Laserfiche WebLink
Date: 04/28/201 <br />MILL (A- LADI(' <br />(i <br />`o <br />Hill Of Lading Nki ill),:l : P,ii'1152�i- <br />Na.rrie. Vales Lighl <br />C:arfieT Name A <br />Address: 2101 Easl St. Elmo Rd. <br />Building 3, Suite 310 <br />SCAC: SAIA <br />CitylState0p: AUSTIN,TX 78744 <br />Fro number: <br />Ph:.6122225550 Contact: Nathan Gihtell <br />_ <br />Name., C1ly of South BendlPaft and <br />Location* <br />j 00918322480 <br />recreation <br />Address 1020 High Sireel <br />Cily1siale0p: SOUTH, SEND,IN.46601 _ <br />Freighi Charge Terms.: (Ireighl charges aie prepaid by <br />Ph: 317- 223.2611 Cool cLBobpie Clearwater <br />f OB:❑ <br />4rd011divide Express unless indica)ed olhen•:ise) <br />C( <br />Master Bill of Lading: <br />' # <br />Name: WorldvA0 Express <br />with attacliad underiyirhg 131u Of Lsrlirg <br />� <br />WWI- Niiff-Iber: W41€1SM[iOS <br />Address: 2323.Vic(ory Avenue Ste iG00 <br />CitylSlatefZip: Dallas, TX 75219 <br />SPECIAL INSTRUCTIONS: Forassistance, e, pinas, call (-12) 345-9939 <br />andling Insiructions: SO I0625 <br />Pickup Insirucfioras: <br />elivety Insifurfions: <br />mrlimi <br />�® <br />REFERENCE It PKGS <br />DEFERENCE <br />PI(GS Total it of PI(gs <br />HANDLING PIECES <br />COfdtslOUfrYDrSCRIPTION LTLONLY <br />UNITS H.M. CammodlesregailMspeaWorada;onalceroorallwr)ootn <br />WEIGHT' <br />QTY TYPE OTY TYPE <br />randN&e,%whrgmust besomarked and padwgadioonac <br />XsofulrartspatctbnW41ardinrvyMMSee sedbn2(a)orMMFG NMFCN CLASS <br />Rem sso <br />1 <br />PLT <br />PLT <br />220 <br />Light Pole, 188(1-) x 10(W) x 10(H) 00 NOT <br />65 <br />STACK <br />1 <br />PLT <br />PLT <br />875 <br />Lampsll.tghUng Fixtures, 60(L) x 48(W) x 24(H) <br />65 <br />DO NOT STACK <br />2mom1095 <br />Grand Total <br />Where the rate Is dependent on value, shippers are required to stale specifically in "Bing <br />COD Amount: , <br />Acce tabla Fotmsof Pa 8fit- <br />the agreed or declared Woocf property asfolfovrs: The agreed or declared value of the <br />Fee Terms; V Party WWE <br />I Bank Certified Check <br />property is specifically slated by the shipper to be not exceeding <br />per <br />RemII Address: <br />I Companv Check <br />-—�-------- - - - ._.. _..- -- -------�- <br />Note: Liability Ilmitagen for loss or damage in this shipment may be applicable. See 49 <br />Personal Check <br />btYona 6rder <br />U.S.C. 814700c 1 A and B <br />RECEIVED, subject to Individually determined rates or contracts that have been agreed <br />CARRIER SIGNATURE IPtGKUP DATE <br />upon in wiling beltveen the carded and WoddvArle Express Operations, ILLC. a toglstered <br />motor carried broker. pursuant to 49 USG 14101(b) and all applicable slate and federal <br />Carder acknovdedges recepl of packages and required <br />regvlallons. <br />placards. Carrier cef iesemergencyre"rissinformation <br />was made available and lorcarrier has DDT emergency <br />Tesponseguiderbook or egtivarent dociumentalion in vetircle. <br />SHiPPEnS SIGNATunElDATE <br />'11%bl3to <br />Trailer Leaded: <br />Fre'gid Counled: <br />deft Unt tha abov -named moWW 6 we <br />propolydawred,described,packagedmrrkedand <br />Property desCdlled ditnve is received in goad order, except as <br />0 shi er <br />h <br />Lf B Slipper <br />tabeW,ardamInproper candilbnfar bn-spodalfon <br />to Na the <br />Y pP <br />By Driver <br />y Ppe <br />l By ❑riveripallet <br />El <br />noted. <br />.rdirg appl;cabts regWaaoss or <br />DepzAmenl of Tirampodatioa <br />r. <br />sald to contain <br />❑ By DdverlPteces <br />(Signature) (Date) <br />S naFve Dote <br />