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OLD DOMINION FREIGHT LINE, INC (Old Dominion Freight Line)

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OLD DOMINION FREIGHT LINE, INC
STRAIGHT BILL OF LADING/CANADA CUSTOMS INVOICE
1. EXPORTER/SHIPPER (Name and address including ZIP code) 2. OLD DOMINION PRO NO 3. DATE
3a. BROKER INFORMATION REQUIRED
4. ULTIMATE CONSIGNEE (Name and Address) 5. P.O. NO 6. BILL OF LADING NO
7. PURCHASER’S NAME AND ADDRESS (iF OTHER THAN CONSIGNEE)
8. COUNTRY OF TRANSSHIPMENT 9. CURRENCY OF SETTLEMENT
10. EXPORTING CARRIER (TRUCK): 11. COUNTRY OF ORIGIN
12. ORIGIN CITY & STATE
13. CONDITIONS OF SALE AND TERMS OF PAYMENT
14. SPECIAL INSTRUCTIONS
16. NO.
PCS
17.
H.M.
18. PIECES, KINDS OF PACKAGING, DESCRIPTION OF COMMODITIES 19. QUANTITY 20. SHIPPING
WEIGHT (LBS)
21. UNIT PRICE 22. VALUE (U.S. DOLLARS)
(SELLING PRICE OR COST IF NOT SOLD)
25. If any of elds 1 to 24 are included on an attached commercial invoice, check this box
23. TOTAL WEIGHT 24. INVOICE TOTAL
Net Gross
RECEIVED, subject to the classications and lawfully led tariffs in effect on the date of the issue of this Bill of Lading the property described above and in apparent good order, except as noted (contents and condition of packages
uknown), marked, consigned, and destined as indicated above which said carrier (the word carrier being understood throughout this contract as meaning any person or corporation in possession of the property under the contract)
agrees to carry to its usual place of delivery of said destination, if on its route, otherwise to deliver to another carrier on the route to said destination. It is mutually agreed as to each carrier of all or any said property over all or any
portion of said route to destination and as to each party at any time interested in all or any of said property, that every service to be performed hereunder shall be subject to all the conditions not prohibited by law, whether printed or
written, herein contained, including the conditions on the back hereof, which are hereby agreed to by the shipper and accepted for himself and his assigns.
26. Note - When the rate is dependent on value, shippers are required to state specically in writing the agreed
or declared value of the property. The agreed or declared value of the property is hereby specically stated by
the shipper to be not exceeding:
27. Subject to section 7 of conditions, if this shipment is to be delivered to the consignee without recourse on the con-
signor, the consignee shall sign the following statement:
The carrier shall not make delivery of this shipment without payment of freight and all other charges.
28. TERMS OF PAYMENT (Check appropriate box)
29. COD FEE 30. COD AMOUNT
31. Exporter’s Name and Address (if other than Exporter/Shipper) 32. Originator (Name and Address)
33. Department Ruling (if applicable) 34. If elds 35 to 37 are not applicable, check this box
35. If included in eld 24 indicate amount:
(i) Transportation charges, expenses and insurance from
the place of direct shipment to Canada
(ii) Cost of construction, erection and assembly incurred
after importation into Canada
(iii) Export packing
36. If not included in eld 24 indicate amount:
(i) Transporatation charges, expenses and insurance from
the place of direct shipment to Canada
(ii) Amounts for commissions other than buying commis-
sions
(iii) Export packing
37. Check (if applicable)
I hereby declare that the contents of this consignment are fully and accurately described above by proper
shipping name and are classied, packed, marked and labeled, and are in all respects in proper condition for
transport by rail, highway, water according to applicable international and national government regulations.
38. SHIPPER 39. PER 40. DATE 41. PIECES
Commercial Invoice No.
OLD DOMINION FREIGHT LINE, INC
15. PLACE OLD DOMINION PRO LABEL HERE
per$
IF SHIPMENT INCLUDES GOODS OF
DIFFERENT ORIGINS ENTER ORIGINS
AGAINST ITEMS IN FIELD 18.
