"Bill of Lading Short Form"

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Date
BILL OF LADING – SHORT FORM – NOT NEGOTIABLE
Page 1 of 1
Bill of Lading Number:
Railcar Number:
SHIPPER
Total Weight of lading:
Rate Authority:
[Name]
[Street Address]
[City, ST ZIP Code]
SID No.:
Origin Station:
CONSIGNEE
Destination Station:
Rail Route:
[Name]
[Street Address]
[City, ST ZIP Code]
CID No.:
STCC:
FREIGHT BILL PARTY
Commodity Description:
Hazardous material (Y/N):
[Name]
[Street Address]
[City, ST ZIP Code]
Special Instructions:
Freight Charge Terms
(Freight charges are prepaid unless marked
otherwise):
Prepaid
Collect
3rd Party
Date
BILL OF LADING – SHORT FORM – NOT NEGOTIABLE
Page 1 of 1
Bill of Lading Number:
Railcar Number:
SHIPPER
Total Weight of lading:
Rate Authority:
[Name]
[Street Address]
[City, ST ZIP Code]
SID No.:
Origin Station:
CONSIGNEE
Destination Station:
Rail Route:
[Name]
[Street Address]
[City, ST ZIP Code]
CID No.:
STCC:
FREIGHT BILL PARTY
Commodity Description:
Hazardous material (Y/N):
[Name]
[Street Address]
[City, ST ZIP Code]
Special Instructions:
Freight Charge Terms
(Freight charges are prepaid unless marked
otherwise):
Prepaid
Collect
3rd Party