Regional Office Edmonton: www.manitoulintransport.

com
* REGISTERED QUALITY SYSTEM
ISO 9001:2015
BILL OF LADING NO.
D M
SHIPPER / CONSIGNOR
* 402 53114 Range Road 262
Zone 2, Acheson, AB BILL OF LADING
T7X 5A1 Not negotiable
Ph. 780-452-5275 Customer Service 1-800-265-1485
1-800-232-7384
DOLFO TRANSPORT LTD. -----------------------------------------------------
DUCKERING’S TRANSPORT LIMITED
EXALTA TRANSPORT CORP. PLEASE PLACE TOP OF BAR CODE STICKER
MANITOULIN TRANSPORT INC. STRAIGHT ON DOTTED LINE
Y NORTHWEST TRANSPORT LTD.
RAINBOW TRANSPORT
RIDSDALE TRANSPORT LTD.
CUSTOMER CODE Declared Valuation $
_________________

NAME
Per: ……………………..
ADDRESS
Maximum liability of $2.00 per pound
CITY ON THE ACTUAL WEIGHT OF THE SHIPMENT
unless declared valuation states otherwise.
A surcharge is applicable when the declared value
CONSIGNEE CUSTOMER CODE is in excess of $2.00 per pound.

FREIGHT CHARGES
NAME PREPAID / Bill Shipper COLLECT / Bill Consignee

ADDRESS

CITY Freight charges will be collect unless marked prepaid. – OR:

BILL
ROUTING / CARRIER TRANSFER POINT
THIRD PARTY
Pieces and Packin Cust.Code
Type of DG UN Number Shipping Name And Description Class g Other Weight **
Packaging (X)
Group ________________
UN Name & Address

UN

UN

UN

UN

UN

UN

** All Dangerous Goods Weights MUST be in KGs.

P.O. # REF# SHIPPER’S #
24 Hour Contact Name 24-Hour Number ERAP Plan Number ERAP Phone Number

SHIPPER: PLEASE COMPLETE THE FOLLOWING /

TOTAL NO. OF PIECES DIMENSIONS OF SHIPMENT
C.O.D.  C.O.D. FEE PREPAID
LENGTH WIDTH HEIGHT
AMOUNT
 C.O.D. FEE COLLECT
TOTAL CUBIC FEET TOTAL WEIGHT ** DIMENSIONAL WEIGHT * $ C.O.D. charges will be collect unless marked prepaid
_____________________________________ * 10 lb/cu.ft./li./p.c.
.
The dangerous goods safety marks may be in accordance with 49 CFR, the ICAO Technical Instructions or the IMDG Code,
if they differ from the ones required to be displayed by Part 4, Dangerous Goods Safety Marks.
I HEREBY DECLARE that the contents of this consignment are fully and accurately 1. Any agreement covering transportation of the goods described herein with other than
described above by the proper shipping name, are properly classified and due dispatch, or for specific time, must be endorsed on this bill of lading and signed by
packaged, have dangerous goods safety marks properly affixed or displayed on the parties hereto.
them, and are in all respects in proper condition for transport according to the 2. When a shipment is at shipper’s risk, the words “At Shipper’s Risk” must be entered and
Transportation of Dangerous Goods Regulations. initialed by both parties hereto.
SHIPPER / CONSIGNOR CARRIER UNIT NO. / NO.D’UNITÉ CHECKER
CONTRÔLEUR
AS per TDG Regulations 3.4 Shipper (Consignor) name MUST be legible

BLADING-MANI-WEST NOTE: UNCRATED & USED MERCHANDISE AT SHIPPER’S RISK. / THIS BILL OF LADING TO BE SIGNED BY SHIPPER AND CARRIER. MARCHANDISE DÉBALLÉS ET
REV.29 JUNE 18, 2019 UTILISÉ AU RISQUE DE L’EXPÉDITEUR / CE CONNAISSEMENT DOIT ÊTRE SIGNÉ PAR L’EXPÉDITEUR ET LE TRANSPORTEUR