Update
Print
Date:
CurrentDate
BILL OF LADING
Page 1
SHIP FROM
Name:
ShipFromName
Address:
ShipFromAdd
City/State/Zip:
ShipToCityStateZip
SID#
ShipFromSid
FOB:
FOB
SHIP TO
Name:
ShipToName
Location#
Address:
ShipToAdd
City/State/Zip:
ShipToDetails
CID#
ShipToSid
FOB:
ShipToFob
THIRD PARTY FRIGHT CHARGES BILL TO:
Name:
ThirdPartyName
Address:
ThirdPartyAddress
City/State/Zip:
ThirdPartyCityStateZip
SPECIAL INSTRUCTION:
ThirdPartySpecialInstuction
Bill of Lading Number:
BillofladingNo
BillofladingNo
TRANSPORTER NAME:
Invoice No:
TrailerNumber
Invoice Amount:
SealNumber
SCAC:
SCAC
Pro number:
ProNumber
SCAC
Freight Charge Terms:
(freight charges are prepaid unless marked otherwise)
Prepaid
PrePaid
Collect
Collect
3
rd
Party
ThirdParty
(Check box)
Master Bill of Lading:With attached underlying Bills of Lading
CUSTOMER ORDER INFORMATION
CUSTOMER ORDER NUMBER
#PKGS
WEIGHT
PCS
PALLET/SLIP
ADDITIONAL SHIPPER INFO
ORDER_ID
PKGS
Weight
PCS
PALLET
SLIP
ADDITIONAL_SHIPPER_INFO
GRAND TOTAL
1
1
1
CARRIER INFORMATION
HANDLING UNIT
PACKAGE
COMMODITY DESCRIPTION
LTL ONLY
QTY
TYPE
QTY
TYPE
WEIGHT
HM
(X)
Commodities requiring special or additional care or attention in handling or stowing must be so marked and packaged as to ensure safe transportation
See Section 2(e) of NMFC item 360
NMFC#
CLASS
1
1
MENS FURN
100
RECEIVING
STAMP SPACE
1
1
GRAND TOTAL
Where the rate is dependent on value, Shippers are required to state specifically in writing the agreed or declared value of the property as follows:
The agreed or declared value of the property is specifically stated by the shipper to be not exceeding.
__________________per__________________
COD Amount: $
CODAmount
_________________________
Fee Terms: Collect:
Prepaid:
Customer check acceptable:
NOTE Liability Limitation for loss or damage in this shipment may be applicable. See 49 U.S.C. $ 14706(c)(1)(A) and (B).
RECEIVED, subject to individually determined rates or contracts that have been agreed upon in writing between the carrier and shipper, if applicable, otherwise to the rates, classification and rules that have been established by the carrier and are available to the shipper, on request, and to all applicable state and federal regulations.
The carrier shall not make delivery of this shipment without payment of freight and all other lawful charges.
Shipper Signature
SHIPPER SIGNATURE/DATE
This is to certify that the above named materials are properly classified, described, packaged, marked and labeled, and are in proper condition for transportation according to the applicable regulations of the U.S. DOT.
CurrentDate
Trailer Loaded
By Shipper
By Driver
Freight Counted
By Shipper
By Driver/Pallets Said
By Driver/Pieces
CARRIER SIGNATURE/PICKUP DATE
Carrier acknowledges receipt of packages and required placards. Carrier certifies emergency response information was made available and/or carrier has the U.S. DOT emergency response guidebook or equivalent documentation in the vehicle.
Property described above is received in good order, except as noted