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| |Today’s Date: |

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|Bill of Lading | |

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|For use with drop shipments ONLY. | |

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|Delivery Problem? | |

|Contact Amazon at (866) 423-5353 or LTL@. | |

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|Undeliverable? Re-route to: | |

|Amazon Fulfillment Services | |

|1600 Worldwide Blvd | |

|Hebron, KY 41048-8639 | |

| |Shipper’s BOL Number: |

| |Amazon’s PO # (e.g. “DaBcD123R”): |

| |Shipper’s Internal Reference #: |

| |Carrier Name: |

| |Tracking/Pro/Airway Bill Number: |

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| |[Paste sticker here]* |

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| |*Obtain rolls of tracking stickers directly from carriers. |

| |Shipping Service: Economy (3-5 day) |

|Ship From: |

|Drop Shipper Name: | |

|Address: | |

|City/State/Zip: | |

|Phone Number: | |

|Warehouse Contact: | |

|Ship To: |

|Customer Name: | |

|Address Line 1: | |

|Address Line 2: | |

|Address Line 3: | |

|City/State/Zip: | |

|Phone Number: | |

|Bill To: |

|Name: | |

|Address: |P.O. Box 80683, Seattle, WA 98108 |

|Account Number (Check One): |[ ] CEVA: AMAZPO981 | [ ] ABF: 628924 | [ ] Pilot: 4134227 |

|Payment Terms: |Third Party |

|Quantity |Item Description |Hazmat? |Weight |Dimensions |

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|Shipper | |Carrier |

|Signature: | |Signature: |

|Printed Name: | |Printed Name: |

|Tender Date: | |Pickup Date: |

| | |Driver/Agent/Vehicle #: |

Disclaimer: Terms & Conditions apply as set forth by and Carrier.

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