Date: 6/15/2010 BILL OF LADING

SHIP FROM Bill of Lading Number

Epicor Software - USA
123 Address Road !000103!
Minneapolis, MN 55426
US 000103
Carrier Name ABF Freight
Trailer number
SHIP TO
Seal Number(s):
Dalton Manufacturing
495 South Greenbay Rd
SCAC:
Neenah, WI 54956
USA Pro Number: 10002
!10002!
THIRD PARTY FREIGHT CHARGE BILL TO:

Freight Charge Terms: (freight charges are prepaid unless

marked otherwise)
Prepaid X Collect 3rd Party

Special Instructions:
CUSTOMER ORDER INFORMATION
CUSTOMER ORDER NUMBERS #/PALLETS TOTAL WEIGHT

5209 1 200
HANDLING COMMODITY DESCRIPTION LTL ONLY
UNIT WEIGHT H.M. Commodities requiring special or additional care or attention in handliing or stowing must be so marked and
packaged as to ensure safe transportation with ordinary care
QTY TYPE see Section 2(e) of NMFC Item 360
NMFC# CLASS

1 200 Glass Parts 85

When the rate is dependent on value, shippers are required to state specifically in writing the agreed or COD Amount 0.00
declared value of the property as follows:
Fee Terms: Collect: __ X
Prepaid: __
"The agreed or declared value of the property is specifically stated by the shipper to be not exceeding
____________________ per _______________________" Customer check acceptable: __
NOTE Liability for loss or damage in this shipment may be applicable. See 49 U.S.C *14707(c)(1)(A) and (B).
RECEIVED, subject to individualy determined rates or contracts that have been agreed upon in writing between The carrier shall not make delivery of this shipment without payment of freight and all other lawful
the carrier and shipper, if applicable, otherwise to the rates, classifications and rules that have been established charges.
by the carrier and are availible to the shipper, on request, and to all applicable state and federal regulations. ________________________________________________________________ Shipper
Signature
Trailer Loaded: Freight Counted CARRIER SIGNATURE / PICK UP DATE
SHIPPER SIGNATURE / DATE
This is to certify that the above named materials are properly classified,
packaged, marked and labeled, and are in proper condition for
□ By Shipper □ By Shipper Carrier acknowledges receipt of packages and required placards. Carrier
certifies emergency response information was made avaliable and/or carrier
transportation according to the applicable regulations of the DOT.
□ By Driver □ By Driver/pallets said has the DOT emergency response guidebook or equivalent documentation
in the vehicle
to contain
□ By Driver/Pieces Properly described above is received in good order, except as noted.