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Shipper s Domestic Truck Bill of Lading - Non-Negotiable BOL Number Billing Ref Number Vehicle Date Carrier RECEIVED subject to the Common Carrier Rate Agreement or the CONTRACT between the Shipper and Carrier in effect on the date of shipment the property described below received in good order except as noted contents and condition of contents of packages unknown marked consigned and destined as shown below. This Bill of Lading is not subject to any tariffs or classifications whether individually determined or filed with any federal or state regulatory agency except as specifically agreed to in writing by the Shipper and Carrier. Rate individually determined and NOT subject to filed tariffs. For Payment Send Bill To FREIGHT CHARGES Company Name PREPAID Address COLLECT City State THIRD PARTY Zip SHIPPER Subject to Section 7 of the agreement between Shipper and Carrier if the shipment is to be delivered to the consignee without recourse of the consignor the consignor shall sign the following statement The Carrier shall not make delivery of this shipment without payment of freight and all other lawful charges. Signature CONSIGNEE Phone Fax Contact Name PKGS/ UNITS HAZMAT see below DESCRIPTION CLASS WEIGHT RATE HAZMAT Mark with an X to designate Hazardous Materials as defined in the Department of Transportation Regulations governing the transportation of hazardous materials. The use of this column is an OPTIONAL method for identifying hazardous materials on bills of lading per section 172. 201 a 1 iii of title 49 Code of Federal Regulations. Also WHEN SHIPPING HAZARDOUS MATERIALS the shipper s certification statement prescribed in Section 172. 204 a of the Federal Regulations must be indicated on the bill of lading unless specific exception from this requirement is provided in the Regulations for a particular material* Special Instructions Consignee Name Driver Name Exceptions The agreed on declared value of the property is hereby specifically stated by the shipper to be not exceeding per pound for each distribution package. Full disclosure of terms and conditions are listed on the back of this form or visit our website www. 247expresslogistics. com* 24/7 Express Logistics Inc Ph 816-471-1004 Fax 816-471-5999 Shipper s Signature White Copy to 24/7 Express Logistics Pink Copy to Shipper Yellow Copy to Consignee. This Bill of Lading is not subject to any tariffs or classifications whether individually determined or filed with any federal or state regulatory agency except as specifically agreed to in writing by the Shipper and Carrier. Rate individually determined and NOT subject to filed tariffs. For Payment Send Bill To FREIGHT CHARGES Company Name PREPAID Address COLLECT City State THIRD PARTY Zip SHIPPER Subject to Section 7 of the agreement between Shipper and Carrier if the shipment is to be delivered to the consignee without recourse of the consignor the consignor shall sign the following statement The Carrier shall not make delivery of this shipment without payment of freight and all other lawful charges. .

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