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NON-NEGOTIABLE BILL -OF -LADING BILL NO. <br />AND TRANSPORTATION AGREEMENT DATE � a <br />PRINCIPAL <br />0098267 <br />CARRIER �� y lab # <br />f <br />ADDRESS BROKER# <br />CITWSTATEIZIP PH. TRUCK # - <br />UNDERLYING CARRIER - TRAILER# <br />(IFANY) <br />ADDRESS PH, CA# <br />SHIPPER RECEIVERt� <br />ADDRESS LJ ADDRESS U l+� o(Z114 <br />CITYISTATEIZIP • CITY/STATE/ZIP / , <br />POINT OF ORIGIN POINT OF DESTINATION <br />I <br />+ <br />© SUPER TAG <br />0 END DUMP <br />❑ FLAT BED <br />Cl HOURLY ❑ T0NNAGEy>f7'PER LOAD <br />❑ 10-WHEELER <br />❑, SUPER-i4 <br />❑ TRANSFER <br />❑ DBL B07OMS <br />❑ SIDE DUMP <br />❑ TRUCK & PUP <br />❑ MIXER <br />❑ SWEEPER <br />RATE @ <br />❑ STRONG ARM <br />© SEMI -BOTTOM <br />❑ WATER TRUCK <br />❑ OTHER <br />TAG NO. I <br />WEIGHT <br />I COMMODV <br />LOADING <br />ARRIVE DEPART <br />UNLOADING <br />ARRIVE <br />DEPART <br />STANDSYI <br />TIME <br />BREAKDOWN OR <br />REASON FOR DELAY <br />©-=I <br />N�__ <br />_ <br />ARRIVALTIMrAl <br />DUMP LAST TRIP <br />r140 LOADING <br />LAST TRI <br />SUBJECT TO TERMS AND TOTAL CHARGES <br />CONDITIONS ON REVERSE SIDE <br />F <br />DRIVER SIGNATURE HIPPERIRECEIVER (AGENT OR DEBITOR) SIGNATURE <br />G <br />