Bill Of Lading
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1THIS SHIPPING ORDER
must be legibly filled in, in ink, in indelible Pencil, or in
SHIPPER NO. (B/L#)
Carbon, and retained by the Agent
A. DUIE PYLE, INC.
800-523-5020
DATE
FROM SHIPPER:
TO CONSIGNEE:
STREET
STREET
ORIGIN: CITY
STATE
ZIP CODE
DESTINATION: CITY
STATE
ZIP CODE
EXIT:
PHONE
PHONE
P.O. No.
THIRD PARTY BILL-TO:
COD
Freight Payment Terms
$
STREET
Freight Charges are Prepaid
Is a company check
Unless Marked Collect
C.O.D. Fee Terms
acceptable for
CITY
STATE
ZIP CODE
payment?
Check Box if charges
Prepaid Collect
Yes
No
ATTN:
PHONE
are Collect
)
(
-
To elect Full Value Insurance you must
INVOICE VALUE:
$
FULL VALUE INSURANCE REQUESTED
Check Here
both check box & Insert Invoice Value
NO.
KIND OF
CLASS
WEIGHT / LBS
HM
DESCRIPTION OF ARTICLES, SPECIAL MARKS AND EXCEPTIONS
(SUBJECT TO CORRECTION)
(SUBJECT TO CORR.)
(SUBJECT TO CORR.)
SHIPPING UNITS
PACKAGING
Emergency Response
MARK (X) IN "HM" COLUMN FOR HAZARDOUS MATERIALS
Phone Number
Special Instructions:
Subject to Section 7 of Conditions of applicable bill of
CARGO VALUE - LIMITATION OF LIABILITY
lading, if the shipment is to be delivered to the consignee
without recourse on the consignor, the consignor shall
Unless full-value insurance is requested above or the
sign the following statement:
transportation contract governing this transaction provides
The carrier shall not make delivery of this shipment
otherwise, Carrier's liability for lost or damaged goods shall
without payment of freight and all other lawful charges.
PLT
LOOSE PCS
HAZMAT
FREEZE
not exceed $ 10.00 per pound. Carrier shall not be liable for
incidental or consequential damages arising from the loss or
C O D
OVER-DIM
damage of product shipped hereunder.
(Signature of Consignor.)
RECEIVED, subject to the classifications and published tariffs, which carrier shall make available upon
to another carrier on the route to said destination. It is mutually agreed as to each carrier of all or any of
written request, in effect on the date of the issue of this Bill of Lading, the property described above in
said property over all or any portion of said route to destination and as to each party at any time
apparent good order, except as noted (contents and conditions of contents of packages unknown), marked,
interested in all or any of said property, that every service to be performed hereunder shall be subject to
consigned, and destined, as indicated above which said carrier (the word carrier being understood
all the conditions not prohibited by law, whether printed or written, herein contained, which are hereby
throughout this contract as meaning the person or corporation in possession of the property under the
agreed to by the shipper and accepted for the shipper and its assigns.
contract) agrees to carry to its usual place of delivery at said destination, if on its route, otherwise to deliver
This is to certify that the above named materials are properly classified, described, packaged, marked and labeled and are in proper condition for transportation, according to the applicable regulations of the
Department of Transportation.
SHIPPER
CARRIER
PER
PER
DATE
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Parent category: Business