STRAIGHT BILL OF LADING - ORIGINAL - NOT NEGOTIABLE
BL No:

Name:   Consignee Name:
Address:   Address:
City:   City:
State:      Zipcode :   State:      Zipcode :
Origin City (If different than above):   Phone Number:
State:      Zipcode :    
         
BILL TO NAME
(If different than Shipper)
  Customer No:
ADDRESS   Store No:
City:   Po No:
State:      Zipcode :   SPECIAL INSTRUCTIONS:
ATTN:      

COD FEE:    Prepaid    Collect COD ATM $ CUSTOMER CHECK OK FOR
COD AMOUNT?    Yes:     No:

Qty Pkg Type H/M Description of Articles, Special Marks, and Exception Class NMFC Number Weight

HAZARDOUS MATERIALS
EMERGENCY CONTACT NUMBER:
FREIGHT CHARGES ARE PREPAID
UNLESS MARKED COLLECT.
CHECK BOX
IF PREPAID