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Straight Bill of Lading Short Form 2


Straight Bill of Lading Short Form 2
Straight Bill of Lading Short Form 2
STRAIGHT BILL OF LADING - SHORT FORM
Carrier Name: Phone SHIPMENT IDENTIFICATION NO.
Carrier Address: Date
City
FREIGHT BILL PRO NO.
State and Zip:
SAC DUNS
TO:
TRAILER/CAR NUMBER
Consignee
Address
ROUTE
City
State and Zip
FROM:
SPECIAL INSTRUCTIONS
Shipper
Address
City
State and zip
FOR PAYMENT SEND BILL TO:
SHIPPER'S INTERNAL DATA
Name
Address
City
State & Zip SID NO.
Number Shipping
Units
*HQ
Kinds of Packaging, Description of Articles, Special Marks and Exceptions Code
Weight Subject to
Correction
Rate Charges
REMIT C.O.D.
COD
C.O.D. FEE
TO
AMT: $
PREPAID
$
Address
Subject to Section 7 of conditions, if this
shipment is o be delivered to the consignee
without recourse on the consignor, the consignor
shall sign the following statement:
COLLECT
$
City
TOTAL
$
State & zip
CHARGES
NOTE - Where the rate is dependant on value, shippers are required to state
specifically in writing the agreed or declared value of the property.
The carrier shall not make delivery of this
shipment without payment of freight and all other
lawful charges.
FREIGHT CHARGES
ARE PREPAID UNLESS
MARKED COLLECT
The a
g
reed or declared value of the propert
y
is hereb
y
specificall
y
stated b
y
the shipper
to be not exceeding
$
per
Signature of Consignor
CHECK BOX IF COLLECT
RECEIVED, subject to the classifications and lawfully filed tariffs in effect on the date of 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 its destination. It
is mutuall
y
a
g
reed as to each carrier of all or an
y
of the said propert
y
, over all or an
y
portion of said route to destination and as to each part
y
at an
y
time interested in all or an
y
of said propert
y
, that ever
y
service
to be performed hereunder shall be subject to 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.
SHIPPER CARRIER
PER PER
* Mark "X" or "RQ" if appropriate to designate Hazardous Materials as defined in the Department of Transport Regulations governing the transportation of hazardous materials. The use of this column is an
optional method for identifying hazardous materials on bills of lading per Section172.201(a)(1)(iii) of Title 49, Code of Federal Regulations. Also, when shipping hazardous materials the shipper's certification
statement prescribed in Section 172.204(a) of the Federal Regulations must be indicated on the bill of lading, unless a specific exemption from this requirement is provided in the Regulations for a particular
material.
RESET FORM
Straight Bill of Lading Short Form 2