Fillable Bills Of Lading - Southeastern Freight Lines printable pdf download

FOR MORE ACCURATE RATING PROVIDE ZIP CODES

MARK HM COLUMN FOR HAZARDOUS MATERIALS

SHIPPER:

FREIGHT CHARGES ARE TO BE PREPAID EXCEPT WHEN COLLECT BOX BELOW IS CHECKED

THE RELIZON COMPANY

ORIGINAL SHORT FORM

NOT NEGOTIABLE

STRAIGHT BILL OF LADING

FREIGHT CHARGES

ARE PREPAID UNLESS

AFFIX SOUTHEASTERN PRO LABEL

MARKED COLLECT

HERE

CORPORATE OFFICE

P.O. BOX 1691 • COLUMBIA, S.C. 29202

CHECK BOX IF

PHONE (803) 794-7300 •

SEFL FED. ID #57-0301199

COLLECT

REFERENCE NUMBERS

DATE SHIPPED

SHIPPER NUMBER

BILL OF LADING NUMBER

PURCHASE ORDER NUMBER

SHIPPER (FROM)

CONSIGNEE (TO)

NAME

STREET

CITY

STATE OR PROVINCE

ZIP

CITY

STATE OR PROVINCE

ZIP

ISLAND OR COUNTRY

PHONE

ISLAND OR COUNTRY

PHONE

(

)

(

)

CONTACT NAME

(

)

24 HOUR EMERGENCY RESPONSE NUMBER

PHONE

BILL TO IF DIFFERENT FROM ABOVE

MAILING

FOR FREIGHT COLLECT SHIPMENTS:

ADDRESS

If this shipment is to be delivered to the consignee,

without recourse on the consignor, the consignor shall

NAME

sign the following statement:

ZIP

PHONE

CITY

STATE

ZIP

(

)

The carrier may decline to make delivery of this ship-

ment without payment of freight and all other lawful

charges.

ROUTING

SEFL

INSTRUCTIONS:

(Signature of Consignor)

COD CANNOT EXCEED $20,000.00

1. REMIT C.O.D. TO: (IF DIFFERENT THAN SHIPPER ABOVE)

2. ALL CARTONS MUST BE STAMPED OR

COD

MARKED WITH THE LETTERS “C.O.D.”

NAME

3. SHIPPER SELECT:

CASHIER’S CHECK

CONSIGNEE’S CHECK “OK”

STREET

4. C.O.D. FEE:

PREPAID OR:

COLLECT

CITY

STATE

ZIP

(AMOUNT)

SHIPPER SIGNATURE

Weight (lbs)

Number of

Kind of Package, Description of Articles

Class

Received $ __________________________

Packages

Special Marks, and Exceptions

(Sub. to Correction)

or Rate

to apply in prepayment of the charges on the

property described hereon.

Agent or Cashier

Per ________________________________

(The Signature here acknowledges only the

amount prepaid.)

Charges Advanced:

$ __________________________________

This is to certify that the above named

materials are properly classified, described,

packaged, marked and labeled, and are in

proper condition for transportation, accord-

ing to the applicable regulations of the

Department of Transportation.

Mark “X” to designate Hazardous Materials as defined in DOT Regulations.

NOTE (1) 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 (2) Liability Limitation for loss or damage on this shipment may be applicable. See 49 U.S.C. § 14706(c)(1)(A) and (B).

NOTE (3) 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 Sec. 2(e) of NMFC Item 360.

RECEIVED, subject to individually determined rates or contracts that have been agreed upon in writing between the carrier and, as applicable, shipper or consignee, otherwise to the rates, classifications and rules that

have been established by the carrier and are available to the shipper or consignee, on request; the property described above, in apparent good order, except as noted (contents and condition of contents of packages

unknown) marked, consigned, and destined as shown above, which said carrier agrees to carry to destination, if on its route, or otherwise to deliver to another carrier on the route to 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 terms and conditions of the Uniform Bill of Lading set forth in the National Motor Freight Classification 100-X and successive issues. The shipper or consignee hereby certifies that he is familiar with

all the terms and conditions of the said bill of lading and the said terms and conditions are hereby agreed to by the shipper and accepted for himself and his assigns.

SHIPPER

SIGNATURE

DRIVER

SIGNATURE

CUSTOMER COPY

Bills Of Lading - Southeastern Freight Lines

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