Carrier Name Date
 

Shipper __
Name
Address
Address
City
State/Zip
Consignee
Name
Address
Address
City
State/Zip


Bill To - Freight Terms __
Name
Address
Address
City
State/Zip
P O #
Shipper #
Bill of Lading
Pro
 
 

Pieces HZ Description Class NMFC Sub Weight
 
Shipment Message  
 
RECEIVED, subject to the classifications and tariffs in effect on the date of the issue of the Bill of Lading, the property described above and in apparent good order, except as noted (contents and condition of the contents of packages unknown), marked, consigned, and destined, as indicated, above which said carrier (the word carrier being understood throughout this contract as meaning any person or corporation in possession of the property under the contract agrees to carry to its usual place of delivery of said destination, if on said route, 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, that every service to be performed hereunder shall be subject to the Bill of Lading.
SHIPPER, hereby certifies that she/he is familiar with all the Bill of Lading terms and conditions in the governing classification and the said terms and conditionsin the coditions in the covering classifications on the date of this shipment hereby agreed to by the shipper and accelpted for himself and his assigns.
 
   
______________________________ ________________________________________
Per Shipper Carrier Signature and Date