BILL OF LADING – NON-NEGOTIABLE
BILL OF LADING ? NON-NEGOTIABLE
SHIPPER
NAME ADDRESS CITY / STATE / ZIP SID NO.
SHIP TO
NAME ADDRESS CITY / STATE / ZIP CID NO.
THIRD PARTY FREIGHT CHARGES BILL TO
NAME ADDRESS CITY / STATE / ZIP TELEPHONE SPECIAL INSTRUCTIONS
B of L NO.
CARRIER NAME TRAILER NO. SERIAL NOS.
SCAC PRO NO.
FREIGHT CHARGE TERMS Freight charges prepaid unless marked otherwise.
PREPAID
COLLECT
THIRD PARTY
Master bill of lading with attached underlying bills of lading.
CUSTOMER ORDER NO.
HANDLING UNIT QTY TYPE
PACKAGE QTY TYPE
WGT
NO. OF PKGS WGT PALLET / SLIP
ADDITIONAL SHIPPER INFO
TOTAL HM (X)
Y
N
Y
N
Y
N
Y
N
DESCRIPTION OF ARTICLES, SPECIAL MARKS & EXCEPTIONS
LTL, ONLY
NMFC NO.
CLASS
Where the rate is dependent on value, shippers are required to state specifically in writing the agreed or declared value of the property as follows: "The agreed or declared value of the property is specifically stated by the shipper to be not exceeding _______________ per _______________.
COD AMOUNT $ FEE TERMS COLLECT
PREPAID
CUSTOMER CHECK
NOTE: Liability limitation for loss or damage in this shipment may be applicable. See 49 USC ? 14706(c)(1)(A) and (B).
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, and to all applicable state and federal regulations.
The carrier shall not make delivery of this shipment without payment of charges and all other lawful fees.
SHIPPER SIGNATURE
SHIPPER SIGNATURE & DATE
CARRIER SIGNATURE & PICK-UP DATE
TRAILER LOADED
BY SHIPPER
This is to certify that the above named materials are properly classified, packaged, marked, and labeled, and are in proper condition for transportation according to the applicable regulations of the DOT.
Carrier acknowledges receipt of packages and required placards. Carrier certifies emergency response information was made available and/or carrier has the DOT emergency response guidebook or equivalent documentation in the vehicle. Property described above is received in good order, except as noted.
BY DRIVER FREIGHT COUNTED BY SHIPPER BY DRIVER/PALLETS SAID TO CONTAIN BY DRIVER PIECES
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