Document KzypzL10EpKjbpmoYd9Z5R1pw

(Uniform Domestic Straight Bill of lacing -- Short Form adopted by Rad and Motor Corners 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. FROM the property described below, ir> 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 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 route, otherwise to deliver to another. carrier on the route to said destination. It is mutually agreed, as to each carrier of ail or any of said property over ail or any portion of said route to destination, and as to each party at any time' interested in ail of any of said property, that every service to be performed hereunder shall be subject to all the terms and conditions of the Uniform Domestic Straight Bill 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 sliipment, or (2) in the applicable motor carrier classification or tariff if this is a motor carrier shipment. . Shipper hereby certifies that he is familiar with all the terms and conditions of the said bill of lading, including those on the back thereof, set forth in the classification or tariff which governs the transportation of this shipment, and (he said terms and conditions are hereby agreed to by the shipper and accepted for himself and his assigns. . At June 9-*- m Shipper's No. Company Agent's No_____________________ (Mail or street address of consignee--For purposes of notification only.) Consigned to L & S Insulation Cospasy e/o Bonold. Company - Destination___________ e/o Sorden Chemical CQife3feef West of Highway ihl Route ______ Sheboygant Kisconsin__________ County of Subject to Section 7 of Conditions of applicable bill of lading, 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. Delivering Carrier Car Initial NO. PACKAGES // DESCRIPTION OF ARTICLES, SPECIAL MARKS, AND EXCEPTIONS Mineral wool in solid flat sheets X A J* Car No. WEIGHT (Sub. to Correction) , -. CLASS or RATE a_______________ _________________________________________________________________________ _________________________ u_____________________________________________________________________ / (Signature of consignor.) If charges are to be prepaid, write ; or stamp,'j\erc,.4vl'a.be Prepaid."-^ Received $_________________________ to apply in prepayment of the charges on the property described hereon. Agent or Cashier. {The signature, here acknowledges only the amount prepaid.) Charges advanced: S' "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 41in the box maker's certificate thereon, and all other requirements of Rule . of the Consolidated Freight Classification. 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. stvks mmsmm. wm as. *If the shipment moves between two ports by a carrier by water, the law requires that the bill of lading shall state whether it is "carrier's or vshipper's weight." .... . Note.--Where the rate is dependent on value, shippers are required to state specifically in writing the agreed or declared value of the property. The agreed or declared valve of the property is hereby specifically staled by the shipper ta be not exceeding '' ____ ' ______________ Pr_________________________________ _______________________________________________ Shipper, Per Agent Permanent post-office address of shipper: & BSIS-Roberson03595