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Date Ser. 'd: -2 - . aMpm <br />Pack Date: - $ ~Pm <br />p~ arN m <br />ad~ ~ e . <br />Cap~ta~ Cif~i '~ransfer <br />1465 Johnson SL NE, Salem, ~R 8~ 303 ~ <br />(SG;:; 58 i-6683 °(8~) 828-1 fi41 ~ fax (503) 58i -6924 <br />PUC #037342 6 iCC MC 227345 <br />//_ <I ~f ~ -~'1~ 'i /'i_ ~~ ~ <br />HHG BILL OF LADING <br />B/L Number <br />4378 <br />. _ . _ __, <br />• <br /> <br />~E NAME <br />SUPP RT ION C0. D.A. UPPOR <br />~R~ ADDRESS <br /> MARION 0. COURT HOIISE th FLOOR <br />' <br />pTy STATE Z~P CITY STATE Z1P <br /> [~I,gi OR <br />~TpC7 PHONE CONTACT PHONE <br />FAX - FAX <br /> ST ART TIME: <br />I I I I I ~ I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I i I I I I I I I I I I I IN ITIA~s ~/pm <br />8 AM 7 8 9 10 11 12 1 2 3 4 5 B PM FI NISH T1ME: <br />NOON <br />EXPLANATION: P-PACKING L-LOADING D-DRIVING UL-UNLOADING UP-UNPACKING X-TIME NOT CHARGED IN ITIALS am/pm <br /> • <br />~ d <br />~- r a ~ , <br />' ~~ <br />;~ <br />~ <br />~~~~IN~ <br />°~ <br />~ ~ ~ ~. <br />ra,s,„; <br />r <br />~~ <br />~ <br />~ 4 q <br />~ <br />a k:~, ~ ~~ ..;~~~. ~.' ~T1( . ;~J1~ ° ~(,~ `~'~'~E ` ~~r v RA'T`E 1 TRUCK 8~ DRIVER <br />BARRELS/DISHPACKS 2 TRUCK ~ MEN ( .O <br />CRATES/CONTAINERS EXTRA LABOR HOURS <br />CARNNS: 1S CU FT. ') ,,; ,; MATERIALS <br />3.0 CU FT (3THER <br /> <br />4,5 CU Ff <br /> <br />6.0 CU FT <br />~ <br />~ ~ <br />WARDROBE CARNN ~ ~ ~`~~~ ~ ~ ~ <br />~` ~ <br />MIRROR CARTON ~ ~ <br /> <br />MATTRESS CTNS: SiNG~E <br /> <br />ooue~E <br /> <br />~fHER <br />QTHER: Td " I~ " ,:1t <br />.' 4 F~;`~ ~:'' '~T~a'-,^.t "" :'~~ w~e: ~ '~ '" ~~~~L <br />.m..r <br />t . <br />~. <br />> -~s~* ?~ ' ~~Y ~w- PJ. m tl'k = i°.: <br />. <br />: <br />: ~ ~ <br />If the shipper declines to sign this declaration of value and the,shipment,is accepted, <br />~ ~~ OF PICKUP REQUESTED DATE OF DELIVERY REOUESTED <br />ppec pviU <br />the shipment will move at the depreciated value protection (eVel and the'~hi . <br />- <br /> <br />be subject to the appropriate valuation charges. ~ ~ ~ '-; ,- ~ ~ <br />~e s~GNe~ <br />~°~~ -~~ ~ a ~ ~ ,~ <br />~ - , ~:~, ., ~. ~ ~~ ~ :~ " <br />~ <br />Q RELEASED VAWE PROTECTION: ~l /, / <br />~ ~ - • ~ ' <br />~ <br />Goods will be valued at 60 cents per Ib. per article. <br />,m .. <br />~ n ~'~ <br />~ <br />~ <br />Shipper: Date: ~_, .f <br />MILES: ~ <br />^ DEPRECIATED VALUE PROTECTION: Goods will be valued at $1.25 times the <br />aduai weight of the shipment. For each $100.00, or fraction thereof, of declared value <br />r <br />m value <br />whic <br />hev <br />s <br />l <br />f <br />d <br />i <br />Ib <br />d C~RGES FROM ABOVE <br />, <br />, <br />e <br />, <br />lump, <br />u <br />s. or <br />ec <br />a <br />e <br />n <br />ffi a125 times the weigM of the shipment <br />is higher, the valuation charge shall be 50 cents per e~ch ~100.00~cef valu8. - OTHER CHARGES <br />Date: <br />Shi <br />er <br />pp <br />. STORAGE CHARGES <br />Lump Sum Value: <br /> VALUATION CHARGES <br />^ REPLACEMENT COST PROTECTION: Goods will be valued at $3.50 times the ~ ~ t; ~ ~ ~ - ~ ~~a ~ ~°9 ~~ <br />~ <br />' ~ <br />actual weight of the shipment. For each $1U0.00, or fraction thereof, of declared value "~"~ <br />~~ ~~ <br />~~~~ <br />~~ <br />~ _, ~ <br />~~ <br />50 times the weight of the shipment in Ibs. or declared lump sum value, whichever <br />at 53 w,,~~ t~.~ ~~ „_ <br />~ <br />~ ~ <br />• r' <br />. <br />is higher, the valuation charge shall be 85 cents per each $100.00 of value. ADVANCE DEPOSIT~ ~ <br />Shipper: Date: <br />Lump Sum Value: ~ ~ ~ ~~ ° ~" <br />+~~,~ ~ v~~~~~, -~.~. <br />~~ <br />`~ <br />~ <br />~ <br /> ~ <br />'~i k~: <br />4 ~ 4~'# <br />~ ~ <br />~ l <br />.(. <br />~...s.. <br />~ / <br />~ ~ s~, <br />t ~. <br />N <br />.. ~ , <br />~ <br />~ <br /> PR <br />C.O.D. BILL EPAID <br />I adcnowledge that I have received, at first contact wfth the carrier, a c~py of the form entftled RECEIVED IN GOOD CONDITION EXCEPT A5 NOTED: <br />GENERAL INFORMATION FOR MOVING HOUSEHOLD GOODS IN OREGON which explains <br />the Oregon rules and regulations affecting intrastate shipments of household goods. ~nsignee: <br />i understand thffi rtry final charge for service must be based on rates that have been approved <br />by the Oregon Department of Transportation or the Public Utility Commissian and published <br />oods movec <br />the household <br />d t <br />b <br />id <br />i Driver: <br />g <br />o me <br />y <br />ce prov <br />e <br />in a tariff regardless of any estimate for serv ' <br />I UNDERSTAND THAT AN ESTIMATE IS NOT A FIRM BID. ~NTS/~cCePri Ns: <br />CoMM <br />Dated: <br /> 1 <br />Shipper: <br /> <br />Motor Cartier <br />~ <br />. <br /> eGV ~nm WTA NO. 50 <br />