BILL OF LADING - SHORT FORM - NOT NEGOTIABLE       
FREIGHT CHARGES CARRIER:  Phone:
PRO:





PLACE BARCODE HERE

  CONFIRMATION NO.
QUOTE NO.
DELIVERY TYPE
 
SHIP FROM (SHIPPER) SHIP TO (CONSIGNEE)









*If unable to contact Consignee, please contact shipper
BILL 3RD PARTY FREIGHT CHARGES TO COD

COD FEE    AMOUNT $ CUSTOMER CHECK ACCEPTABLE
 

SERVICES - AUTHORIZED SERVICES*
 

* Any services not shown above must be requested by, explained to, and paid for by consignee.
Shipper will not be responsible for any demurrage, loading, or other charges not authorized in advance.

 
OTHER INSTRUCTIONS:
CASES PALLETS HM

DESCRIPTION OF ARTICLES, SPECIAL MARKS, AND EXCEPTIONS
NMFC No. 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 Section 2(e) of NMFC item 360

NMFC CLASS WEIGHT FAK
   
   
   
   
NOTE: LIABILITY LIMITATION FOR LOSS OR DAMAGE IN THIS SHIPMENT MAY BE APPLICABLE. SEE 49 USC 14706(C)(1)(A) AND (B).
Received, subject to individually determined rates or contracts that have been agreed upon in writing between the carrier and shipper, if applicable, otherwise to the rates, classifications, and rules that have been established by the carrier and are available to the shipper, on request, and to all applicable state and federal regulations.
SHIPPER SIGNATURE/DATE

______________________________
TRAILER
LOADED BY

q
SHIPPER
q DRIVER
FREIGHT
COUNTED BY

q
SHIPPER
q DRIVER/PALLETS
q DRIVER/CARTONS
CARRIER SIGNATURE/DATE

__________________________________
 
TRAILER                                #SKIDS

 
This is to certify that the above named materials are properly classified, packaged, marked, and labeled, and are in proper condition for transportation according to the applicable regulations of the DOT. Carrier acknowledges receipt of packages and required placards. Carrier certifies emergency response information was made available and/or carrier has the DOT emergency response guidebook or equivalent documentation in the vehicle. Property described above is received in good order, except as noted.