Alternate Straight Bill Of Lading-Short Form

Alternate Straight Bill of Lading-Short Form

Original - Not Negotiable

L Lewis Tru

Date:

(Carrier Name)

To:

From:

Consignee:

Shipper:

Street:

Street:

Destination:

Origin:

Receiving

Phone:

Phone:

Vehicle

Emergency Phone Number

Pro #:

Route:

Number:

(714) 865-2600

No.

Weight {subject

Charges (for

Shipping

+

to correction)

Carrier Use

Units

HM

Only)

Kind of Packaging, Description of Articles, Special Marks and Exceptions

Rate

na

PO #:

Subject to section 7 of conditions of applicable Bill of Lading, if this

NOTE: Where the rate is dependent on value, shippers are required

shipment is to be delivered to the consignee without recourse on the

to state specifically in writing the agreed on value of the property:

consignor, the consignor shall sign the following statement:

The agreed on or declared value of the property is hereby

The carrier shall not make delivery of this shipment without payment

specifically stated by the shipper to be not exceeding:

of freight and all other lawful charges.

$_________________________________ per___________

______________________________________________________

(Signature of Consignor)

Received, subject to the classifications and tariffs in effect on the date of the issue of this Bill of Lading, the property described below in apparent good order, except as noted (contents

and condition of contents of packages unknown), marked, consigned, and destined as indicated below, which said carrier agrees to carry to its usual place of delivery. 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 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 Bill of Lading terms and conditions in the governing classification on the date

of shipment. The 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

Date