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GS1 Standard BOL: WWW.GS1US.ORG for complete GS1 BOL Guideline Information
Date:
BILL OF LADING
Page _______
SHIP FROM
Name:
Bill of Lading Number: ______________________
Address:
City/State/Zip:
BAR CODE SPACE
SID#:
FOB:
SHIP TO
CARRIER NAME: _______________________________
Name: Location #: __________ Trailer number:
Address:
Seal number(s):
City/State/Zip:
SCAC:
CID#:
FOB:
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 collect)
SPECIAL INSTRUCTIONS:
Prepaid ______ Collect _____ 3
rd
Party _____
(check box)
Master Bill of Lading: with attached
underlying Bills of Lading
CUSTOMER ORDER INFORMATION
CUSTOMER ORDER NUMBER # PKGS WEIGHT
PALLET/SLIP
(CIRCLE ONE)
ADDITIONAL SHIPPER INFO
Y
GRAND TOTAL
CARRIER INFORMATION
HANDLING UNIT
PACKAGE
COMMODITY DESCRIPTION LTL ONLY
QTY TYPE QTY TYPE
WEIGHT
H.M.
(X)
Commodities requiring special or additional care or attention in handling or stowing
must be so marked and packaged as to ensure safe transportation with ordinary care.
See Section 2(e) of NMFC Item 360
NMFC # CLASS
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: Noting a value is not a request for Additional Cargo Liability under OD Rules 100, Item 574.
COD Amount: $ ______________________
“The agreed or declared value of the property is specifically stated by the shipper to be not exceeding
__________________ per ___________________.”
Fee Terms: Collect: Prepaid:
Personal/company check NOT acceptable:
NOTE - Liability Limitation applies. See OD Rules 100, Items 574 and 594.
RECEIVED, subject to the rates, classifications and rules that have been established by the Carrier and are available on request
to the Shipper (Shipper defined in 49 U.S.C.A. § 13102(13)(c)), and to all applicable state and federal regulations. Shipper 1)
warrants it has read all applicable contract(s) or Carrier’s applicable tariff(s) and the limitation of liability provisions set forth
therein; and 2) has actual knowledge of and accepts the applicable contract or tariff terms, including the limits on carrier liability.
Carriers’ tariff(s), including OD Rules 100, take precedence in the event of any terms or conditions conflicts.
The carrier shall not make delivery of this shipment without payment of
freight and all other lawful charges.
_______________________________________
Shipper Signature
SHIPPER SIGNATURE / DATE
Trailer Loaded:
Freight Counted:
CARRIER SIGNATURE / PICKUP DATE
This is to certify that the above named materials are properly classified,
described, packaged, marked and labeled, and are in proper condition for
transportation according to the applicable regulations of the U.S. DOT.
By Shipper
By Driver
By Shipper
By Driver/pallets said to contain
Carrier acknowledges receipt of packages and required placards. Carrier
certifies emergency response information was made available and/or
carrier has the U.S. DOT emergency response guidebook or equivalent
documentation in the vehicle.
By Driver/Pieces
Property described above is received in good order, except as noted.
Y
Y
Y
Y
N
N
N
N
N
