Document zQ77MqgL2rjBmM1YaaYDx8eGm

(Uniform OomesStc,,Slraight EMU of Lading -- Short Form adopted by Rail and Motor Carrion June 10, 1949.) * THIS MEMORANDUM is an. acknowledgment, that a bill of lading 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 the carrier of the properly described in tbe Original Bill of Lading. . i. FROMmiLbL^'/SSaVl^E IMBPSTIUAl. SALES INC. the: ^yjSwfpreerty deoscribed 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 thd 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 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 that he is familiar, with alt the terms and conditions of the said bill of lading, including those on the hack thereof, set forth in the classification or tariff which goveros 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 . MBLWJgfKaS,- wisotmiiti Sept, l4 196 4 Shipper's No. Consigned to Destination Route .Company Agent's No._ (Mail or street address of consignee--For purposes of notification only.) L & S Insulation Co, ,Inc. e/o Azco Corporation c/o...Bergstrom Papefifatcofapany 225 W_. Wisconsin Avenue Hbenah, Wisconsin 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 no. : PACKAGES . - DESCRIPTION OP AKTiImS, SPKfllAI. MARKS. AND EXCEPTIONS. * WEIGHT (Sub. to Correction) If charges are. to be prepaid, write CK. or stamp here, "To be Prepaid." or. RATjjjitea 'FI %h^chdrges,, t the property described hereon. Agent or Cashier. . OrV HIGH TEMPERATURE BONDING MORTAR - - - ' - y iv - A___________________ ______________________ r .Rj-VN' /c>l Charges advanced: -- 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 all 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 aiid 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 wh< shipper's weight." Note.--Where the rate is dependent on value, shippers are required to state specifically in writing the agreed or The agreed or declared value of the property it hereby tpecificahy ttoted by the shipper lo be not exceeding ' f _____ - ____________:--------------- mmm& sames imustam smbs go., me. Shipper, Per. addres*. Pertnanent post-office of .hipper-- mhxmS&s, Vft- 53326 praiierty. BSIS-Roberson03744