Document LK1Gz07o6n0X76YE1K5egqmdX
(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 (las 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.
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RECEIVED, subject to the classifications and tariffs in effect on live date of the receipt by'the carrier of the property described in the Original Bill of Lading.
. . .from .iimfrtif# $ tariffm'lwsTciA-t sal is
the property described below, in apparent good order,, except as noted (contents and condition of contents of packages unknown},' marked, consigned, anti 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 an the route to said destination, ft is mutually. agreed, as to each carrier of all or any of said property over all or any portion of said route lo destination, and as to each party at any time interested
in all or 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 (l) 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.
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Shipper hereby certifies that he is familiar with all the terns 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 the
said terms and conditions are hereby agreed to by the shipper and accepted for himself and bis assigns.
At . mi #!
Fob. 12: 1962'
Shipper's No.
Company
Agent's No---------------------------------------_
(Mail or street address of consignee--For purposes of notification only.)
Consigned to Destination Route
I> & :> trsrlifefeimi cy I-rfi*
c/o `Je.TTSciT Ccu
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c/o LeteoLfind H ogp&featl of___
miti
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Delivering Carrier: fy'l&tCifL
Car Initial
NO. PACKAGES
IS
. . ' DESCRIPTION OF ARTICLES, SPECIAL MARKS, AND EXCEPTIONS raiaj*al w&sM. 1b sb-ltd flat sfcebts
.
County of
Subject to Section 7 of Conditions of applicable bill of lading, if this shipment is to bo 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 ail other lawful charges.
Car No.
* WEIGHT .. {Sub. to Correction.)
a.7 o&*-
CLASS or RATE
(t^SiP
v '-v -.ri-r
Is r
.
.. (Signature of consignor.)
CK. COL.
If charges are to be prepaid, write or stamp here, "To be Prepaid."
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Received $ _-------------------:_______________ to apply, in prepayment of the charges on the property described hereon.
. (Agent or Cashier.
.. Per ;
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(The signature here acknowledges only the amount prepaid.)
Charges advanced: ,
%____;_______ '
"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 thia. shipment conform to the specifications set forth in the box maker's certificate thereon, and ail other requirements of Rule 41 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.
#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 '`carriers or
shipper's weight."
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Note.--Where the rate is dependent on value, shippers are required to state specifically,
the agreed or declared value of the property.
The agreed or declared value of the property it hereby specifically slated by the shipper to be,
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Shipper, Per!!
*29 *4.- TSSia Kae, .JSIwsM&sa *8, W>i Permanent post-office address of shipper:.
Per.
<7 1 C i '
-Agent
BSIS-Roberson01428