Bill of Lading: Bar Code Space

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Date:11/07/2019 Page __1_____

BILL OF LADING
SHIP FROM
Name: TEXFABRIC S.AS. Bill of Lading Number: 1820208
Address: Madrid C. Cr 50# 72
City/State/Zip: Cundinamarca Colombia B A R C O D E S PA C E
NIT: 800.125.668.5-4 FOB: x
SHIP TO CARRIER NAME: ___HENRY H.
Name: FAHIONNET Location #: Trailer number:89532-6
_2_________
Address:541 Lexington Ave 1002 NY Seal number(s):
City/State/Zip: New York C. EE.UU SCAC:MAEU
NIT: 95285425 FOB:  Port of loading: BARRANQUILLA
THIRD PARTY FREIGHT CHARGES BILL TO:
Name: Loren W. B A R C O D E S PA C E
Address: 3922 W .Greensboro North Carolina USA

City/State/Zip: North Carolina USA Freight Charge Terms: (freight charges are prepaid
unless marked otherwise)
SPECIAL INSTRUCTIONS: Prepaid ___X___ Collect _____ 3rd Party _____

 Master Bill of Lading: with attached


(check box) underlying Bills of Lading
CUSTOMER ORDER INFORMATION
CUSTOMER ORDER NUMBER # PKGS WEIGHT PALLET/SLIP ADDITIONAL SHIPPER INFO
(CIRCLE ONE)
Y N
Y N
Y N
Y N
Y N
GRAND TOTAL
CARRIER INFORMATION
HANDLING PACKAGE COMMODITY DESCRIPTION LTL ONLY
UNIT
Commodities requiring special or additional care or attention in handling or stowing
QTY TYPE QTY TYPE WEIGHT H.M. must be so marked and packaged as to ensure safe transportation with ordinary care. NMFC # CLASS
(X) See Section 2(e) of NMFC Item 360

RECEIVING
S TA M P S PA C E

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
Fee Terms: Collect:  Prepaid: 
__________________ per ___________________.” 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 shall not make delivery of this shipment without payment of
the carrier and shipper, if applicable, otherwise to the rates, classifications and rules that have been established by freight and all other lawful charges.
the carrier and are available to the shipper, on request, and to all applicable state and federal regulations.
_______________________________________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  By Shipper  By Shipper
Carrier acknowledges receipt of packages and required placards. Carrier
certifies emergency response information was made available and/or
transportation according to the applicable regulations of the U.S. DOT. carrier has the U.S. DOT emergency response guidebook or equivalent
 By Driver  By Driver/pallets said to documentation in the vehicle.

contain
 By Driver/Pieces
Property described above is received in good order, except as noted.

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