Document LoEpmqMDrk7dBr11wMKjOYpOQ
T H E FIB R E BOXES used fo r th is shipm ent conform to the specifications set fo rth in the box m aker's
c e rtific a te thereon, and a il o th e r re q u ire m e n ts o f R ule 41 o f th e C onsolidated F re ig h t C la ssifica tio n .
FORM 050
H. C. MILLER CO., MILWAUKEE
(Uniform Domestic Straight BUI of Lading, adopted by Carriers In Official Southern, Western and Illinois Classification territories, March 15, 1922, as amended August 1, 1930 and Jun* IS, 1941.)
THIS MEMORANDUM
is aa acknowledgement that a bill of ladies has beea Issued and is sot the Original Bill of Lading, eor a copy or duplicate, coverteg the property itemed herein, ared Is iateaded solely for filing or record.
Company
Stripper's H(k Agent's
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
lisaiiiarti-Oft -0<Sv "
the property described below, in apparent good order, except as noted (contents and condition of contents of packages unknown), marked; consigned, and destined as inoi cated below, which 6aid company (the word company being understood throughout this.contract as me aning any person dr corporation in possession of theproperty unde* the contract) agrees to carry to its usual place of delivery at said destination, if on its own road or its own waterline, other-wise to deliver to another carrier oh the route to said destination. U 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 each party at any time interested in all or any of said property, that every service to be perforaed hereunder shall be subject to all tbe conditions not prohibited by law, whether printed or written, herein contained; including the conditions on back hereof, which are hereby agreed to by the shipper and accepted for himself and bio assigns.
^ Mail or street address of consignee--For purposes of notification only.^
Consigned to
...... ................
Destination...-...^._Mat.lS.fe'0(Jj....,,State . of--------.County o._---------------- ------
Route.
No. Pkgs.
j
. (Uyliv^rins' OaVdar)
-Car Initial.
.Car No...__ ____ .............. ..........
DESCRIPTION OF ARTICLES,SPECIAL MARKS, AND EXCEPTIONS
WEIGHT Sabitcf to CofTActisa
Claes or Rate .
Astmaituau natural crude in sack 5....................................
Check Column
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 deliv ery orchis shipment without payment
of freight and ail other lawful charges. (See Section 7 of Conditions.)
(Signature of Consignor.) if charges are to be prepaid,write or stamp here. "To be Prepaid."
Received $............................. .............. to
apply in prepayment of the charges on the property described hereon.
*|f ibe *bipmeiit moves between two port* by a carrier by water, the law requires th&t tbe- biD of lading ebill faUe wHether it u "carrier'ior shipper's weight.V
Agent or Cashier
Note--WWe the rate is dependent on value, shippers are requited fo state speci&caily in writing the agreed or declared value of the property.
The. agreed.or declared value of the property is hereby specifically stated by the shipper to be not exceeding'
Per ....... .............................. ........................ (Thesignaturehere acknowledges
only the amount prepaid.)
..per...
Chargesadvanced:
L I S Insulation Co., lac.
3
Permanent postoffice address of shipper....... PQ Box 2682 , Ml iwaukeg i Wig-,-___ ______ ____________ __-...
BSIS-Roberson03777