407 N. Perry • P. O. BOX 3181
Spokane, WA 99220
(509) 535-7636 • FAX (509) 534-8439
1-800-544-2616

Date
 
STRAIGHT BILL OF LADING - NOT NEGOTIABLE
BILL TO ADDRESS
Name      
Address      
City      
State     Zip      
TO:
Consignee      
Street      
City      
State     Zip      
Phone #      
FROM:
Shipper      
Street      
City      
State     Zip      
Phone #     Shipper #    
Routing: Please specify
beyond carrier:
Carefully Affix
Pro No. Label
Here
COD
FEE 		PrePaid   Collect COD
AMT $ 		CUSTOMER CHECK OK
FOR COD AMOUNT? 		Yes   No
REMIT C.O.D. TO:
ADDRESS
Shipping
Units		Kind of
Package		*
HM		Description of Articles, Special Marks, and ExceptionsWeight (LB)
Subj. to Corr.		NMFC Item No.Class
       
       
       
       
       
       
       
Total
0		   Total
0		  
Hazardous Materials Emergency Contact Number
Note: When the rate is dependent on value, shippers are required to state specifically in writing the agreed or declared value of the property.  The agreed or declared value of the property is hereby specifically stated by the shipper to be not exceeding: $___________ per lb. Subject to Section 7 of the conditions, if this shipment is to be delivered to the consignee 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
"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 AND THE E.P.A."           RECEIVED subject to the classifications and tariffs in effect on the date of the issue of this Bill of Lading, the property described above in apparent good order except as stated (contents and condition of contents of packages unknown), 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 at said destination, if on its route, otherwise to deliver to another carrier on the route to said destination.  It is mutally agreed as to each carrier of all or any of 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 said property, that every service to be performed hereunder shall be subject to all the Bill of Lading terms and conditions in the governing classification on the date of the shipment.
          Shipper hereby certifies that he is familiar with all the Bill of Lading terms and conditions in the governing classification and the said terms and conditions are hereby agreed to by the shipper and accepted for himself and his assigns. See Item 600 of SPOK 100 rules tariff for general liability limitations.
  SHIPPER  
  PER  
 
* Mark with "x" to designate Hazardous Materials as defined in the Department of Transportation Regulations governing the transportation of hazardous materials.  The use of this column is an optional method for identifying hazardous materials on bills of lading per Section 172.201 (a) (1) (iii) of Title 49, Code of Federal Regulations.  Also, when shipping hazardous materials, the shipper's certification statement prescribed in Section 172.204 (a) of the Federal Regulations must be indicated on the bill of lading, unless a specific exception from this requirement is provided in the regulations for a particular material.
Date   Driver ID  
Time In   Time Out  
Number of Pieces Received  
Handling Units   Trlr #  
Thank you for using
Spokane Transfer and Storage.