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(847) 201-7050 [email protected]

Received, subject to the classification and tariffs in effect on the date of issue of this Bill of Lading, from Third Party:

* Indicates required field

Choose *

Shipper *

Shipper's Address *

Phone Number *

Shipper Contact *

Shipper's # *

SCAC *

Date *

The property described below, in apparent good order, except as noted (contents and conditions of the packages unknown), marked, cosigned as indicated below, which said company (the word Company being understood throughout this contract as a meaning of any person or corporation in possession of the property under the contract) agrees to carry to its usual place of delivery at said destination, if on its own road or its own water line, otherwise to deliver to another carrier on the route to said destination. 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 to each party at any time interested in all or any of said property, that every service to be performed hereunder shall be subject to all the conditions not prohibited by law, whether printed or written, herein contained, which are hereby agreed to by the shipper and accepted for himself all his assigns.

Cosigned to *

Phone Number *

Destination Name *

Address *

Route *

Delivering Carrier *

Special Instructions *

# Packages *

TOTALS *

# Pallets *

TOTALS *

Description of Articles, Special Marks, Exceptions *

Weight (subject to correction) *

TOTALS *

Class or Rate *

PO# *

PU# *

Pro# *

3rd Party Bill To *

If this shipment is to be delivered to the cosigner, the consignor shall sign the following statement. The carrier shall not make delivery of this shipment without payment of freight and all other lawful charges:

Name of Cosigner *

First

Last

If charges are to be prepaid: *

Yes No

Received $ *

to apply in prepayment of the charges on the property described per:

Name if Agent/Cashier *

First

Last

COD Amount $ (Charges Advanced) *

If the shipment moves between two ports by a carrier by water, the law requires that the bill of lading shall state weather it is "carrier or shippers weight". NOTE: Where the rate is dependent on value, shippers are required to state specifically in writing the agreed or declared value of property.

The agreed or declared value of the property is hereby specifically stated by the shipper not to be exceeding:

$ *

Per (Name) *

First

Last

Agent must detach and retain this shipping order and must sign the original Bill of Lading

Agent Name *

Your Name *

Your Email *

Submit

# Packages *

# Pallets *

Description of Articles, Special Marks, Exceptions *

Weight (subject to correction) *

Class or Rate *

# Packages *

# Pallets *

Description of Articles, Special Marks, Exceptions *

Weight (subject to correction) *

Class or Rate *

# Packages *

# Pallets *

Description of Articles, Special Marks, Exceptions *

Weight (subject to correction) *

Class or Rate *

# Packages *

# Pallets *

Description of Articles, Special Marks, Exceptions *

Weight (subject to correction) *

Class or Rate *

# Packages *

# Pallets *

Description of Articles, Special Marks, Exceptions *

Weight (subject to correction) *

Class or Rate *

Name *

First

Last

Relationship *

Company/Adddress *

Email *

Phone Number *

Name *

First

Last

Relationship *

Company/Address *

Email *

Phone Number *

Name *

First

Last

Relationship *

Company/Address *

Email *

Phone Number *