrier of the property described in the Original Bill of Lading j from mt&mw sisvtei $&tss 00* the p.ifrerty described below, in apparent good order, except as noted (concents and condition of contents of packages unknown), marked, consigned, and destined as indicated below, whicn said carrier (the word earner being under stood throughout this contract as meaning any person 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 rouu, otherwise to de tver 10 another earner on the route to said destination It is mutually agreed, as to each carrier of alt or any of said property over all or any portion of said route to destination, and as ro each partv ai an\ time interested in ail or any of said property, that every service to be performed hereunder shall he subject to all the terms and conditions of the Uniform Domestic Straight Bill of Lading set forth (1) m Official, Southern, Western ani Illinois Freight Classifjpationa in effect on the date hereof, if this is a rail or a rail-water shipment, or (2) m the applicable motor earner classification or tanff if this is a motor earner shipment ` Shipper hereby certifies that he is familiar with all the terms and conditions of U>e said bill of lading, including those on the back thereof, set forth ui the classification or tariff which governs the transportation of this shipment, and the said terms and conditions axe hereby agreed to by the shipper and accepted for bimseif and his assigns. At MRWWMHR nwacomw March 13 - -196 2 Shipper's No. Consigned to Destination Route L & S Insulation Co, c/o Zitmns Bheetioetal' c/o Catherine's H K en8tr&~t~WTW~, Company Agent's No.____ (Mail or street address of consignee--For purposes of notification onlv) County of Sublet t 10 Section 7 of Conditions of applicable bill of lading, if tins shipn-cnt is to be delivered to the consignee without recourse on the consignor, the consignor shall sign the following statement The carrier shall not make delivery n. this shipment without payment ot freight and all other lawful charges Delivering Carrier Car Initial Car No. NO. PACKAGES DESCRIPTION OF ARTICLES, SPECIAL MARKS, AND EXCEPTIONS Mineral wool In solid flat sheets WEIGHT (Sub. to Conection) CLASS or RATE CK. COL. (Signature of consignor } If charges are to be prepaid, or stamp here, "To be Prepaid " Received $_____--_______ ___ to apply in prepayment of the charges on the property described hereon T (The signature here acknowledges only the amount prepaid ) Charges advanced "Shipper's imprmt in iieu of stamp, not a part of bill of lading approved by the Interstate Commerce Commission." The fibre boxes used for this shipment conform to the specifications set forth'' in the box maker's certificate thereon, and ali other requirements of 'Rule.41 of the Consolidated Freigfi^CIassificatior., ! This is to certify that the above articles are properly described by name and are 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 Commerce. ,t ,*If the shipment moves between two ports by a carrier by water, the law requires that the bill of lading shall shipper's weight." S'1'-carrier's or ^ Note.--Where the rate is dependent on value, shippers are required to state specificallyrift' wfiting the agreed.'.or uec^are4*-vfe?5f Ef*"tfre property The agreed r declared value of the property is hereby specifically stated by the shipper to be hot exceeding^. _ y--a -- ?` Ful samas ssmes fiB9sao. sum <ca __Shipper^ Per 6S0S1. tOOlfi K, miwmi&ss IS,SSs, Permanent post-office address of shipper: Per. V- ' - - -n.ihaM'iSfi /. L. -Agent BSIS-Roberson01923