HTML Preview Waggoner Fillable Waybill page number 1.
Print Name
STRAIGHT BILL OF LADING
SHORT FORM
Houston, TX 800-441-0197
Odessa, TX 866-572-3157
Oklahoma City, OK 888-672-7182
Broussard, LA 866-688-2162
Tulsa, OK 800-722-2262
Casper, WY 800-443-3349
Calgary, AB 877-392-4466
Edmonton, AB 800-661-5970
California 800-272-7670
Tracking / I.D. #
PARS/PAPS #
The property described below, in apparent good order, except as noted (contents and condition of
contents of packages unknown) marked, consigned, and destined as shown below, which said
carrier agrees to carry to destination, if on its route, or otherwise to deliver to another carrier on
the route to destination. Every service to be performed hereunder shall be subject to all terms and
conditions of the Uniform Bill of Lading. Shipper hereby certifies that Shipper is familiar with all
the terms and conditions of the Uniform Bill of Lading, and said terms and conditions are hereby
agreed to by the Shipper and accepted by the Shipper and its assigns.
SHIPPER
Name
Address
City, ST, ZIP
CONSIGNEE
Name
Address
City, ST, ZIP
Prepaid
Collect
3
rd
Party
C.O.D.
$
For Freight Collect Shipments
Subject to Section 7 of the standard terms and conditions of the Uniform
Straight Bill of Lading, if this shipment is to be delivered to the
consignee/receiver without recourse on the consignor, the consignor shall sign
the following statement:
The carrier shall not make delivery of this shipment without payment of freight
and all other lawful charges.
Signature of Consignor
P.O. #
Delivery Contact
Customs Broker
Note: Without a Customs Broker specified, “The Waggoners Trucking” will not be responsible
for ensuring paperwork reaches the correct broker and will not assume responsibility for any
“BOND” charges that may result.
# Pieces
Freight Description
Weight
(Subject to Correction)
HAZMAT
Dimensions*
Total Pieces
Note: Unless a higher value is declared, Carrier’s liability for the shipment shall be limited to an amount not
exceeding $2.50 per pound.
Total Weight
* Footage charge may apply
Shipper Waggoners Receiver
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 Department of Transportation.
The consigned has received above listed freight in apparent
good order with no transportation damages unless
otherwise noted.
Picked-Up By:
Delivered By:
Print Name
Signature
Print Name
Signature
Received By:
Signature
Date
Shipped By:
Print Name
Signature
Date
YOUR Success is OUR Success
Total pieces
Total pieces
Cargo Control #
Date
Longview, TX 866-864-3357
Dallas, TX 800-386-4285
WF 122 Rev. 01/10
Corpus Christi, TX 888-280-7420
Laurel, MS 601-649-2397
Mt. Clare, WV 304-625-6073
Date / Time
Date / Time
Tunkhannock, PA 570-836-8411
Williston, ND 701-572-1402
Reference #
Reference #
FREIGHT CHARGES
0
0