STRAIGHT BILL OF LADING - SHORT FORM - ORIGINAL - NOT ...



STRAIGHT BILL OF LADING - SHORT FORM - ORIGINAL - NOT NEGOTIABLE

|XPEDITIOUS |

|UNLIMITED |

| |

|REFERENCE NO. |DEPARTMENT CODE |CARRIER | |DATE SHIPPED |SERVICE CODE |

| |__ ____ ____ ____ |XPEDITIOUS UNLIMITED | | |3RD PARTY BILL |

| | | | | |

|SHIPPER (FROM): | |CONSIGNEE (TO): | |

|NAME | |NAME |

|ADDRESS | |DIVISION |

|ADDRESS | |ADDRESS |

|CITY, STATE, ZIP | |CITY, STATE, ZIP |

|CONTACT: | |CONTACT: |

| | | |

|YCN: | | |

| | | |

| | | |

|NO. VISIBLE PACKAGES |( |DESCRIPTION OF ARTICLES |WEIGHT (LBS.) |

| | | |(SUBJECT TO |

| | | |CORRECTION) |

| | | | |

| | | | |

| | | | |

| | | | |

| | | | |

| | |TOTAL # PACKAGES: *INSURANCE: | |

| | |TOTAL WEIGHT: SEE E-MAIL | |

| | | | |

|3RD PARTY | | | |

|BILL TO: | | | |

|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. |

| |If this shipment is to be delivered to| |Note: Where the rate is |C.O.D. |

|FREIGHT CHARGES |the consignee without recourse on the | |dependent on value, shippers | |

|NOTE: FREIGHT CHARGES ARE TO BE |consignor, the consignor shall sign | |are required to state |C.O.D. AMOUNT ____________ |

|COLLECT UNLESS BOX BELOW IS |the following statement: | |specifically in writing the | |

|CHECKED | | |agreed or declared value of the|C.O.D. FEE ____________ |

| |The carrier shall not make delivery of| |property. | |

| |this shipment without payment of | | | |

| |freight and all other lawful charges. | |The agreed or declared value of| |

| | | |the property is hereby | |

| | | |specifically stated by the | |

| | | |shipper to be not exceeding: | |

| | | | | | |

|PREPAID | | |$ |per pound |TOTAL CHARGES ____________ |

| |SIGNATURE OF CONSIGNOR | | | |

| | | | | |

|RECEIVED, subject to the classifications and lawfully filed tariffs in effect on the date on the issue of this Bill of Lading, the property described |

|above in apparent good order, except as noted (contents and conditions of contents of packages unknown), marked, consigned, and destined as indicated |

|above which said carrier (the word carrier being understood throughout this contract as meaning any person or corporation in possession of the property|

|under the contract) agrees to carry to its usual place of delivery at said destination, if on its route, otherwise to deliver to another carrier on the|

|route to said destination. It is mutually agreed as to each carrier of all or any of 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 bill of lading terms and conditions in the governing classification on the date of shipment. |

| |

|Shipper hereby certifies that he is familiar with all the bill of lading terms and conditions in the governing classification and the said terms and |

|conditions are hereby agreed to by the shipper and accepted for himself and his assigns. |

| |

|Note: Liability limitation for loss or damage in this shipment may be applicable. See 49 U.S.C. section 14706(c)(1)(A) and (B). |

|SHIPPER |CARRIER | |CARRIERS PLEASE NOTE: |

| | | |On all shipments, carriers must attach the original |

| | | |Freight Bill to the original Bill of Lading and send |

| | | |to the following address: |

|AUTHORIZED SIGNATURE DATE |AUTHORIZED SIGNATURE DATE | | |

| | | |Xpeditious Unlimited |

|# PIECES received in good order, except as |# PIECES: | |P.O. Box 3960 |

|noted: | | |Redondo Beach, CA 90277 |

| |

|ORIGINAL BILL OF LADING |

-----------------------

610 Carob Street Compton, CA 90220

Office: (310) 885 8001, Facsimile: 310-885-8001

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