Document 91Gw3gyeX3j9OwLg26ZdryGvD

(Uniform DonresRc Straight Bill of lading -- Short Form adopted by Rail and Motor Cornerstone 10, 1949.) 'V . 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 oh the date of the receipt fey the carrier of the property, described in- the Original Bill of Lading:. FROM BlfI.LS>fM&;. SfiflSJ- IffHIISf i S At ? A L i S the property described below, i apparent good ordc-r, exceptt as noted (contents and condition of contents of packages unknown), marked, .consigned, and destined as .indicated below, which said carrier (tin; word carrier, being undcr. stKjid throughout this contract as meaning.any person or corporation in possession of the proper`ty und'er th' e con'trac"t). agrees t' o carry to I'ts usua'l p'lace o-f delivery a.t...s..a..i.d....'.d..e..s..t.i.n..a...t.ion, if on its route, otherwise to deliver another carrier _ 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 to each party at any time interested TM a^..or any of said property, that every service to be performed.hereunder shall be subject to ail the terms and conditions of the Uniform Domestic Straight Bill of Lading set lorth (1) Official, Southern, Western and Illinois Freight Shipper hereby certifies that he.is familiar with all the terms and conditions of the stud bill of lading, including those c 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 hfs assigns. , At m1 7 Shipper's No. Consigned to Destination . )rti3&8wm 7 oks 0rj>, lij.00 X3tt> street ftetokfor-d, Illinois state of Route . -; Delivering CarrifilT^GtodF- .Vk$S*3Car Initial ' .' NO.-: ' -PACKAGES- ' DESCRIPTION' OF:-ARTICLES, SPECIAL' MARKS, AND EXCEPTIONS- Company Agent's No._ (Mail or street address of consignee--For purposes of notification only.) ' County of -, Subject to Section 7 of Conditions of applicable hill of Jading, if this shipment 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 of this shipment without payment of freight and all other lawful.charges ' Car No. (Signature of consignor.) If charges are to. be.prepaid, * . . WEIGHT CLASS ON or stamp' here, "To be Prepaid." (Sub. to Correction) . . or RATE COL. Adhesive M -IF? to apply in prepayment of.the charges on the property described hereon. ' Agent or Cashier. Per -- - ; - - (The signature here acknowledges only the amount prepaid.) '. Charges advanced; This is to' certify that the above articles are. properly described by. name .and dre packed and marked and are in proper- condition fob. transportation according to the appli cable regulations prescribed by the Interstate`Commerce Commission and the Secretary of Commerce. ; "Shipper's imprint, in lieu 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 all other requirements of Rule 41 .of the Consolidated Freight Classification. IT the shipment , moves between two ports by a carrier.by. water, .the law. requires that the bill of,lading shall state shipper's weight." - .: : .. ` . Note.--Where the. rate is dependent on value, shippers are required to state specifically in writing the The agreed or declared value of. the properly is hereby specifically- slated by the shipper to bo not exceeding ' '5r _ " ' \ "carrier's or' :t%.o^ie property. .mmm&mma;'eg, .. Permanent post-office address of shipper: Shipper^. Per ta, $. BSIS-Roberson00215