B/L Receipt



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Page BILL OF LADING Bill of Lading Number: 1/2 26371 4 IIm 111111111111111111 1111 FOB:D (402) 00000000000263714 SID : I CARRIER NAME: SHIP TO Trailer number: Seal number(s): Load Number HAZ TEST SCAC: Pro number: Name: Address: City/State/Zip: FOB:D CID : 11111111111 THIRD PARTY FREIGHT CHARGES BILL TO: Name: Address: City/State/Zip: SPECIAL INSTRUCTIONS: SEE ATTACHED HAZHAT ITEK LIST Freight Charge Terms: (freight charges are prepaid unless marked othetwise) Prepaid x Collect 3rd Party • PKGS CUSTOMER ORDER NUMBER O Master Bill of Lading: with attached underlying Bills of Lading PALLET/SUP ADDITIONAL SHIPPER INFO CIRCLE ONE N 1 TEST N y y y y y GRAND TOTAL HANDLING UNIT QTY TYPE 1 PACKAGE TYPE QTY ...




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