BILL OF LADING
Name : asdasdasd
Address : Whitendale Park, West Beech Avenue
City/State/Zip : Visalia, California 62972.
Name : asdasdasdasd
Address : 12416 E Swanson Ave
City/State/Zip : Kingsburg, California 62972.
Name :
Address :
City/State/Zip :
Special Instructions:
Freight Charge Terms (prepaid unless marked otherwise)
Prepaid Collect 3rd Party| Customer Order Information | ||||
|---|---|---|---|---|
| Customer Order No. | # Pkgs. | Weight | Pallet/Slip (Y/N) | Additional Shipper Info |
| Totals | ||||
| Carrier Information | ||||||||
|---|---|---|---|---|---|---|---|---|
| Handling Unit | Package | Commodity Description | LTL Only | |||||
| QTY | TYPE | QTY | TYPE | Weight | H.M. (X) | Commodities requiring special or
additional
care or attention in handling or stowing must be so marked and packaged as to ensure
safe transportation with ordinary care. See Section 2(e) of MNMFC Item 360 |
NMFC No. | Class |
| asdasd | 2342 | asdasd | ||||||
| asdasd | 3433 | asdasd | ||||||
| asdas | 23424 | asdasd | ||||||
| asdasd | 234234 | asdasd | ||||||
|
263433
|
Totals | |||||||
Where the rate is dependent on value, shippers are required to state specifically in writing the agreed or declared value of the property as follows:
"The agreed or declared value of the property is specifically stated by the shipper to be not exceeding
FOB."COD Amt. $
Fee Terms:CollectPrepaid
Customer Check Acceptable
NOTE: Liability Limitation for loss or damage in this shipment may be applicable. See 49 U.S.C. - 14706(c)(1)(A) and (B).
RECEIVED, subject to individually determined rates or contracts that have been agreed upon in writing between the carrier and shipper, if applicable, otherwise to the rates, classifications and rules that have been established by the carrier and are available to the shipper, on request, and to all applicable state and federal regulations.
The carrier shall not make delivery of this shipment without payment of freight and all other lawful charges.
This is to certify that the above named materials are properly classified, packaged, marked and labeled, and are in proper condition for transportation according to the applicable regulations of the DOT.
Shipper Signature
Date
Trailer Loaded
By Shipper
By Driver
Freight Counted
By Shipper
By Driver/pallets said to contain
By Driver/Pieces
Carrier acknowledges receipt of packages and required placards. Carrier certifies emergency response information was made available and/or carrier has the DOT emergency response guidebook or equivalent documentation in the vehicle. Property described above is received in good order, except as noted.
Carrier Signature
Pickup Date