Bill of Lading BOL #: Job #: Pickup Date:
Shipper Reference	Consignee Reference
Bill To	Freight Charges
Notes:

Received, subject to the contract between the Shipper, Consignee or Third Party and the Carrier in effect on the date of shipment. The property described below, in apparent good order, except as noted (contents and condition of the package unknown), marked, consigned and destined as indicated above. This Bill of Lading is not subject to any tarrifs or classifications whether individually determined or filed with any Federal or State/Provincial regulatory Agency, except as specifically agreed to in writing by both parties. In the event a contract does not exist, it is mutually agreed to that services preformed hereunder shall be subject to all terms and conditions of the Uniform Domestic Straight Bill of Lading set forth in the National Motor Freight Classification and 52 I.C.C. 671.

# of Pieces	HM	Description of Articles, Special Marks and Exceptions		Weight	Class	NMFC
Customs Broker:			Border Crossing:	Carrier Spot Quote #:

THIS IS TO CERTIFY THAT THE ABOVE MATERIALS ARE PROPERLY CLASSIFIED, DESCRIBED, PACKAGED, MARKED, AND LABELLED, AND ARE IN PROPER CONDITION FOR TRANSPORTATION, ACCORDING TO THE APPLICABLE REGULATIONS OF THE DEPARTMENT OF TRANSPORTATION

Comments / Special Instructions: