1、Click to select date BILL OF LADING SHORT FORM NOT NEGOTIABLE Page 1 of 1SHIP FROM Bill of Lading Number:NameStreet AddressCity, ST ZIP CodeSID No.:BAR CODE SPACESHIP TO Carrier Name:NameStreet AddressCity, ST ZIP CodeCID No.:Trailer number:Serial number(s):THIRD PARTY FREIGHT CHARGES BILL TO SCAC:N
2、ameStreet AddressCity, ST ZIP CodePro Number:BAR CODE SPACEFreight Charge Terms (Freight charges are prepaid unless marked otherwise):Prepaid Collect 3rd Party Special Instructions: Master bill of lading with attached underlying bills of lading.CUSTOMER ORDER INFORMATIONCustomer Order No. # of Packa
3、ges Weight Pallet/Slip(circle one) Additional Shipper InformationY NY NY NY NGrand TotalCARRIER INFORMATIONHandling Unit Package LTL OnlyQty Type Qty Type Weight HM (X) Commodity Description Commodities requiring special or additional care or attention in handling or stowing must be so marked and pa
4、ckaged as to ensure safe transportation with ordinary care. See Section 2(e) of NMFC item 360NMFC No. ClassWhere 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 proper
5、ty is specifically stated by the shipper to be not exceeding _ per _.COD Amount: $ _Fee terms: Collect Prepaid 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 ra
6、tes 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 ca
7、rrier shall not make delivery of this shipment without payment of charges and all other lawful fees.Shipper Signature _Shipper Signature/Date_This is to certify that the above named materials are properly classified, packaged, marked, and labeled, and are in proper condition for transportation accor
8、ding to the applicable regulations of the DOT.Trailer Loaded: By shipper By driverFreight Counted: By shipper By driver/pallets said to contain By driver/piecesCarrier 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. Property described above is received in good order, except as noted.
