Form: Bill Of Lading

170 Agri Park Rd. Oak Bluff, MB R4G 0A5
Phone: (204) 897-1083
Fax: (204) 897-0720

NHT Order #:
BILL OF LADING
P/U Date:
Shippers #: Customer #: P/U #: Seal #:

Shipper

Company Name:
Address:
City, State/Prov, Zip/Postal:
Contact Name: Phone:
Appt. Date & Time:

Consignee

Company Name:
Address:
City, State/Prov, Zip/Postal:
Contact Name: Phone:
Appt. Date & Time:
Qty Shipped Description of Goods Weight Tarp Load  
Yes No
 
 
Axle Weights: Steering: Drives: Trailer 1: Trailer 2:
Declared Valuation $ Maximum liability $2.00 per pound unless declared valuation states otherwise.
Shipped in Good Order
Received in Good Order
Shipper: Consignee:
Signature: Signature:
Date Received: Date Shipped:

Conditions: The goods described above in apparent good order except as noted (contents and condition of packages unknown), marked consigned and destined as indicated above, which said company agrees to carry to its usual place of delivery at said destination, if on its road, 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 goods over all or any portion of said route to destination and which are agreed to by the shipper and accepted for himself and his assigns.

P/U Driver: Delivery Driver:
Signature: Signature:
P/U Date: Delivery Date:

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