Document n9zQY43BOzY2ONqa36VRQb6N2

STRAIGHT BILL OF LADING--SHORT FORM--Original--Not Negotiable RECEIVED, subject to the clsssifleatfons and tariffs In effect on the date of issue of this Original Bill of Lading. . : ; ShippCf^S R6l_ "1722775 At. MILWAUKEE. WISCONSIN o> (Name of Carrier! Carrier's No. ___From BUILDING SERVICE INDUSTRIALS ALES CO., INC. . cent>ie4 and det>n4.* indicated bein'*, rtlel *! ceeetee |Jh wort carrier belnf vnderstoed tMou*hvttM* contract aa ineaniflf any eeraon o' corporation ,flfl*h<H M aotiect l atl the term* and conditions el the Uniform Do-*e*l7str*i((h< Billot Lading act forth-HI InOfticiaL So2^trnWeittr7a*n<j lltmort Freight r land rf IH. * motor carrier, ahipmerit. Shipperhereby certitlea that he la tacntUor with att the term* and condition* at the bald bltt at lading, inchidinc to *a(d farm* and cendltlonaare hereby agreed to by the ehippar and accepted tor himself and Me a a eigne. Consigned to Destination Route_____ L X 7 Insulation"Co* ' c/o C.A. Hoqftfrr Co.County e/o Badger Army Amrao Plant ___________ Baraboo, Wisconsin ^ Delivering Carrier No. Packages Kind of Pdckoge, Description of Articles, Special Marks, and Exceptions Mineral Wool In Forms- Other Than Flat Mineral Wool In Solid Flat Sheets Mineral Wool plain or saturated batts with or without backinq 7 Insulating material NOI 6-9# (Mail or street address of consignee--For purposes of notification only.) __________ .Delivery Address *______________________________________ _ {& To be filled In only when shipper desires and governing tariffs provide for delivery thereat.} Car or Vehicle Initials__________________ "Weight (Sub. to Coc.J Class or Rate Ck. Col. No. 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 thii shipment without payment of freight and aH other lawful charges. /%> iSlenatvre o( Consignor! If charges are to be prepaid, write or Received S: . ';_____________________ to apply in prepayment of the charges on the property described hereon. Agent or Cashier Collect On Delivery and remit to G. O.. D. Charge jf Shipper Q $ to be paid fcy } Consignee rlf the shipment moves between two Barts by a carrier by water, the jaw reauires that the biff of fading shad state whether it is carrier's or shipper's weight NOTE--Where the rate is dependent oh 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 Is hereby specifically stated by the shipper to be not exceeding Q Per __ ' (The slg.nalufa here acknowledges only the amount oreoaid.l Charges Advanced: Tbmbpcr "This is to ceitify that the above named articles are property classified, described, packaged,marked and labeled, and are m piope< condition for transportation, according to the applicable regutation^wW&e Department of Transportation. BUitPING SERVICE INDUSTRIAL SALES CO,, INC .Shipper, Per Permanent post-office address of shipper. 620 N. 108th Place, Milwaukee WTs. $3226 <1 BSIS-Roberson05182