Signature of Consignor
PREPAID
COLLECT
Royalty payments or subsequent proceeds are
paid or payable by the purchaser
The purchaser has supplied goods or services
for use in production of goods
X
X
OLD DOMINION FREIGHT LINE, INC (ODFL)
PREPAID
COLLECT
U.S. $
MARK “X” IN H.M. COLUMN FOR HAZARDOUS MATERIALS ORIGINAL COPY
ZIP CODE
PHONE
$0.00
Instructions for Completing
Straight Bill of Lading / Canada Customs Invoice
NOTE: CANADA CUSTOMS REQUIRES COMPLETION OF BLOCKS 7 THROUGH 13, 19, 21 THROUGH 25 AND 31
THROUGH 37 WHEN APPLICABLE.
1. Complete shipper name, address, city, state and rst ve digits of the zip code.
2. Enter Old Dominion’s PRO number.
3. Enter shipping date.
3a. If known, enter the Canadian broker’s name and phone number in this space.
4. Enter purchase order number(s), if applicable.
5. Enter shipper’s bill of lading number.
6. Enter the name, address and phone number (if known) of the party actually receiving the merchandise in Canada.
7. If a party other than the Ultimate Consignee is purchasing the merchandise, provide the name and address of the Purchaser.
8. If this shipment originate outside of the U.S., enter U.S. as the country of transshipment. Otherwise, leave blank.
9. Indicate the currency in which the shipper requires payment.
10. Old Dominion Freight Line, Inc. is already shown here as the mode of transportation.
11. Enter the name of the country in which the merchandise was mined, grown, manufactured, produced or substantially transformed.
12. Enter the place from which the goods began their uninterrupted journey to Canada.
13. Describe the terms and conditions agreed upon by both shipper and purchaser.
14. Enter special handling or delivery instructions, if any.
15. Place Old Dominion PRO label here.
16. Enter number of package (i.e., bales, cartons, skids) for each seperately described article.
17. An “X” must be entered for each hazardous material item.
18. Enter kinds of packaging (i.e., bales, cartons, skids). Complete and detailed descriptions of articles using general and commercial
terms, since the customs tariff commodity code classication will be determined from this description. (Use additional forms if more space
is needed, and number each page at the top right corner of each form.)
19. Enter the number and type of unit(s). Report whole units. (Example: If shipping cash registers state “200 each;” if shipping shoes state “500 pairs.”)
20. Enter the gross shipping weight in pounds for each seperately described article.
21. Enter the price per unit for each article using the currency of settlement in block 9.
22. Enter the selling price or cost if not sold, stated in the U.S. currency.
23. Enter the total net and gross weight (pounds) of shipment.
24. Enter the total price paid or payable for goods (total value). Total all amounts in block 22 to equal total value.
25. Check this box and enter the commerical invoice number when applicable.
26. State the agreed or declared value (U.S. currency) when the rate is determined by value.
27. Signature of Consignor is required when subject to Section 7 conditions.
28. Enter an “X” in the appropriate box to indicate terms of payment of the freight charges.
____ Prepaid
____ Collect
29. If this is a COD shipment, check appropriate box to specify if the COD fee is Prepaid or Collect.
30. If this is a COD shipment, enter the COD Amount (U.S. currency).
31. Complete this block if the exporter/shipper is other than exporter/shipper name and address shown in block 1.
32. Indicate the name and address of the person and/or rm completing the invoice. The eld may be left blank if the information is provided elsewhere
on this form.
33. Department rulings are made by Canadian Customs on behalf of a particular shipper’s commodity. If applicable, provide le reference number and
date of ruling.
34. If elds 35 to 37 are not applicable, check this box.
35 - 37. Self explanatory.
38. Signature of shipper should be entered here.
39 - 41. To be completed by Old Dominion’s pickup driver.
Distribution
Original and 2 copies - ODFL Driver
1 copy - mail to consignee
1 copy - mail to custom’s broker
1 copy-retained by shipper
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Completed 20 August 2020

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