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Back to Forms for 'Bills of Lading'.




___________________________________________ (Name of issuing carrier)


Shipper’s no. _______________________

Agent’s no. ________________________


Received, subject to the classifications and tariffs in effect on the date of the issue of this bill of lading, at _________________ (place of issue) on __________ (date), from _________________ (shipper), the property described below, in apparent good order, except as noted contents and condition of contents of packages unknown, marked, consigned, and destined as indicated below. Each person or corporation in possession of the property under the contract, here referred to as carrier, agrees to carry to its usual place of delivery at such destination, if on its own road or its own water line, otherwise to deliver to another carrier on the route to such destination. It is mutually agreed, by each carrier of all or any of such property over all or any portion of such route to destination, and by shipper and any other party at any time interested in all or any of such property, that every service to be performed under this bill of lading shall be subject to all the conditions not prohibited by law, whether printed or written, contained in this bill of lading, including the terms and conditions on the reverse of this bill of lading, which are hereby agreed to by shipper and accepted for himself or herself and his or her assigns.


Consigned to: __________________________________________ (consignee).


Mail or street address (for purposes of notification only): _________________________________________________.


Destination: _____________________________ (address), __________ (city), __________ County, __________ (state), .


Route: ____________________________________________ (describe).


Delivering carrier: __________ (designate). Car initial: __________. Car no. __________.


Service desired: Door to door (__________). Door to depot (__________). Depot to door (__________). Depot to depot (__________).


Description of:


Articles             Marks                  Weight               Class                  Rate

__________    ____________    ___________    ___________    ___________

__________    ____________    ___________    ___________    ___________

__________    ____________    ___________    ___________    ___________


* If the shipment moves between two ports by a carrier by water, the law requires that the bill of lading shall state whether it is carrie’s or shipper’s weight.


Subject to paragraph 7 of the terms and conditions, if this shipment is to be delivered to consignee without recourse on consignor, consignor shall sign the following statement:


Carrier shall not make delivery of this shipment without payment of freight and all other lawful charges.




(Signature of shipper, if desired)


If charges are to be prepaid, write or stamp here, To be Prepaid: __________.


Received __________ Dollars ($__________) to apply in prepayment of the charges on the property described in this bill of lading.


__________ (Agent of carrier), Agent or Cashier

Per _______________ (Signature, if appropriate)

(The signature here acknowledges only the amount prepaid.)


Charges advanced: __________ Dollars ($__________).


Collect on delivery __________ Dollars ($__________) for account of and remit to __________ (designate), __________ (address). C.O.D. charge to be paid by: Consignee (__________). Shipper (__________).


Note where the rate is dependent on value, shippers are required to state specifically in writing the agreed or declared value of the property. The agreed or declared value of the property is hereby specifically stated by the shipper to be not exceeding __________ Dollars ($__________) per __________ (article, unit of weight, or the like).


______________________________________________ (agent of carrier), Agent

Per ________________________________________________

1Signature ____________________________________________


Permanent post office of shipper: __________________________.




Set forth general terms and conditions.



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