Shipping Seflbilloflading
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FOR MORE ACCURATE RATING PROVIDE ZIP CODES ● MARK HM COLUMN FOR HAZARDOUS MATERIALS FREIGHT CHARGES ARE TO BE PREPAID EXCEPT WHEN COLLECT BOX BELOW IS CHECKED ● SHIPPER: ● THE RELIZON COMPANY ORIGINAL SHORT FORM ● NOT NEGOTIABLE STRAIGHT BILL OF LADING FREIGHT CHARGES ARE PREPAID UNLESS MARKED COLLECT AFFIX SOUTHEASTERN PRO LABEL HERE CORPORATE OFFICE ● P.O.. ID 57-0301199 DATE SHIPPED COLLECT SHIPPER NUMBER 5()(5(1 (180 (56 PURCHASE ORDER NUMBER SHIPPER (FROM) CONSIGNEE (TO) NAME NAME STREET STREET CITY STATE OR PROVINCE ISLAND OR COUNTRY PHONE ( STATE OR PROVINCE ISLAND OR COUNTRY ) 24 HOUR EMERGENCY RESPONSE NUMBER CITY ZIP ( PHONE BILL TO IF DIFFERENT FROM ABOVE ( ) ) - CONTACT NAME - MAILING ADDRESS NAME CITY FOR FREIGHT COLLECT SHIPMENTS: If this shipment is to be delivered to the consignee, without recourse on the consignor, the consignor shall sign the following statement: PHONE ZIP STATE ( ROUTING INSTRUCTIONS: PHONE - ZIP - ) The carrier may decline to make delivery of this shipment without payment of freight and all other lawful charges..
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