Коносамент (товарораспорядительный документ) (Bill of Lading)________________________________________________________________________________ Bill of Lading SHIP (VESSEL): _________________________________________ (name, home port and registration number) BILL DATE: __________________ TO FROM--------------------------------------------------------------------------¦Consignee ¦ ¦Shipper ¦+---------------------------------+-----+---------------------------------+¦Street ¦ ¦Street ¦+---------------------------------+-----+---------------------------------+¦Destination ¦ ¦Origin ¦+---------------------------------+-----+---------------------------------+¦City/State/Zip ¦ ¦City/State/Zip ¦+---------------------------------+-----+---------------------------------+¦Route: ¦ ¦Special Instructions: ¦---------------------------------+-----+---------------------------------- FOR PAYMENT, SEND BILL TO SHIPPER'S INSTRUCTIONS--------------------------------------------------------------------------¦Name ¦ ¦ ¦+---------------------------------+-----+---------------------------------+¦Company ¦ ¦ ¦+---------------------------------+-----+---------------------------------+¦Street ¦ ¦ ¦+---------------------------------+-----+---------------------------------+¦City/State/Zip ¦ ¦ ¦---------------------------------+-----+------------------------------------------------------------------------------------------------------------¦NO. SHIPPING UNITS¦TIME¦ DESCRIPTION OF ARTICLES ¦WEIGHT¦RATE¦CHARGES¦¦ ¦ ¦ SPECIAL MARKS & EXCEPTIONS ¦ ¦ ¦ ¦+------------------+----+-----------------------------+------+----+-------+¦ ¦ ¦ ¦ ¦ ¦ ¦+------------------+----+-----------------------------+------+----+-------+¦ ¦ ¦ ¦ ¦ ¦ ¦+------------------+----+-----------------------------+------+----+-------+¦ ¦ ¦ ¦ ¦ ¦ ¦+------------------+----+-----------------------------+------+----+-------+¦ ¦ ¦ ¦ ¦ ¦ ¦+------------------+----+-----------------------------+------+----+-------+¦ ¦ ¦ ¦ ¦ ¦ ¦+------------------+----+-----------------------------+------+----+-------+¦ ¦ ¦ ¦ ¦ ¦ ¦+------------------+----+-----------------------------+------+----+-------+¦ ¦ ¦ ¦ ¦ ¦ ¦+------------------+----+-----------------------------+------+----+-------+¦ ¦ ¦ ¦ ¦ ¦ ¦+------------------+----+-----------------------------+------+----+-------+¦ ¦+-------------------------------------------------------------------------+¦REMIT C.O.D. ¦C.O.D. AMOUNT: ¦C.O.D. FEE ¦¦ ¦ ¦PREPAID ___________¦¦ ¦ ¦COLLECT ___________¦+------------------+----------------------------------+-------------------+¦TO: ¦If this shipment is to be ¦TOTAL ¦¦ ¦delivered to the consignee without¦CHARGES $ ¦¦ADDRESS: ¦recourse on the consignor, the ¦ ¦¦ ¦consignor shall sign the following¦ ¦¦ ¦statement: ¦ ¦¦ ¦The carrier shall not make ¦ ¦¦ ¦delivery of this shipment without ¦ ¦¦ ¦payment of freight and all other ¦ ¦¦ ¦lawful charges. ¦ ¦¦ ¦__________________________________¦ ¦¦ ¦ (Signature of Consignor) ¦ ¦------------------+----------------------------------+----------------------------------------------------------------------------------------------¦NOTE: Where the rate is dependent ¦ ¦Freight Charges ¦¦on value, shippers are required to¦ ¦are collect unless ¦¦state specifically in writing the ¦ ¦market prepaid ¦¦agreed or declared value of the ¦ ¦ ¦¦property. The agreed or declared ¦ ¦CHECK BOX IF ¦¦value of the property is hereby ¦ ¦PREPAID ___________¦¦specifically stated by the shipper¦ ¦ ¦¦to be not exceeding $ ¦ ¦ ¦¦per ¦ ¦ ¦+----------------------------------+------------------+-------------------+¦Shipper ¦Carrier ¦+----------------------------------+--------------------------------------+¦Per ¦Per ¦Date: ¦+----------------------------------+------------------+-------------------+¦Mark with "X" or "RQ" if appropriate to designate Hazardous Materials ¦¦Substances as defined in the Department of Transportation Regulations ¦¦governing the transportation of hazardous materials. The use of this ¦¦column is an optional method for identifying hazardous materials on Bills¦¦of Lading 172.201(a)(1) (iii) of Title 49. Code of Federal Regulations. ¦¦Also when shipping hazardous materials, the shipper's certification ¦¦statement prescribed in section 172.204(a) of the Federal Regulations, as¦¦indicated on the Bill of Lading does apply, unless a specific exception ¦¦from the requirement is pro vided in the Regulation for a particular ¦¦material. ¦--------------------------------------------------------------------------
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