phone 865-922-7491  email info@shipfms.com
Date: 
Bill Of Lading
Page: 

Ship From

Name
Address
City/ST/Zip    
SID #  

 

BOL #  
 

BARCODE SPACE

 

Ship To

Name
Address
City/ST/Zip    
SID #  

Third Party Freight Charges Bill To:

Name
Address
City/ST/Zip
Special Instructions
Carrier Name:    
Trailer Number:  
Seal Number(s):
SCAC:
PRO Number:

    BARCODE SPACE

Freight Charge Terms: (Freight charges are prepaid unless marked otherwise.)
 Master Bill of Lading: with attached underlying Bills of Lading
(Check Box)
CUSTOMER ORDER INFORMATION
CUSTOMER ORDER NUMBER # Packages Weight Pallet/Slip ADDITIONAL SHIPPER INFO
  
  
  
  
  
Grand Total  
CARRIER INFORMATION
HANDLING UNIT PACKAGE WEIGHT HAZMAT COMMODITY DESCRIPTION LTL ONLY
QTY Type QTY Type Lbs. (X) Commodities requiring special or additional care or attention in handling or stowing must be so marked and packaged to insure safe transportation qith ordinary care See section 2(e) of NMFC item 360 NMFC CLASS
           

Where the rate is dependant on value, shippers are required to state specifically in writing the agreed or declared value of the property as follows. "The agreed or declared value of this property is specifically stated by the shipper to be not exceeding (dollar amount) per weight."

 

COD AMOUNT: $

FEE TERMS: Collect -   Pre-Paid -  

Customer Check acceptable -  

RECEIVED, subject to indiviually determined rates or contracts that have ben agreed upon in writing between the carrier and shipper, if applicable otherwise to the rates, classifications, and rules that have been established by the carrier and are available to the shipper, on request, and to all applicable state and federal regulations.

 

The carrier shall not make delivery of this shipment without payment of freight and all other lawfull charges.

___________________________________________

Shippers Signiture

 

SHIPPER SIGNATURE / DATE 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 applicable regulations of the U.S. DOT.

 

 

__________________________________________/_______________

Trailer Loaded   Freight Counted
 
 
    Pallets said to contain
   
   
CARRIER SIGNATURE / PICKUP DATE
Carrier acknowledges receipt of packages and required placards. Carrier certifies emergency response information was made available and/or carrier has the U.S. DOT emergancy response guidebook or equivalent documentation in the vehical.

 

 

__________________________________________/_______________

Property described above is received in good order, except as noted.