Carrier Name Date   Shipper __ Name Phone Fax Address Address City State/Zip Consignee Name Phone Fax 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 0 50 55 60 65 70 77.5 85 92.5 100 110 125 150 175 200 250 300 400 500 0 50 55 60 65 70 77.5 85 92.5 100 110 125 150 175 200 250 300 400 500 0 50 55 60 65 70 77.5 85 92.5 100 110 125 150 175 200 250 300 400 500 0 50 55 60 65 70 77.5 85 92.5 100 110 125 150 175 200 250 300 400 500   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 conditions in the conditions in the covering classifications on the date of this shipment hereby agreed to by the shipper and accepted for himself and his assigns.       ______________________________ ________________________________________ Per Shipper Carrier Signature and Date   ______________________________ ________________________________________ Section 7 Signature and Date   Print