Document vyzwJE24jkN0pXMrpB7ODgvO6
(Uniform Domestic Straight Bill of lading -- Short Form adapted by Rail and Motor Carriers June 10, 1949.) .
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THIS MEMORANDUM is aft acknowledgment that * bill of lading has been issued and is not the Original Bill of Lading, nor a copy <yc duplicate, covering the property named herein, and is intended solely for filing or record.
RECEIVED, subject tQ the classifications and tariffs in effect on the date of the receipt by die carrier of the property described in the Original Bill of Lading.
FROM- IIIISW
! S3 SB tJ ST & t A h SALES 6 O .
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 to its usual place of delivery . at said destination, if on its route, otherwise to daD'er
to another'-oanie/^^jyjA route to said destination. It is mutually agreed, as to each earner of all or any of said property over ail or any portion of said route to destination, and as to each party at any time interred
in alt <fr any '-UgfljBBperty, that every service to be performed hereunder shall be subject to all the terms and conditions of the Uniform Domestic Straight Bill of leading set forth (i) in Official, Southern, Western and Illinois Freignt
Classificationon 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 heffRy certifies that he is familiar with all the terms and conditions of the said blU of lading, including those on the back thereof, set forth in the classification or tariff which governs the transportation of this shipment, atd d*e
said terms and conditions are hereby agreed to by the shipper and accepted for himself and his assigns.
.
At January 22, 19-62 196
Shipper's No._
Consigned to Destination Route
Company
Agent's No..
;lnrtnks&m Soti Corp.
\
` ' ' ^ n/r, Cemfep&l Firing Mi.
Shull BbuTg Sbfaotfl
ftf 'irt>
Shnllahtiyg,,
State of
(Mail or street address of consignee--For purposes of notification only.)
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
Car No.
NO. PACKAGES
.
.DESCRIPTION OF ARTICLES, SPECIAL MARKS, AND EXCEPTIONS
.
.WEIGHT . (Sub. to Correction)
Rlneral
they tfeam 1
/Z2q
CLASS ` or RATE
CK. COL.
(Signature of consignor.)
If charges are to he, prepaid, write or stamp here, "To.be Prepaid."
Received $------------------------- ----------------------
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:
: - ' .
This is ' to certify, that the above articles are properly described by name and ore 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.
.
.'
aV
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"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 shrj5ifient
conform* to the specifications' setTiorth
' pp5ox maker's certificate thereon,"',
ill other requirements.of
te Consoli
Clarification.
shipper's weight." '
.
... .
_
Note.--Where the rate is dependent on value, shippers are required to' state specifically i
The agreed or. declared value of the property is hereby specifUelfy slated by the shipper to be not <
shaiX-.-sbate whether iff'is "carrier's or writing the agreed or declacc^f- value of the property.
smstea __Shipperr Per
______ ___________ '
\ .Agent
Permanent post-office address of shipper;
Per.
4
BSIS-RobersonO 018 7