Document jyvL6807XjkRvzeRK4YQ0B85O
{Uniform Domestic Straight Biliof Lading -- Short Form adopted by Rail and Motor Carriers June 10, 1949.)
THIS MEMORANDUM .is an acknowledgment that a bill'of Jading has been issued and is not tbe 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 thd carrier of the property described in the Original Bill of Lading.
V-' ' : :; : - FROM ' ffft" p'IM"-#' ill' f I SI. ' IRSIIfTf mt S' .A1SS" D.>e' property. -described, heiqw, in apparent good, order, exce.pt noted (contennts;aannd condition of contents of paacckkaaggeess'uunnkknown); markeedd,*.'consigned, and destined .as indicated below, which ssaaininecarnrier (thmeTwwoordt carrier being under-
stood throu.,,ghout-_th_i_s c- ontrac. t a.s.;me. a.mn..g. :' any .perrssoonn,,oor .ccotrporation, in posseasion 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 on the. 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
in all orahy ofsaid property, that every service, to be performed hereunder, shall be subject to allthe terms and conditions of the Uniform Domestic Straight Bill of Lading set forth (1) in'Official, Southern, Western and Illinois Freight
Classifications ui effect on the date hereof, if -,this is a ran or a rainwater shipment, , .or (2) hr the applicable motor carrier classification or tariff if thts is a motor carrier shipment.
..
Shipper hereby certifies <6a( he is familiar with a// the terms aqd coadtt'uias of tbe said hill oflading, iocJuding those on the back thereof, set forth in tbe 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 his assigns.
At iffiiWAIF wsGtmm.. Ray 11, 1962
Shipper's No._
Consigned., to
Destination.
Route
~~ ... .
iisairrar!f 2^3 * Oratici AVBimti
Beloit vrit.SCaDi'aState of'
. ... .
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 fading, if this'shipment
is to ho delivered to the consignee without recourse on the consignor, the. consignor sbaJ) sign, the following statement:
The carrier shall not make delivery of
.. this shipment without payment of .freight and-all other lawful-charges.
Delivering Carrier
fPy 4uif*s*!**
Car Initial
- NO/. . PACKAGES :
DESCRIPTION'. OF ARTICLE'S, SPECIAL MARKS, AND EXCEPTIONS -
../y_ Mineral wool in isolid-, flat slisets'-
Car No. -
;
: ; * WEIGHT ' . (Sub. to. Correction).
.---CorLARSAST'E-. ...
CK COL
` (Signature of consignor.) .
if charges :a,re .to-- be prepaid, write r stamp here, "To-be Prepaid."
Received $ to apply prepayment of; the charges
the property described hereon,
Agent or Cashier.
Per i.j,:--
(The signature here acknowledges only
the amount prepaid.)
.
Charges advanced:
358!'
"Shipper's imprint- in lieu of 3tamp; 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 forth in. the;, box maker's, certificate thereon, . and alb. other,-requirements of Rule 41 of the Consolidated Freight Classifies^
This is .to certify -that -the 'above .articles:.are properly . described by name and. are packed ana marked aha are in . proper condition for , transportation according to the appli
cable regulatious prescribed by. the -fatoratate Commerce Commission and , the Secretary of Commerce.; . '.
#If the-shipment moves between two ports by. a earner by water, the law requires, that the bill of lading shall state'whether rtis-'^.cafeer's o
shipper's weight." . ,; . - ' -. -' .- - .; .c.- - -
" . :
,.- 't&k,
. Note. -Where the rate.'is .dependent, on vaJue,' shippers are. required to state specifically'in Writing the agreed or decla^aaoaiii^^^e^rc^erty.
- The agreed or declared vaheof the properly h hereby rpecrftcally stated by the shipper to be no! oxceedfag
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'
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Euaagia samce tvmmsm.
Shipper,. Pei- :
'-
620 . JOga Pisa,, m&fSBkes 13, Wh.
Permanent post-office address of shipper:
BSIS-Roberson00456