Professional Documents
Culture Documents
SHIP FROM
Name: Bill of Lading Number:__________________
Address:
City/State/Zip: BAR CODE SPACE
SID#: FOB: o
SHIP TO CARRIER NAME: _________________________________
Name: Location #:____ Trailer number:
Address: Seal number(s):
City/State/Zip: SCAC:
CID#: FOB: o Pro number:
THIRD PARTY FREIGHT CHARGES BILL TO:
Name: BAR CODE SPACE
Address:
City/State/Zip: Freight Charge Terms: (freight charges are prepaid
unless marked otherwise)
GRAND TOTAL
CARRIER INFORMATION
HANDLING UNIT PACKAGE COMMODITY DESCRIPTION LTL ONLY
Commodities requiring special or additional care or attention in handling or stowing must be
QTY TYPE QTY TYPE WEIGHT H.M. so marked and packaged as to ensure safe transportation with ordinary care. NMFC # CLASS
(X) See Section 2(e) of NMFC Item 360
RECEIVING
STAMP SPACE
GRAND TOTAL
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: COD Amount: $____________________
p By Driver/Pieces
SUPPLEMENT TO THE BILL OF LADING Page _________
PAGE SUBTOTAL
CARRIER INFORMATION
HANDLING UNIT PACKAGE COMMODITY DESCRIPTION LTL ONLY
QTY TYPE QTY TYPE WEIGHT H.M. Commodities requiring special or additional care or attention in handling or stowing must
NMFC # CLASS
be so marked and packaged as to ensure safe transportation with ordinary care.
(X) See Section 2(e) of NMFC Item 360
PAGE SUBTOTAL