Blank BOL - 1
Blank BOL - 1
Blank BOL - 1
PU 1
Bill of Lading Number: 0701621
Shipper Name: 360 Fleet Services, Inc.
Shipper Address: 5374 E 450 S BAR CODE SPACE
Shipper City, Zip: LAFAYETTE, IN 47905
SO 2 Carrier Name: VSP Transport LLC
Receiver Name: MBL DEDICATED
Receiver Address: 1800 W 16th St
Receiver City, Zip: SHEFFIELD, AL 35660
SO 3 MC: 1080445
0701621 TRAILER
Grand Total
CARRIER INFORMATION
Handling Unit Package LTL Only
NMFC No. Class
Received, subject to individually determined rates or contracts that have been agreed The carrier shall not make delivery of this shipment without payment of charges and
upon in writing between the carrier, shipper, and any transportation broker, if all other lawful fees.
applicable, and to all applicable state and federal regulations not waived by contract.
Shipper Signature ___________________________________________________________
Shipper Signature/Date Trailer Loaded: Freight Counted: Carrier Signature/Pickup Date
By shipper By shipper
___________________________________________ ___________________________________________
This is to certify that the above named materials are
By driver By driver/pallets said to contain Carrier acknowledges receipt of packages and required
properly classified, packaged, marked, and labeled, and are By driver/pieces placards. Carrier certifies emergency response information
in proper condition for transportation according to the was made available and/or carrier has the DOT emergency
applicable regulations of the DOT. response guidebook or equivalent documentation in the
vehicle. Property described above is received in good order,
except as noted.