Date: 02/01/1999

BILL OF LADING

Page� 1

SHIP FROM

 

Name:������� ABC Company

Bill of Lading Number: _06141411234567890_

Address:���� 1000 ABC Drive

City/State/Zip:��������� Any City,� AB,� 10000

SID#:���������������������������������������������������������������������� FOB: o

SHIP TO

CARRIER NAME: _Truckload Transportation_____

Name:������� XYZ Company

Location #: _______

Trailer number:���� EFGH56789

Address:���� 9000 XYZ Drive

Seal number(s):������� 654329873

City/State/Zip:��������� Some City, ZY� 90000

SCAC:� EFGH

CID#:

FOB: o

Pro number:� 2345678901234567890

THIRD PARTY FREIGHT CHARGES BILL TO:

Name:

Address:

City/State/Zip:

 

Freight Charge Terms: (freight charges are prepaid unless marked otherwise)

SPECIAL INSTRUCTIONS: Underlying Bill of Lading Numbers:

Prepaid ________

Collect __X__

3rd Party _____

06141411234567906,�� 06141411234567913

�

(check box)

Master Bill of Lading: with attached underlying Bills of Lading

CUSTOMER ORDER INFORMATION

CUSTOMER ORDER NUMBER

# PKGS

WEIGHT

PALLET/SLIP

(CIRCLE ONE)

ADDITIONAL SHIPPER INFO

166314542648

206

1836 lbs

Y

N

 

16076364298

305

2430 lbs

Y

N

 

16793643

882

5280 lbs

Y

N

 

 

 

 

Y

N

 

 

 

 

Y

N

 

GRAND TOTAL

1393

9546 lbs

 

 

 

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 NMFC Item 360

NMFC #

CLASS

6

plts

511

ctns

4266 lbs

 

�Clothing NOI

 

 

9

plts

882

ctns

5280 lbs

 

Cotton Hosiery

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

15

 

1393

 

9546 lbs

 

GRAND TOTAL

 

 

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:

COD Amount:� $ ______________________

�The agreed or declared value of the property is specifically stated by the shipper to be not exceeding

 

__________________ per ___________________.

Fee Terms:��� Collect:� ���� Prepaid: o

Customer check acceptable: o

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.

_______________________________________Shipper Signature

SHIPPER SIGNATURE / DATE

Trailer Loaded:

Freight Counted:

CARRIER SIGNATURE/ PICKUP DATE

This is to certify that the above named materials are properly classified, described, packaged, marked and labeled, and are in proper condition for transportation according to the applicable regulations of the DOT.

p� By Shipper

�� By Driver

p� By Shipper

�� By Driver/pallets said to contain

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.

 

 

p� By Driver/Pieces

Property described above is received in good order, except as noted.