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BILL OF LADING SHORT FORM NOT NEGOTIABLE SHIP FROM Bill of Lading Number Name Purchase Order Number Street Address City ST Zip Carrier Name Dugan SHIP TO Trailer number Truck Line Serial number s THIRD PARTY FREIGHT CHARGES BILL TO SCAC DUBL Pro Number BAR CODE SPACE Freight Charge Terms Freight charges are prepaid unless marked otherwise Special Instructions Prepaid Collect 3rd Party Master bill of lading with attached underlying bills of lading. Handling Unit Package Commodity Description Qty Type Weight HM X 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 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 NMFC No* Class COD Amount Fee terms Collect Customer check acceptable 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. The carrier shall not make delivery of this shipment without payment of charges and all other lawful fees. Shipper Signature Freight Counted 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. Trailer Loaded By shipper By driver By driver/pallets said to contain By driver/pieces Carrier Signature/Pickup Date 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. Handling Unit Package Commodity Description Qty Type Weight HM X 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 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 NMFC No* Class COD Amount Fee terms Collect Customer check acceptable Note Liability limitation for loss or damage in this shipment may be applicable. See Section 2 e of NMFC item 360 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 NMFC No* Class COD Amount Fee terms Collect Customer check acceptable 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.

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