Ship From:
Name
Address
City State
Zip
Ship To:
Name:
Address:
City: State: Zip:
Pieces Description of article Weight Class
C.O.D. to be paid by:
Shipper Consignee
The carrier shall not make delivery of this shipment without payment of freight and all other lawful charges.

____________________ (Signature of Shipper)
NOTE (1) Where the rate is dependent on value,shippers are required to state spacifically in writing the agreed or declared value
of the property as follows:" The agreed or declared value of the property is specifically stated by the shipper to be not exceeding_________pre__________."

NOTE (2) Liability Limitaion for loss or damage on this shipment may be applicable.See 49U.S.C.49 14706(c)(1)(A)and(B)
Note (3) Commodities requiring special or additional care or attantion in handling or stowing must be so marked as to ensure safe transportation with ordinary care. See sec2(e) of NMFC Item 360
I&N TRANSPORTATION LLC
Toll free:  888-213-7871
Fax: 253-856-9977


BILL OF LADING FORM

Carrier Certification

Carrier acknowledges receipt of package and required placards.Carrier certifies emergency response information was made available and/or carrier has the Department of Transportatio emergency response quidebook or equivalent document in the vehicle.
Per___________________________ Date_____________

Shipper Certification

This is to certify that the above named materials ane properly classified, described, package, marked, and labeled, and are in proper condition for transportation according to the applicable regulations of the Department of Transportation.
Per_________________________ Date___________