Document k91ka5orX6VorqE467r7vr1Lq

(Unifbrm OonVMtK Straight. Bill of Ladies -- ShoM Form adopted by Roll ond Motor Carriers Jwn* 10, 1849.) . . .. ` ^ THIS MEMORANDUM is an acknowledgment that a bill of lading has been issued and is not the Original Bill of Lading, nor a copy or duplicate, covering tbe property named herein, and is intended solely for filing or record. ; RECEIVED, subject to the cUseiftcatiens-stwi tariff* in effect on the date of the receipt by the carrier of the property described in the Original Bill of lading. . . * . from,y;ts;s ifggiet lM-iMiiirjKiAi sal**. the property de^tribod below,, in apparent good order, except as noted (content* and condition of contents of package* unknown), marked, consigned, and destined aa indicated below, which said ' earner (the-weed-carrier being under stood throufVvJt this contract as meaning any person or corporation 5n;poessk>n of the property under the contract) agrees to carry to its usual place of delivery at said .destination, if on ita route, otherwise to deliver to another carrier on the route to said destination. . ft 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 lime 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 Bill of Lading set forth (1) in Official, Southern,-. Western *nd Illinois Freight Classifications In erfecPort the date hereof, if this is s rail or 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 (be terns and condittoes of.the said WB of lading, iarlading those os the back thereof, set forth in (he classification ar tariff which governs the tranoporuUo* of this shipment, and the said terms and conditions are hereby agreed to by'the shipper aed accepted for hbnaelf and Ms assigns. j. .. . At . ?. L ! Ifm 0 shipper'. No..................... ....................... Company Agent's No, (Mail or street address of consignee--For purposes of notification only.) Consigned to Destination Route t h Insulation Coh>Ine e/o BosoM Co State of South of girth t Union Stronta Sheboygan, <(|aeeaBtc County of Subject to Section 1 of Conditions of applicable bill of fading, if this shipment is to be delivered to the consignee without recourse on tbe consignor, the consignor shall sign the foUowing ststemerit: The carrier, shall mit make delivery of. this shipmentwithout payment of freight and all other lawful charges- Delivering Carrier Car Initial NO. PACKAGES <3> DESCRIPTION OF ARTICLES, SPECIAL MARKS, AND EXCEPTIONS Car No. WEIGHT (Sub. to Correction) CLASS 8 TP or RATE " f% (Slgnature-of consignor.) If charsee are to be prepaid, write PTfl" j w*\ Aluxiinu* .TneVetl ng Mincra.l Wiftl i. fenrmm fkaw W* & /i<$# Charges advanced; ' : ,) Q'r -rt C'K %>v fw 4f 'Shipper'* imprint fa lieu of stamp; not a part of bill of lading approved by the Interstate Commerce Commission." ---------------------------------------------------------------------------------------------------- \ f /____________________ 4 The fibre boxes used for this shipment conform to the specifications set forth In the box maker's certificate thereon, Ma___ _____________ and all other, requirements of Rule 41 of the Consolidated Freight Classification. This is to certify that the above article, are properly described by name and are packed and marked end arc 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 moves1 between two ports by a carrier by water, thOaw shipper's weight." . . Note.--Where the rate is dependent on value, shippers are required to state specie The agreed ar declared value ef the proparty i haraby ,pacifically (toted by the (htppar lc pt the bill of lading still state whether it is "carrier's or i writing the agreed or declared value of the property, ceedlng -. nmgam- &sv?c3 K&mmxi $&ss- .Shipper, Per. Permanent post-office address of sLipppr;'^^ 53213 -Agent BSIS-Roberson03589