Netbonds Delivery Order

13936 S Broadway, Los Angeles CA, 90061

BILL OF LADING

BOL Number:

Ship From

Name:

Address:

City/State/ZIP:

Stope Notes:

Ship To

Name:

Address:

City/State/ZIP:

Phone:

Stope Notes:

Third Party Freight Charges Bill To

N/A

Freight Charge Terms:

Prepaid

Collect

3rd Party

Carrier Acct #:

Quote ID:

Special Instructions:

LTL or Partial Only:

# of Pallets:

Pallet Type:

Skid Spots:

Stackable:

Pallet Dimensions:

L:

W:

H:

Carrier:

Pro #:

BARCODE SPACE

Pick Up Date:

Trailer #:

Seal #:

Reference Information

Reference Name

Destination Reference

Pickup Reference

Value

NB Scan

Shipper Instructions

Pickup #:

Loc Type:

Special Services:

Consignee Instructions

Pickup #:

Loc Type:

Special Services:

PO#:

Carrier Information
Package Description Weight UOM kgs/lbs Volume UOM cbm/cft
QTY
Type

Where the rate is dependent 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 the property is specifically stated by the shipper to be not exceeding

per

COD Amount: $

Fee Terms:

Prepaid

Collect

Customer Check Acceptable:

NOTE Liability Limitation for loss or damage in this shipment may be applicable. See 49 U.S.C. 14706(c)(1)(A) and (B).

RECEIVED, subject to individually determined rates or contacts that have been 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 lawful charges. (Section 7)

Shipper Signature
Shipper Signature / Date

Trailer Loaded: Freight Counted:

Carrier Signature / Pickup 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 the applicable regulations of the Department of Transportation.


Shipper Date

By Shiper

By Driver

By Shipper

By Driver/pallets said to contain

By Driver/Pieces

Carrier acknowledges receipt of packages and required placards. Carrier certifies emergency response information was made available and/or carrier has the Department of Transportation emergency response guidebook or equivalent documentation in the vehicle.


Carrier Date