AUTO TRANSPORT BILL OF LADING FORM

B of L NO. YEAR AUTO TRANSPORT BILL OF LADING

MILEAGE AT
CARRIER MAKE PLATE NO.
PICK-UP
INTERIOR MILEAGE AT
VEHICLE ID MODEL
CONDITION DELIVERY
METHOD OF TOTAL
ORDER NO. COLOR
PAYMENT CHARGES

CONSIGNOR /
ORIGIN LEGEND

COMPANY B - Bent

BR - Broken
ADDRESS
C - Cut
ADDRESS
CR - Cracked

CITY / STATE / ZIP CV - Caved

D - Dented
PHONE
F - Faded
EMAIL
FF - Foreign Fluid

CONTACT NAME L - Loose

CONSIGNEE / M - Missing
DESTINATION
P - Pitted
COMPANY
PC - Paint Chipped
ADDRESS R - Rubbed

ADDRESS RU - Rusted

S - Scratched
CITY / STATE / ZIP
SL - Soiled
PHONE
ST - Stained

EMAIL SW - Swirl Marks

T - Torn
CONTACT NAME
Use Legend to indicate condition on auto image, above. Provide further detail in remarks, below.

TERMS & CONDITIONS PICK-UP REMARKS / EXCEPTIONS DELIVERY REMARKS / EXCEPTIONS

The Shipper and Consignee represent and warrant to the Carrier that NAMES SIGNATURES DATES
they and their authorized agents have lawful possession of and legal
SHIPPER / SHIPPER /
right and authority to tender and receive the property herein DATE
AGENT AGENT SIGN.
described. The Shipper and Consignee further represent and warrant to
the Carrier that any agents or representatives designated by them to
act on their behalf have full right and authorization to execute this Bill of DRIVER DRIVER SIGN. DATE
Lading, the applicable Inspection Form, and any other documents that
may be required by the Carrier, and absent a contractual relationship
which defines terms to the contrary, agree to be bound by the terms
and conditions set forth in said documents and the prevailing Tariffs in
CONSIGNEE /
AGENT Roberto Medina CONSIGNEE /
AGENT SIGN. Karla G. Cantón DATE
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