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Bill of Lading - Original - Not Negotiable


Date Carrier's No. Vehicle No. Shipper's No.

Shipper Name
 Address City Prov/St
  Received at the point of origin on this date from the shipper, the goods herein described, in apparent good order, except as noted (contents and conditions of contents of packages unknown), marked, consigned, and destined as indicated below, which the carrier agrees to carry and deliver to the consignee at the destination if on its own route, otherwise to deliver to another carrier on the route to the destination.
  It is agreed, as to each carrier or all or any of the goods over all or any portion of the route to destination, an as to each party at any time interested in all or any of the goods that every service to be preformed hereunder shall be subjected to all standard Bill of Lading conditions not prohibited by law, whether printed, written or not, herein contained, which are hereby agreed to by the shipper and accepted for himself and his assigns.
Consignee Name
 Address City Prov/St

NO OF PKGS DESCRIPTION OF ARTICLES, MARKS AND EXCEPTIONS WEIGHT RATE AMOUNT CHARGES

PREPAID

COLLECT

FREIGHT CHARGES WILL BE COLLECT UNLESS MARKED "PREPAID"


1. When a shipment is at "owner's risk" the words "OWNER'S RISK" must be entered and initialed by both parties thereto.
2. Shipment is received subject to the classification and tariffs in effect on the date of the receipt by the carrier of the property described in the original Bill of Lading.
DECLARED VALUATION $

MAXIMUM LIABILITY $2.00 PER POUND UNLESS DECLARED VALUATION STATES OTHERWISE

C.O.D.

AMOUNT $
FEE $
C.O.D. FEE PREPAID C.O.D. FEE COLLECT

Received in apparent good order (except as noted), from Carrier noted below.

Consignee: _________________________________________    Date: _________

Shipper: __________________________________  Per: _________________________________

Carrier: ___________________________________  Per: _________________________________

(This Bill of Lading is to be signed by the Shipper and Carrier)