Document ZJ2XNXq7obKBXzZbDM0V3r8E7

(Uniform Domestic Straight Bill of lading -- Short Form adopted by Rati and Motor Carrier* June 10, 1949.) THIS MEMORANDUM is an acknowledgment that a bill of lading bas been issued and is not the Original Bill of Lading,' nor a copy or duplicate, coveting the property named herein, and is intended solely for filing or record. i 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 SE&VIC5 Ml S USTES Ah SALES SB. Ch r cperty described beiow, 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 onderstowjr..it'thhroughout r.Ms contmet'as meaning any person c>r corjjoration 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 tcj. ahother carrier route to said destination. It 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 to each party at any time interested >n all or any of seid property, that every service to be performed hereunder shall be subject to ail the terms and conditions of the Uniform Domestic Straight Bill of leading set forth (1) in Official, Southern, Western and Illinois Freight ^.Isssi/ication? in effect on the date hereof, if this is a rail <tr a rail-water shipment, or (2) in the applicable motor carrier classification or tariff if this is a motor carrier shipment. Shipper hereby certifies that be 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 the said terms and conditions are hereby agreed to by the shipper and accepted for bimsetf and his assigns. At ; WIi8WI Jamia^y .30 196 Shipper's No._ Consigned to Destination Route mm$prlnk#ttnn. 8 C rp * 11*00 13fck fRockford UlltSstS State of Company Agent's No.................... .............................. (Mail or street address of consignee--For purposes of notification only.} .-' County of 7Subject to Section 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 earner shall not make delivery of this shipment without payment of freight and all other lawful charges. ' Delivering Carrier NO. PACKAGES ^ C (7 ' Initial DESCRIPTION^OF ARTICLES, SPECIAL MARKS, AND EXCEPTIONS ./ : A'ato@iS-i,# (.keep .frats freesitig) Car No. \ WEIGHT (Sub- to Correction) CLASS or RATE t. '' vf\: k nlj CK. COL. . (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 bereoti. . Agent or Cashier. 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 die Interstate Commerce Commission.'' . The fibre boxes used for this shipment %conform to tbe specifications sej.-'forflv-- in the box maker's, certificate thereon. and all .other requirements of Rule (l-.v of the Consolidated Fra^bt.Clnssificafcion . This in to certify that the'3bove 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^statevv-lvetlier it vs '`'carrier's or shipper's weight." . . ?'. . .... Note.--Where the rate is dependent on value, shippers are required to state specifically in writing the agreed: Qr declared^ value of. the property. v jrThe ogreed or declared value of (he. property is heroby specifically stated by the shipper to be not exceeding ___ '________1.. _______ _____________ :______ :______ ______________________________________________ ___ :___ mm:^erP^ - (Q) ...... r:l Permanent post-office address of shipper: ' JWW,taw'''3r** ^ Per . /^ . ...........* ' - BSIS-Robers onO 0178