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UNIFORM STRAIGHT BILL OF LADING ORIGINAL---NOT NEGOTIABLE SUBJECT TO THE TERMS AND CONDITIONS OF THE UNIFORM BILL OF LADING --- QUESTIONS? CALL 1.866.393.4585 Purchase Order # OPTIONAL: You may select a money-back guarantee REQUIRED: Please select a service type delivery (charges and tariff limitations may apply). FedEx Freight A.M. Delivery Close of Business Delivery FedEx Freight (from) Please provide ZIP codes and phone numbers. Area Code Phone Number Area Code Phone Number Address (Store, Dept., Ste., Flr., Apt., Div.) Address (Store, Dept., Ste., Flr., Apt., Div.) State/Province ZIP/Postal Code State/Province ZIP/Postal Code Optional or Additional Service Fees and Charges Liftgate Inside Pickup Limited Access Optional or Additional Service Fees and Charges Liftgate Inside Delivery Limited Access Shipper Bill of Lading # Custom Delivery Window: Special Instructions BILL FREIGHT CHARGES TO (if different than above): Mailing Address ZIP/Postal Code Phone Number Freight charges are The letters “C.O.D.” must appear in box before consignee’s name above. marked collect. C.O.D. funds to be collected as: Certified Funds Company Check Personal Check CHECK BOX IF COLLECT C.O.D. fee to be paid by: REMIT C.O.D. TO (if different than shipper above): Mailing Address ZIP/Postal Code Country Code Area Code Phone NumberRECEIVED, 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, classifications 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 property described below, in apparent good order, except as noted (contents and condition of contents of packages unknown) marked, consigned and destined as shown hereon, which said carrier agrees to carry to destination, if on its route, or otherwise to deliver to another carrier on the route to destination. Every service to be
performed hereunder shall be subject to all the conditions not prohibited by law, whether printed or written, herein contained, including the conditions on the back hereof, and the conditions of the FXF 100 Series Rules Tariff, or otherwise referenced, which are hereby agreed to by the shipper and accepted for himself and his assigns.