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THIS SHIPPING ORDER must be legibly filled in,in ink,in indelible Pencil,or in Carbon and retained by the Agent. <br /> RECEIVED,subject to the classifications and tariffs in effect on the date of the issue of this Shipping Order. <br /> From EMPIRE WAREHOUSE, INC. AT <br /> the property deaenbed below m apparent good order,except as noted(contents and conA'�an o�contents of packages unknown),marked,consigned,and destined,as indicated below,which said earner the wad earner <br /> understood tlrrouphout this contract as nieanirg any parser a corporation in possessiona����property under the contract)agrees to carry to its usual place of delivery at said destination,if on its route,otherwise to deliver to <br /> another carder on the route to said destinalon tt Is mutually agreed,es to each tamer ot�llfor any of said prop"over all or any portion of said route to destination,and as to each party at any time interested m all a any of <br /> said property,that every service to be performed hereunder shall be subject to all Eta terms and conditions of the Uniform Domestic Straight Bill of lading set forth(1)m Official Southern,Western and Illinois Freight <br /> Claseificatan m effect on the date hereof,d this ie a rpil or rail water shipment,or(2)m tfie appkcable mofor earner dasai6cation or tariff if this is a motor earner shipment <br /> Shipper hereby certifies that he is familiar wiM all the terms and oonditiona of the said till of lading,including those on the back thereof,set forth in the classification or tariff which governs the transportation of this shipment, <br /> and the said terms and conditions are hereby agreed to by die shipper and accepted for himself and his assigns p <br /> B the shipment moves between two ports by a earner by water,the law requires that the bill of lading shall stkte whether it is"tamers or shipper dependent s weight."NOTE—Where the rate is depeent on value,shippers are SHIPPER'S NUMBER DATE B/L NO. <br /> required to state spedficaly in writing the agreed or declared value of the property.The agreed or declared <br /> value of the property is hereby specifically stated by the shipper to be not exceeding <br /> C <br /> O A FILE NO. <br /> N C <br /> S C <br /> 1 O <br /> G U <br /> N N <br /> E T <br /> E <br /> STATUS DELIVERY DATE POOL NO. CUSTOMER <br /> SPECIAL INSTRUCTIONS If charges are to be prepaid,write <br /> or stamp here,"To be Prepaid." <br /> PREPAID—BILL CHARGES TO <br /> SHIPPER LISTED BELOW. <br /> OTY UNIT PRODUCT CODE DESCRIPTION WEIGHT TO BE PREPAID <br /> Subject to Section 7 of conditions,of <br /> applicable bill of lading,if this shipment is to <br /> be delivered to the consignee without <br /> recourse on the consignor,the consignor <br /> shall sign the following statement: <br /> The carrier shall not make delivery of this <br /> shipment without payment of freight and all <br /> other lawful charges. <br /> (Signature of Consignor) <br /> Received$ <br /> to apply in prepayment of the charges on <br /> the property described hereon. <br /> Agent or Cashier <br /> PER <br /> (the signature here acknowledges <br /> only the amount prepaid) <br /> Consignee <br /> Date C O.D Shipment <br /> PCs <br /> Driver C O.D.Amt <br /> PROTECT FROM HEAT Collection Fee <br /> Received above articles in good condition <br /> OTAL TOTAL <br /> PKGS WEIGHT <br /> Total Charges <br /> S THIS SHIPMENT IS t The fibre Boxes used for this shipment conform to the <br /> H specifications set forth in the box maker's certificate thereon,and <br /> I SORTED BY ITEM all other requirements of Consolidated Freight Classifications <br /> P AND SO TENDERED <br /> E TO THE CARRIER ga- Agent must detach and retain this Shipping <br /> R FOR LOADING. Order and must sign the Original Bill of Lading. <br /> WHITE—Original CANARY—File PINK—Consignee <br />