Straight bill of lading—original—not negotiable
Place PRO label here.
CONSIGNEE NAME AND ADDRESS
ORIGIN CITY (IF DIFFERENT FROM ABOVE)
INVOICEE OR COD REMIT TO NAME (IF DIFFERENT FROM SHIPPER)
COD AMT $
CUSTOMER CHECK OK FOR COD AMOUNT?
DESCRIPTION OF ARTICLES, SPECIAL MARKS AND EXCEPTIONS
NMFC ITEM NO.
SUBJ TO CORR
CARRIER USE ONLY
SHIPMENT CHARGES PREPAID UNLESS
MARKED COLLECT: COLLECT
NOTE (1) Where the rate depends on value, shippers must state specifically in writing the agreed or
Note (3) Products requiring special or additional care or attention in handling or stowing must be so marked and
declared value of the property as follows:
packaged as to ensure safe transportation with ordinary care. See Sec. 2(e) of NMFC item 360.
The agreed or declared value of the property is hereby specifically stated by the shipper to be not exceeding
If this shipment is to be delivered to the consignee without recourse on the consignor, the consignor shall sign
the following statement:
________________________________ per ______________________________________.
The carrier may decline to make delivery of this shipment without payment of freight and all other lawful charges.
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).
Received subject to individually determined rates or written contracts that have been agreed on in writing between the carrier and shipper, if applicable, otherwise to rates, classifications and rules that have been established by the
carrier and are available to the shipper on request.
The property described above is in apparent good order, except as noted (contents and condition of contents of packages
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
unknown), marked, consigned, and destined, as indicated above which said carrier (the word carrier being understood
to each party at any time interested in all or any of said property, that every service to be performed hereunder shall be
throughout this contract as meaning any person or corporation in possession of the property under the contract) agrees to
subject to all the conditions not prohibited by law, whether printed or written, herein contained, including the conditions on
carry its usual place of delivery of said destination, if on its route, otherwise to deliver to another carrier on the route to said
the back hereof, which are hereby agreed to by the shipper and accepted for himself and his assigns.
I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name and are classified, packaged, marked and labeled/placarded and are in all respects in proper condition
for transport according to applicable international and national governmental regulations.
SHIPPER COMPANY NAME
Trailer Loaded by:
Driver: pallets said to contain
Freight Counted by:
Driver: pallets containing
Driver: Loose pieces
MARK “X” IN HM COLUMN FOR HAZARDOUS MATERIALS.
SINGLE SHIPMENT PICKUP
Printed in U.S.A.
Print two copies of this page: One for your driver, one for your files.