Document NwmqyQxyEqXdp7rELNZVgnDb

(Uniform Domestic Straight Bill of lading -- Short Form adopted byRdiLcmd MotorCarrier* June 10, 1949.) THIS MEMORANDUM is-an acknd'wiedgment. that .'a fail! of lading has been issued and is not tfie 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 earner of the property described in the Original Bill of Lading. ' FROM S?RVJK i^TSSTSIAL 5 k l 5 GO. . cbe property described below, in. 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 /mother .carrier on ..the route'to said destination.. If is mutually agreed, as to each', carrier.of all. or any of ssid-'property over all or any portion of said route to 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 Biil of Lading .set forth (1) in Official, Southern, Western and - Illinois- Freight . Classifications in effect .on the dace hereof, if this is a' rad. or.-a rail-wat^r shipment, .or (2) in the applicable motor carrier classification or tariff if this is a motor carrier-shipment.' .- Snipper hereby certifies that heisfamifiar with ad the terms: and conditions of -the said bill of lading, including those on the back thereof, set forth m the classification or tariff which go rents 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 Am?i&, aor. i<%g. Shipper's No. . Company Agent's No... (Mail or street address of consignee--For purposes of notification only.} Consigned to Destination Route :<&/ Beloit Grille. Library Beloit, i-}ac&t&&tiof___________ 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 arid all.other lawful charges. Delivering Carrier Car Initial Car No. (Signature of consignor.) NO. PACKAGES DESCRIPTION.OF ARTICLES, SPECIAL' MARKS, AND EXCEPTIONS .- * WEIGHT . (Sub. to Correction} CIASS or RATE :9 : Mineral inIffifgglX slid flat it o" CK. COL. or stamp here, "To be Prepaid." Received $ to apply in prepayment of the charges on the property described hereon. This is to certify that the above articles are properly described by name arid are packed and marked, and are in proper condition for transportation according to the appli cable regulations prescribed by the Interstate Commerce Commission arid the. Secretary'of Commerce. ' '' Agent or Uaahier. Per (The signature here acknowledges only the amount prepaid.) . Charges advanced: $. "Shipper's imprint in lieu of stamp; not a part of bill of lading approved by the Interstate Commerce Commission." ' The fibre boxes used for this shipment conform to the specifications set^&rth in the box maker's certificato*'nera, and all. other requirement^ ^-'Rulell of the' Consolidated. Ereight^laafefta^Kn. shipper's weight!" . y Note.--Where the rate is dependent on value, shippers are required to state specifically in writing-.t$e afereed^ The agreed or declared valve of the property U hereby specifically stated by the shipper * 'v batatas wasgaasa, -sms, to, <;hil,npr Per Permanent. p*t-o^ce.a^ire5S. ^ fP* Agent BSIS-Roberson00468