Bill of Lading - Go Warehouse

Ship From:

Bill of Lading Number:

Ship To:

Carrier Name:

Third Party Freight:

Trailer Number:

Special Istructions:

Serial Number(s):

SCAC: DT66 IRS: 20-2672742 FIRMS: M734 Lot #:

Freight Charge Terms (Freight charges are prepaid unless marked otherwise) 3rd Party
Master Bill of lading with attached underlying bills of lading

Customer Order Information

Customer Oder No.

# of Packages

Weight LBS

Pallet/Slip (check one)

YES
NO

Additional Shipper Information

Carrier Information

Handling Unit (QTY)

Handling Unit (TYPE)

Package (QTY)

Package (TYPE)

Weight

HM (X)

Commodity Description:

Commodities requiring special or additional care or attention in handling or stowing must be so marked and packaged as to ensure safe transportation with ordinary care. See Section 2(e) of NMFC item 360

NMFC No. (LTL Only)

(LTL Only)

Class (LTL Only)

(LTL Only)

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:

COD Amount: $0

Fee Terms:

Collect
Prepaid
Customer Check Acceptable

Note: Liability limitation for loss or damage in this shipment may be applicable. See 49 USC § 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, 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.

Shipper Signature:

The carrier shall not make delivery of this shipment without payment of charges and all other lawful fees.

Shipper Signature/Date:

This is to certify that the above named materials are properly classified, packaged, marked, and labeled, and are in proper condition for transportation according to the applicable regulations of the DOT.

Trailer Loaded:

By shipper
By driver

Freight Counted:

By shipper
By driver/pallets said to contain
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 DOT emergency response guidebook or equivalent documentation in the vehicle. Property described above is received in good order, except as noted.

Receive a copy of this document.