Code of Federal Regulations Title 49. Transportation 49 CFR Pt. 1035, App. A—UNIFORM STRAIGHT BILL OF LADING

Uniform Straight Bill of Lading

Original—Not Negotiable

Shipper's No

Agent's No

Company

Received, subject to the classifications and tariffs in effect on the date of this Bill of Lading:

at_____________, 20____

from

the property described below, in apparent good order, except as noted (contents and condition of contents of packages unknown), marked, consigned, and destined as indicated below, which said company (the word company being understood throughout this contract as meaning any person or corporation in possession of the property under the contract) agrees to carry to its usual place of delivery at said destination, if on its own road or its own water line, otherwise to deliver to another carrier on the route to said destination. It is mutually agreed, as to each carrier of all or any of said property over all or any portion of said route to destination, and as to each party at any time interested in all or any of said property, that 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 back hereof, which are hereby agreed to by the shipper and accepted for himself and his assigns.

[Mail or street address of consignee—For purposes of notification only.]

Consigned to

Destination

State of

County of

Route

Delivering Carrier

Car Initial

Car No

Trailer Initials/Number

Length

Plan

Length

Plan

Container Initials/Number

Length

Plan

Length

Plan

^a If the shipment moves between two ports by a carrier by water, the law requires that the bill of lading shall state whether it is “carrier's or shipper's weight.”

Note. Where the rate is dependent on value, shippers are required to state specifically in writing the agreed or declared value of the property.

The agreed or declared value of the property is hereby specifically stated by the shipper to be not exceeding—

____________________per____________________

Charges advanced: ____________________

Shipper

Agent

Per

Per

Permanent post office address of shipper