Uniform Straight Bill Of Lading

FREIGHT BILL NO. – CARRIER USE

UNIFORM STRAIGHT BILL OF LADING

- Original - Not Negotiable

- SHORT FORM

SHIPPERS NO.

DATE

TO

FROM

FOR PAYMENT BILL TO

CONSIGNEE

SHIPPER

On collect delivery shipments, the lettes “COD” must appear before the shipper’s nam

STREET

STREET

CITY, STATE, ZIP

CITY, STATE, ZIP

FOR PAYMENT BILL TO

SPECIAL INSTRUCTIONS

……

NO

KIND OF PACKAGING, DESCRIPTION OF ARTICLES, SPECIAL MARKS, AND EXCEPTIONS

WEIGHT

CLASS OR RATE

HM*

(INFORMATION PURPOSES ONLY)

PACKAGES

(Subject to corrections)

(Subject to corrections)

MODEL

SERIAL

60

NUMBER

NUMBER

  Item number 123275-02

  Compressor, Used, 30LB PCF, AVNE, $1.50LB

  Class 60

Total weight

60

AMOUNT

COD PAYMENT

COD FEE

REMIT COD CHECK TO:

COMPANY CHECK ACCEPTED 

NAME

CERTIFIED CHECK ONLY 

PREPAID 

COD

$

COLLECT 

IF NOT CHECKED, PAYMENT WILL BE CASH OR

ADDRESS

CERTIFIED CHECK

FOR FREIGHT COLLECT SHIPMENTS

FREIGHT CHARGES

NOTE (1) Where the rate is dependent on value, shippers are required to

If this shipment is to be delivered to the consignee

state specifically in writing the agreed or declared value of the property.

without recourse on the consignor, the consignor shall

COLLECT

FREIGHT PREPAID

THIRD PARTY

The agreed or declared value of the property is hereby specifically

sign the following statement:

(see above)

stated by the shipper to be not exceeding

(except when a box at

The carrier shall not make delivery of this shipment

the right is checked)

without payment of freight and all other lawful charges.

$ ____________________ per ___________________

Signature of consignor

NOTE (2) - Liability limitation for loss or damage on this shipment may be applicable. See 49 USC § 14706 (c)(1)(A) & (B).

NOTE (3) - Commodities requiring special or additional care or attention in handling or stowing must be so marked and packaged as to ensure the safe transportation with ordinary care. See Section 2(e) of NMFC item 360.

Notify if problem enroute or at delivery_______________________________________________________________________________________________________________________________________(for informational purposes only)

Name

Fax No

Tel No

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, the property described above, in apparent good order, except as noted (contents and condition of contents of packages unknown) marked, consigned and destined as shown above, which said carrier

agrees to carry to destination, if on its route, or otherwise to deliver to another carrier on the route to destination. It is mutually agreed, as to each carrier of all or any said property over all or any portion of said route to destination and as to each

party at any time interested an all or any said property, that every service to be performed hereunder shall be subject to all the terms and conditions of the uniform Bill of Lading set forth in the National Motor Freight Classification 100 -x and

successive issues. The shipper hereby certifies that he is familiar with all the said terms and conditions of the said bill of lading, including those on the back thereof, and the said terms and conditions are herby agreed to by the shipper and

accepted for himself and his assigns.

SHIPPER CERTIFICATION

CARRIER CERTIFICATION

This is to certify that the above named materials are properly described, classified, packaged, marked, and labeled, and

Carrier acknowledges receipt of packages and required placards. Carrier certifies emergency response information

are in proper condition for transporting according to applicable regulations of the DOT.

was made available and/or carrier has the DOT emergency response guidebook or equivalent document on board.

Shipper

Carrier

Authorized signature

Authorized signature

Date

No of pieces