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Uate ser. eq'd: 12-19-96 arrvpm
<br />`~! te: s aMpm
<br />oei~ o~a a~y~d: 12-20-96 am/pm
<br />o~ Ta~ sy: Tom
<br />• ` - :
<br />. ~-~'~- ~ ~~~ HHG BILL OF LADING '
<br />14b5 Johnsesn SL ~IE, ~ietn; OR 87~~~~
<br />~) 581-~i ~ (~) $2t3-i641 • fax (5ti3}= B/L Number '
<br />F'UC ,1r~373d~2 • ~C ~ 22739~ " ~
<br />~ ~ 7~ :c /~' -~ ~ - ~c~ 3447 ~''
<br /> .
<br />
<br />NAME NAh1E
<br />Marion County Marion County
<br />ADDRESS ADDRESS
<br />220 High St. NE 5155 Silverton Rd NE
<br />CITy STATE ZIP CITY STATE ZIP
<br />~ Salem Or. Salem Or.
<br />CONTACi PHONE CONTACT 9` PHONE
<br />Shelly 588-5036 ~
<br />Fq~( FAX
<br /> ~ S
<br />~ TART TIME:
<br /> ~
<br />~~ ~ IN ITIALS am/pm
<br />6 AM 7 8 9 10 11 12 1 2 ~ 4 5 8 PM FI NISH TI OG
<br />NOON ~y A
<br />~
<br />EXPLANATION: P-PACiCING L-LOADING D-DRIVING UL-UNLOADING UP-UINP~ACKING aX^~i fIME NOT CHARGED IN am/pm
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<br />RREL8/DISHPACKS _ _ , - ,..._
<br />2 %~',~...
<br />TRUCK MEN ?~' --
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<br />CRATES/CONTAINERS EXTRA LABOR HOURS
<br />CARTONS: 1S CU FT. 1S 1.OO ° MATERIALS / S~c~ )
<br />3.0 CU FT OTHER
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<br />WAR~`AOBE CARTON ~h .
<br />MIRROR CARTON ' '
<br />MATTRESS CTNS: SiNG~e
<br />DOUBLE
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<br />If the shipper declines to sign this declaration of value and the shipment is accepted, DATE OF PICKUP RE~UESTED DATE OF DELIVERY REQUEST D
<br />reciated value protection level and the shipper will
<br />ment will move at the de
<br />the shi
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<br />be subject to the appropriate valuation charges. 1. '~ = onre si~Neo
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<br />~iELEASED ~1ALUE PR~CTaON: ~
<br />•
<br />per Ib. per article.
<br />Goods wtli be val d at 60 ~e
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<br />Date:
<br />Shipper; •
<br />~ MILES: C~
<br />^ DEPRECIATEb VALUF,PROTECTION: Goods will be valued at $1.25 times the
<br />_. actual weight.pf-the shi(ifnerrt. Forsach $1Q0.00, or f~ction thereof, of declared value CHRFiOfS FR'OM ABOVE
<br />whichever
<br />or declared lump sum value
<br />meM in Ibs
<br />M of the shi
<br />ei
<br />t $125 ti
<br />the
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<br />.
<br />g
<br />mes
<br />w
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<br />is higher, the valuation charge shall be 50 cents per each $100.00 of value. pTHER CHARGES
<br />Shipper: Date: , ~_
<br />
<br />m Value:
<br />L
<br />m
<br />S STORAGE CH R ~
<br />u
<br />p
<br />u VALUATION R ES
<br />^ REPLACEMENT COS7 PROTECTION: Goods will be valued at $3.50 times the
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<br />actual weight of the shipment. For each $100.00, or fraction thereof, of declared value ~` ,~"~"~ ~~~~~~ '
<br />at $350 times the weigM of the shipment in Ibs. or declared lump sum value, whichever
<br />the valuation charge shall be 85 cents peF aach $100.00 of vy~lu9.! ~
<br />is higher
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<br />' ADVANCE DEPOSIT
<br />, . _ .. ~Date:
<br />Shipper. s i !t~
<br />Lump Sum Value: ~~~~~~ ~ ~.- +1,~'
<br />71 ~
<br />. .
<br />- C.O.D. 'L PR EPAID
<br /> RECEIVED IN DIT X PT AS NOTED:
<br />
<br /> Consignee:
<br />~ a hav ~
<br /> Driver:
<br />, 1 U DERSTAND THAT AN ESTIMATE COMMENTS/EXCEPTIONS:
<br />IS NOT A FIRM BID. : / ~ C/
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<br />Carrier:
<br />
<br />WTB NO. 50
<br />
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