7/9/2006 9:24 AM |
Bill of Lading – Short Form – Not Negotiable |
Page 1 of 1 |
|||||||||||||||
|
Ship From PH. |
Bill of Lading Number: 1001- 1 |
||||||||||||||||
|
SID No.: |
Bar Code Space |
||||||||||||||||
|
Ship To PH. |
Carrier : COCHRANE LIMOUSINE CORPORATION |
||||||||||||||||
|
CID No.: |
P.O.
PH.
(403) 969-5204 FAX (403) 398-0610 E-MAIL [email protected] |
||||||||||||||||
|
Third Party Freight Charges Bill to |
SCAC: |
||||||||||||||||
|
COMPANY |
Pro Number: Bar Code Space |
||||||||||||||||
|
Special Instructions: |
Freight
Charge Terms (Freight
charges are prepaid unless marked otherwise): Prepaid q Collect q 3rd Party q |
||||||||||||||||
|
q Master bill of lading with attached underlying bills of lading. |
|||||||||||||||||
|
Customer Order Information |
|||||||||||||||||
|
Customer Order No. |
# of Packages |
Weight |
Pallet/Slip |
Additional Shipper Information |
|||||||||||||
|
|
|
|
Y |
N |
|
||||||||||||
|
|
|
|
Y |
N |
|
||||||||||||
|
|
|
|
Y |
N |
|
||||||||||||
|
|
|
|
Y |
N |
|
||||||||||||
|
Grand Total |
|
|
|
||||||||||||||
|
Carrier Information |
|||||||||||||||||
|
Handling Unit |
Package |
|
LTL Only |
||||||||||||||
|
Qty |
Type |
Qty |
Type |
Weight |
HM (X) |
Commodity Description Commodities requiring special or additional care or attention in handling or stowing must be so marked and packaged as to ensure safe transportation with ordinary care. See Section 2(e) of NMFC item 360 |
NMFC No. |
Class |
|||||||||
|
|
|
|
|
|
|
|
|
|
|||||||||
|
|
|
|
|
|
|
|
|
|
|||||||||
|
|
|
|
|
|
|
|
|
|
|||||||||
|
|
|
|
|
|
|
|
|
|
|||||||||
|
|
|
|
|
|
|
|
|
|
|||||||||
|
|
|
|
|
|
|
|
|
|
|||||||||
|
|
|
|
|
|
|
ALL RECEIVED IN GOOD ORDER BY; |
|
|
|||||||||
|
Where the rate is dependent on value, shippers are required to state specifically in writing the agreed or declared value of the property as follows: “The agreed or declared value of the property is specifically stated by the shipper to be not exceeding _______________ per _______________. |
COD Amount: $ _______________________________________________ Fee terms: Collect q Prepaid q Customer check acceptable q |
||||||||||||||||
|
Note: Liability limitation for loss or damage in this shipment MAXIMUM $2.00 PER LB. See 49 USC § 14706(c)(1)(A) and (B). |
|||||||||||||||||
|
Received, subject to individually determined rates or contracts that have been agreed upon in writing between the carrier and shipper, if applicable, otherwise to the rates, classifications, and rules that have been established by the carrier and are available to the shipper, on request, and to all applicable state and federal regulations. |
The carrier shall not make delivery of this shipment without payment of charges and all other lawful fees. Shipper Signature __________________________________________________________ |
||||||||||||||||
|
Shipper Signature/Date ___________________________________________ This is to certify that the above named materials are properly classified, packaged, marked, and labeled, and are in proper condition for transportation according to the applicable regulations of the DOT. NO HAZARDOUS GOODS. |
Trailer Loaded: q By shipper q By driver |
Freight Counted: q By shipper q By driver/pallets said to contain q By driver/pieces |
Carrier Signature/Pickup Date __________________________________________ Carrier acknowledges receipt. Property described above is received in good order, except as noted. |
||||||||||||||