49 C.F.R. § A to Part 1035
Uniform Straight Bill of Lading
Original-Not Negotiable
Shipper's No _______________________________
Agent's No _______________________________
Company _______________________________
Received, subject to the classifications and tariffs in effect on the date of this Bill of Lading:
at_____________, 20__
from _______________________________
the property described below, in apparent good order, except as noted (contents and condition of contents of packages unknown), marked, consigned, and destined as indicated below, which said company (the word company 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 own road or its own water line, otherwise to deliver to another carrier on the route to said destination. It is mutually 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 of said property, that every service to be performed hereunder shall be subject to all the conditions not prohibited by law, whether printed or written, herein contained, including the conditions on back hereof, which are hereby agreed to by the shipper and accepted for himself and his assigns.
[Mail or street address of consignee-For purposes of notification only.]
Consigned to _______________________________
Destination _______________________________
State of _______________________________
County of _______________________________
Route _______________________________
Delivering Carrier _______________________________
Car Initial _______________________________
Car No _______________________________
Trailer Initials/Number _______________________________
Length _______________________________
Plan _______________________________
Length _______________________________
Plan _______________________________
Container Initials/Number _______________________________
Length _______________________________
Plan _______________________________
Length _______________________________
Plan _______________________________
| No. packages | Description of articles, special marks, and exceptions | *Weight (subject to correction) | Class or rate | Check column | |
| Subject to Section 7 of 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 of consignor) | |||||
| If charges are to be prepaid, write or stamp here, | |||||
| "To be Prepaid." | |||||
| Received $___ to apply in prepayment of the charges on the property described hereon. | |||||
| .................................................. Agent or Cashier | |||||
| Per________ | |||||
| (The signature here acknowledges only the amount prepaid.) | |||||
*If the shipment moves between two ports by a carrier by water, the law requires that the bill of lading shall state whether it is "carrier's or shipper's weight."
Note. Where 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____________________
Charges advanced: ____________________
Shipper
Agent
Per
Per
Permanent post office address of shipper
49 C.F.R. §A to Part 1035