Bill Of Lading Averitt – Fill Out and Use This PDF

DATE:

BILL OF LADING

Page _______

SHIP FROM

Name:

Bill of Lading Number: ______________________

Address:

City/State/Zip:

BAR CODE SPACE

SID#:

FOB:

SHIP TO

CARRIER NAME: _______________________________

Name:

Location #: __________

Trailer number:

Address:

Seal number(s):

City/State/Zip:

SCAC:

CID#:

FOB:

Pro number:

THIRD PARTY FREIGHT CHARGES BILL TO:

Name:

BAR CODE SPACE

Address:

City/State/Zip:

Freight Charge Terms: (freight charges are prepaid

unless marked otherwise)

SPECIAL INSTRUCTIONS:

Prepaid ______

Collect _____

3rd Party _____

Master Bill of Lading: with attached

(check box)

underlying Bills of Lading

CUSTOMER ORDER INFORMATION

CUSTOMER ORDER NUMBER

# PKGS

WEIGHT

PALLET/SLIP

ADDITIONAL SHIPPER INFO

(CIRCLE ONE)

Y

N

Y

N

Y

N

Y

N

Y

N

GRAND TOTAL

CARRIER INFORMATION

HANDLING

PACKAGE

COMMODITY DESCRIPTION

LTL ONLY

UNIT

QTY TYPE

QTY TYPE

WEIGHT

H.M.

Commodities requiring special or additional care or attention in handling or stowing

NMFC #

CLASS

must be so marked and packaged as to ensure safe transportation with ordinary care.

(X)

See Section 2(e) of NMFC Item 360

RECEIVED, subject to individually determined rates or contracts that have been agreed upon in writing between

The carrier shall not make delivery of this shipment without payment of

the carrier and shipper, if applicable, otherwise to the rates, classifications and rules that have been established by

freight and all other lawful charges.

the carrier and are available to the shipper, on request, and to all applicable state and federal regulations.

_______________________________________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,

By Shipper

By Shipper

Carrier acknowledges receipt of packages and required placards. Carrier

described, packaged, marked and labeled, and are in proper condition for

certifies emergency response information was made available and/or

transportation according to the applicable regulations of the U.S. DOT.

carrier has the U.S. DOT emergency response guidebook or equivalent

By Driver

By Driver/pallets said to

documentation in the vehicle.

contain

By Driver/Pieces

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