Bill of Lading
To Consigne
FROM
FROM
FROM
Type a question
C.O.D AMOUNT
CONSIGNE DETAILS
To Consigne
C.O.D (Optional)
Street
Destination
Zip
Phone
P.O.#:
SHIPPER DETAILS
FROM
STREET
ORIGIN
ZIP
PHONE
VEHICLE No.
SHIPPING SELECT
C.O.D AMOUNT
ROUTING
PAYMENT METHOD
C.O.D FEE
BILL TO
NAME
ADDRESS
CITY
STATE
ZIP
NO. SHIPPING UNITS | H.M | Description of Articles Special Marks & exceptions (List Hazardous Materials First) | Weight (Subject to Correction) | Rate | CHARGES (for Carrier use only) | |
---|---|---|---|---|---|---|
1 | ||||||
2 | ||||||
3 | ||||||
4 | ||||||
5 |
NOTE (1) Where the rate is dependent on the 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
CORLETT EXPRESS TRUCKING, Inc., Liability for loss or damage to any shipment or any part theory, is limited to the actual value of the article(s) lost, damaged, or destroyed or $5.00 per pound, whichever is less.
Subject to section 7 of conditions, if the shipment is to be delivered to the consignee without recourse on the consignor shall sign the following statement:
The carrier shall not make delivery of the shipment without payment of freight and all other changes.
Signature of consignor
This is to certify that the above named articles are properly classified, described, packaged, marked, and labeled, and are in proper condition for transportation, according to the applicable regulation of the Department of Transportation.
SHIPPER
PER
DATE
TIME
CARRIER
PER
DATE
TIME