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Rohitava SahaPrint Report
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Rohitava SahaDate:
09/25/2012 SHIP FROM
BILL OF LADING
Bill of Lading Number:
Page: 00000000041598997
Name: Address: City/State/Zip: SID#:
S&S Riverside 100 FRONT ST RIVERSIDE CS00000540 SHIP TO NJ 08075 FOB: CARRIER NAME: Location #: 1000 SOUTH LYNNDALE DRIVE APPLETON WI 54914 FOB: THIRD PARTY FREIGHT CHARGES BILL TO SCAC: Pro number: NCTA 31315701 Trailer number: Seal Number NEW CENTURY 53 FOOT TRAILER
Name: Address: City/State/Zip: CID#:
Name: Address: City/State/Zip:
1000 SOUTH LYNNDALE DRIVE APPLETON WI 54914
SPECIAL INSTRUCTIONS: Master Bill of Lading Number: STOP #: 0 Freight Charge Terms: (freight charges are prepaid unless marked otherwise) Prepaid X Collect 3rd Party
(check box)
Master Bill of Lading: with attached underlying Bills of Lading
CUSTOMER ORDER NUMBER
# PKGS
Customer Order Information WEIGHT PALLET/SLIP
1170 N
ADDITIONAL SHIPPER INFO
GRAND TOTAL HANDLING UNIT QTY Type PACKAGE QTY
0
1170
lbs Carrier Information H.M. (X) COMMODITY DESCRIPTION
Commodities requiring special or additional care or attention in handling or stowing must be so marked and packaged as to
WEIGHT
LTL ONLY NMFC # CLASS
TEST
Type
1170
1170
GRAND TOTAL COD Amount: $ Fee Terms: Collect: Prepaid:
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 ___________________."
Customer check acceptable:
NOTE Liability Limitation for loss or damage in this shipment may be applicable. See 49 U.S.C. 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. SHIPPER SIGNATURE/DATE 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 DOT. Trailer Loaded: By Shipper By Driver Freight Counted: By Shipper By Driver/pallets said to contain By Driver/Pieces The carrier shall not make delivery of this shipment without payment of freight and all other lawful charges. Shipper Signature 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.