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NON-NEGOTIABLE BILL -OF -LADING <br />AND TRANSPORTATION AGREEMENT DATE <br />PRINCIPAL ` <br />CARRIERS <br />ADDRESS <br />CITYISTATEIZIP PH. <br />UNDERLYING CAR Eft t <br />BILL NO. <br />B 0 '!14 )A <br />JOB # <br />BROKER # <br />TRUCK# + <br />r r <br />f' <br />I- <br />TRAILER # <br />Y <br />ADDRESS <br />PH. <br />CA# <br />SHIPPER <br />RECFIVE� <br />p r <br />ADDRESS • <br />'^� 77 Z'',r <br />ADDRESS <br />CITYISTATE/ZIP <br />,,2 /�y, Ile <br />li <br />CITY/STATE-JZIP <br />POINT OF ORIGIN <br />POINT OF DESTINATION <br />❑ SUPER TAG <br />❑ END DUMP ❑ FLAT BED <br />❑ HOURLY ❑ TONNAGE 0 PER LOAD <br />❑ 10-WHEELER <br />❑ TRANSFER <br />❑ SIDE DUMP ❑ MIXER <br />d SUPER-10 <br />❑ DBL BOTTOMS <br />❑ TRUCK & PUP ❑ SWEEPER <br />RATE @ $ <br />❑ STRONG ARM <br />❑ SEMI -BOTTOM <br />❑ WATER TRUCK ❑ OTHER <br />TAG 1�0. <br />WEIGHT <br />COMMODITY <br />LOADING <br />ARRIVE <br />DEPART <br />UNLOADING <br />ARRIVE <br />DEPART <br />STANDBY <br />TIME <br />sfiEAFCDOWNOR <br />REASO>d FOR DELAY <br />TOTAL TONS <br />ACCESSORIAL OTHER <br />DUMPLASTTF <br />SUBJECT TO TERMS AND TOTAL CHARGES <br />CONDITIONS ON REVERSE SIDE <br />JOB <br />-- - DRFVER SIGNATURE f,SHIPPER]RECEIVER (AGENT Off DEBITOR) SIGNATURE <br />