Document kmJ9VXydx5LLQxk8ZqVY6oVyD

(Uniform Domestic Straight Bill of lading -- Short Form adopted by Rail and Motor Comer* June 10, 1949) 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 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 carrier of the property described in the Original Bill of Lading. FROM & # 15. SIM SEKVrCS tfit&HSf&i At S A IKS' 6,, Itt-fi, the 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 i:o 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 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 and Illinois Freight Classifications in effect on the date hereof, if this is a 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 <hl he is familiar with all the terms and conditions of the said biif of lading, including those on the back thereof, set forth in the classification or tariff which governs the transportation of this shipment, and Use said terms and conditions are hereby agreed to by the shipper and accepted for himself and his assigns. . ' At M&WASfKEE. WfSCQHSfti $ov. 18, ^ --------------------------------- -------------__--------------------------------------------____________________________________ Shipper's No.____________________ Company Agent's No. (Mail or street address of consignee--For purposes of notification only.) Consigned to Destination Route /'; *' f fri ;U "? ^ Racine, Wisconsin State of 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 and all other lawful charges. Delivering Carrier Car Initial NO. PACKAGES DESCRIPTION OF ARTICLES, SPECIAL MARKS, AND EXCEPTIONS Car No. * WEIGHT (Sub, to Correction) CLASS or RATE CK. COL. (Signature of consignor.) If charges are to be prepaid, write or stamp here, "To be Prepaid." ftflssas! l&atrmms ffssr fkm f%* fieeswl West Ssli .1* -y^zzr -- to apply in prepayment of the charges on the property described hereon. Agent or Cashier. (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 forth in the box maker's certificate thereon, and ail other requirements of Rule 41 of the Consolidated Freight Classification. This is to certify that the above 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 state whether it is "carrier's or shipper's weight." Note.--Where the rate is dependent on value, shippers are required to state specifically in writing the agreed or declared value of the property. The agreed or declared value of the property w hereby specifically stated by the shipper to be not exceeding ________________________________________________________________ .___________________Pr ' nmssm cs sissujtsjai stm ca, tnc. .____________________________ _____________ Shipper, Per 620 . vests 'Piece, Permanent post-office address of shipper:_________________________ Iwrarfcss, Wis. 532$ Per Agent BSIS-Robers on03618