Bill Of Lading Form Bandstra

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STRAIGHT BILL OF LADING
-NOT NEGOTIABLE-
HEAD OFFICE
AFFIX LABEL HERE
E. Yellowhead Hwy, P.O. Box 95
Smithers, BC, Canada V0J 2N0
Toll-free: 800-571-2057
Fax: 250-847-5042
Visit us at
Date
Month
Day
Year
Shippers #
Purchase Order #
Quote #
Shipper
Consignee
Street
Street
City
Province
Postal Code
City
Province
Postal Code
Phone
Contact
Phone
Contact
Third Party Billing Name
Street
City
Province
Postal Code
Freight Charges:
Prepaid
Collect
Third Party
If not indicated shipment will automatically move collect.
(Shipper To
Check)
Dangerous Goods
Dimension (Inches Only)
No. of
Weight (LBS)
U.N. #
Description of Articles / Proper Shipping Name
Primary
Subsidiary
Packing
Pieces
# of Pcs
Length
Width
Height
Subject to Correction
Class
Class
Group
UN
@
x
x
UN
@
x
x
UN
@
x
x
UN
@
x
x
UN
@
x
x
UN
@
x
x
UN
@
x
x
Special Instructions:
Heated Service Required
Declared Valuation
Available at Additional Cost
$ __________________
Dangerous Goods (TDG)
24 Hour Number
Quantity of D.G. (L or KG only)
I hereby declare that the contents of this consignment are fully and accurately de-
Maximum liability of carrier is $2.00
scribed above by the proper shipping name, are properly classified and packaged,
per lb. unless declared valuation
have dangerous goods safety marks properly affixed or displayed on them, and are
in all respects in proper condition for transport according to the Transportation of
states otherwise. An excess valuation
Type of Placards
ERAP Phone / Ref #
Dangerous Goods Regulations.
charge will be assessed on valuation
Shipper to Print Name: __________________________________________
in excess of $2.00 per lb.
THE CONTRACT FOR THE CARRIAGE OF THE GOODS LISTED IN THIS BILL OF LADING IS COVERED BY REGULATIONS IN FORCE IN THE JURISDICTION AT THE TIME AND PLACE OF SHIPMENT
AND IS
.
SUBJECT TO THE CONDITIONS SET OUT IN SUCH REGULATIONS
SEE FULL CONDITIONS AT:
Received at the point shown on the date specified and from the shipper mentioned herein, the property mentioned 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 said carrier agrees to carry and deliver to the said consignee at the said destination if on its own route, otherwise to deliver to another carrier on the route to said destination, subject to
the classification and tariffs in effect on the date of the shipment. 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 in all or any of said
property that every service to be performed hereunder shall be subject to all the conditions not prohibited by law, whether printed or written, which are herein agreed to by the shipper and accepted for himself and his assigns.
NOTICE OF CLAIM - Article 12: (a) The carrier is not liable for loss, damage or delay to any of the goods transported under this bill of lading unless notice of the loss, damage or delay, setting out particulars of the origin, destination, and date of
shipment of the goods and the estimated amount claimed in respect of such loss, damage or delay, is given in writing to the originating carrier (or the delivering carrier) within 60 days after the delivery of the goods, or, in the case of failure to make
delivery, within 9 months after the date of shipment of the goods. (b) The final statement of the claim must be filed within 9 months after the date of shipment, together with a copy of the paid freight bill.
GST # R100389055
Shipper to Complete this Section
Consignee to Complete this Section
Driver to Complete this Section
(If delivered on BOL)
Shipper Company
Consignee Company
Driver Name
Unit #
Per (Signature)
Receiver Signature
Carrier
Date
M
D
Y
X
X
Print Name
Print Name
Time In
Time Out
Date
Date
Pickup Service Performed
Piece Count
M
D
Y
M
D
Y
PTG
RES
WHITE - ORIGINAL
CANARY - OFFICE
PINK - SHIPPER

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