Document Lpzwa6pkBN8Gdg6mLn0KLnY0w

(Uniform Domestic Straight Bill of Lading -- Short Form adopted by Rail and 'Motor Cartiers Jane 10, 1949.) THIS MEMORANDUM U 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 tor filing Ot record. . RECEIVED, subject, to thij classification's and tariffs effect on the date of the receipt by the -carrier of the; property described in the Original Bill of Lading. ' ; FRdM r itii. _ the- property described below, apparent good- order, except as noted (contents tied condition of contents of packages'unknown), marked, l.below, which said carrier (the word carrier heing 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 if' another carrier on the route to said destination^ It is mutually agreed,- as to. each earner of all or; any of said .property over all .or. any portion of said route to destination, and as to each party at any time interested in alt or any of said property, that every service to he performed hereunder shall be subject to all the terms, and conditions .'of the Uniform Doraestic Straight Bill of'Lading set forth (1) in Official, Southern, Western and lilinois Freight Classifications in effect on the date hereof, if this is a rail or a-rail-water shipment, or (2). in the applicable- motof carrier classification or tariff if this is a motor carrier shipment. : Shipper hereby certifies that he is familiar with all ihe terms and conditions of the said bit! of fading, indadiog (hose on (he hack thereof, set.forth tn the classification or tariff wb/ch governs the transportation of tbis shipment, and the Said terms und conditions are hereby agreed to by the shipper and accepted for himself and his assigns. . '. At MliWABUiR.. wssesustti Apfl H, T Shipper's No. Consigned to Destination Route Stmm Uoim, tljOO 13th Street . Hookf . Illlnp&s10 <,f Delivering,. Carrier rCar Initial - -NO. ' . packages * " DESCRIPTION t)F ARTICLES. SPECIAL'MARKS, AND EXCEPTIONS ' ' -.V'^ :A^ Tape : ; - 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 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 shal! not make delivery of this shipment without payment of freight and all other lawful charges. Car No. : . . -. WEIGHT ' . ' ' CLASS' . .(Sub. to- Correction) - or RATE - . (Signature of consignor.) CK: COL. : , lf charges,-are to' be prepaid, : stamp, here-,: "To be Prepaid." Received' $'--------i--,-- 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 aruTsre'pncked 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; "Shipper's imprint, in lieu \ of stamp; not.a pan of bill of iailing approved, by the Interstate. Commerce Commission." The fibre boxes, used for th'is:shipment . conform to the specifications set forth in the box maker's Certificate thereon, and ail other, requirements of Role 41 ofthe Consolidated Freight Classification. #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 shipper's-weight." ' . . . ; ' .. ,. . ': Note.-^Wh'ere -the rate is dependent, on value, shippers .are required to state specifically in writing the agreed or declared value ot the property. Theogred declared value of the properly 1* Hereby specifically stated by the shipper to He hoi exceeding 1 . ^s8g;. iaSUSiml %*$$& CO. Permanent post-office address of shipper: .Shipper, Per . *2 SS. tSBfe.pSaca.-.K'S^aash.w 13, Wfe.: Agent BSIS-Roberson00473