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Bill of lading 提单 模板

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[Click to select date] BILL OF LADING – SHORT FORM – NOT NEGOTIABLE

SHIP FROM Bill of Lading Number: Page 1 of 1

[Name] [Street Address] [City, ST ZIP Code] SID No.: SHIP TO [Name] [Street Address] [City, ST ZIP Code] CID No.: THIRD PARTY FREIGHT CHARGES BILL TO [Name] [Street Address] [City, ST ZIP Code] Special Instructions: Carrier Name: Trailer number: Serial number(s): SCAC: Pro Number: Freight Charge Terms (Freight charges are prepaid unless marked otherwise): Prepaid?? Collect??3rd Party? ?Master bill of lading with attached underlying bills of lading. CUSTOMER ORDER INFORMATION Customer Order No. Grand Total # of Packages Weight Pallet/Slip (circle one) Y Y Y Y N N N N Additional Shipper Information CARRIER INFORMATION Handling Unit Qty Type Package Qty Type Weight HM(X) Commodity Description Commodities requiring special or additional care or attention in handling or stowing must be so marked and packaged as to ensure safe transportation with ordinary care. See Section 2(e) of NMFC item 360 LTL Only NMFC No. Class COD Amount: $ ___________________________ Fee terms: Collect?Prepaid?Customer check acceptable? 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 _______________. 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 chargesand all other lawful fees. Shipper Signature __________________________________________________ Freight Counted: ? By shipper ? By driver/pallets said to contain ?By driver/pieces Carrier Signature/Pickup Date __________________________________ 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. Shipper Signature/Date __________________________________ 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. Trailer Loaded: ? By shipper ?By driver

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