Bill Of Lading - Short Form - Not Negotiable

Ship From
DOCC
3 BORINSKI ROAD UNIT B
LINCOLN PARK NJ 07035
(973) 832-4084

Ship To

BOL Number:
Pro #
:
Ship Date
:
Cust Ref # :
PU Ref #
:
Del Ref #
:
Del Appt
:
Carrier
:
Carrier Pro#:

ROWDY COW CREAMERY

13181 CLARIDON TROY ROAD

38881
38881
09/02/16
300000588
09/06/16
ESTES EXPRESS

References

BURTON OH 44021
(440) 313-5209

Bill To
NEW AGE TRANSPORTATION
1881 ROSE ROAD
LAKE ZURICH IL 60047

Special Instructions:

Freight Terms:
Prepaid ___ Collect ___
NEW AGE TRANSPORTATION
1881 ROSE ROAD
LAKE ZURICH IL 60047

ESTES QT#G092965 - 300000588

QTY

PKG
4

Wgt HM Item Description

760

DIMS

EMPTY PLASTIC BOTTLES

48x40x88

3rd Party XXX

Cls NMFC #
300

*Mark with an X to designate hazordous materials as defined in title 49 of the code of Federal Regulations.
Haz Mat emergency Contact #
Where the rate is dependent on value, shippers are required to state specifically in writing the
COD Amount: $_____________________
agreed or declared value of the property as follows: "The agreed or declared value of the property
Fee Terms: Collect_____, Prepaid_____, Check Acceptable____
is specifically stated by the shipper not to exceed__________ per __________ "

Note:Liability limitation for loss or damage in this shipment may be applicable. See 49 USC 14706(c)(1)(A) and (B)
For Freight Collect Shipments:
If this shipment is to be delivered to the consignee, without recourse
Trailer Loaded:
Freight Counted:
on the consignor, the consignor shall sign the following statement.
_____ By Shipper
_____ By Shipper
The carrier may decline to make delivery of this shipment without
_____ By Driver
_____By Driver
payment of freight and all other lawful charges.
Signature of Consignor:_____________________________________

Carrier Signature / Date

Shipper Signature / Date

This is to certify that the above named materials are properly classified
packaged, marked and labeled, and are in proper condition for
transportation according to the applicable regulations of the DOT.

Carrier acknowledges receipt of packages and required placards.

Carrier certifies emergency response information was made available
and/or carrier has the DOT emergency response guidebook or
equivalent documentation in the vehicle. Property described
above is received in good order, except as noted.

Signature of Shipper:_______________________ Date___________

Carrier:_________________________ Date:_______________