Straight Bill of Lading - Short Form: Carrrier Address Carrier Name Freight Bill Pro No. State and Zip
Straight Bill of Lading - Short Form: Carrrier Address Carrier Name Freight Bill Pro No. State and Zip
Straight Bill of Lading - Short Form: Carrrier Address Carrier Name Freight Bill Pro No. State and Zip
Phone
Date
Carrier Name
Carrrier Address
City
State and Zip
SAC
DUNS
Trailer/Car Number
Route
TO: Consignee
Address
City
State and Zip
FROM: Shipper
Address
City
State and Zip
FOR PAYMENT: SEND BILL TO
Name
Address
City
State & Zip
Number Shipping
Units
*HQ
Special Instructions
SID NO.
Code
Weight Subject to
Correction
COD
The agreed or declared vlaue of the property is hereby specifically stated by the shipper
to be not exceeding
Signature of Consignor
per
$
$
PREPAID
CHARGES
Charges
C.O.D. FEE
AMT: $
NOTE - Where the rate is dependant on value, shippers are required to state specifically
in writing the agreed or declared value of the property.
Rate
RECEIVED, subject to the classifications and lawfully filed tariffs in effect on the date of the issue of this Bill of Lading, the property described above in apparent good order, except as noted (contents and
conditions of contents of packages unknown), marked consigned and destined as indicated above which said carrier (the word carrier being understood 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 deliver to another carrier on the route to its destination. It is
mutually agreed as to each carrier of all or any of the 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 the bill of lading terms and conditions in the governing classification on the date of shipment. Shipper hereby certifies that he is familiar with all the bill of lading terms
and conditions in the governing classification and the said terms and conditions are hereby agreed to by the shipper and accepted for himself and his assigns.
SHIPPER
CARRIER
PER
PER
* Mark "X" or "RQ" if appropriate to designate Hazardous Materials as defined in the Department of Transport Regulations governing the transportation of hazardous materials. The use of this column is an
optional method for identifying hazardous materials on bills of lading per Section172.201(a)(1)(iii) of Title 49, Code of Federal Regulations. Also, when shipping hazardous materials the shipper's certification
statement prescribed in Section 172.204(a) of the Federal Regulations must be indicated on the bill of lading, unless a specific exemption fom this requirement is provided in the Regulations for a particular
material.