
KIND OF PACKAGE, DESCRIPTION OF ARTICLES, SPECIAL MARKS AND EXCEPTIONS
(subject to correction)
WEIGHT IN LBS.
CLASS
CUBE
RECEIVED, subject to individually determined rates or contracts that have been agreed upon in writing between the carrier and shipper, if applicable, otherwise to the rates, classications 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 property described below, in apparent good order, except as noted (contents and condition of contents of packages unknown) marked, consigned and destined as shown hereon, which said carrier agrees to carry to destination, if on its route, or otherwise to deliver to another carrier on the
route to destination. Every service to be performed hereunder shall be subject to all the conditions not prohibited by law, whether printed or written, herein contained, including the conditions on the back hereof, and the conditions of the FXF 100 Series Rules Tari, or otherwise referenced, which are hereby agreed
HANDLING
Name FXF Acct. # Mailing Address
City State ZIP/Postal Code Country Area Code Phone Number
Freight charges are PREPAID unless
marked collect.
CHECK BOX IF COLLECT
1. The letters “C.O.D.” must appear in box before consignee’s name above.
2.
C.
O.D. funds to be collected as: Certied Funds Company Check Personal Check
3.
C.
O.D. fee to be paid by: Shipper Consignee
NMFC ITEM #
(subject to correction)
SHIPPER CERTIFICATION
I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping
name, and are classied, packaged, marked and labeled/placarded, and are in all respects in proper condition for
transport according to applicable international and national governmental regulations.
Shipper Signature __________________________________________________________________ Date _____________________
HM
(X)
SHIPPERfrom Please provide ZIP codes and phone numbers. CONSIGNEEto
CARRIER CERTIFICATION
(optional)
Carrier acknowledges receipt of packages and required placards. Carrier certies emergency response information
was made available and/or carrier has the DOT emergency response guidebook or equivalent document in the vehicle.
TYPE
PIECES
BILL FREIGHT CHARGES TO
REMIT C.O.D. TO
Name Mailing Address
City State ZIP/Postal Code Country Country Code Area Code Phone Number
NOTE (1) Where the rate and carrier’s liability for loss or damage may be dependent on value, shippers
or declared value of the property is specifically stated by the shipper to be not exceeding________
per_________.”
Note (2) liability limitation for loss or damage on this shipment shall be applicable as provided by contract
limited liability provisions. Carrier’s maximum standard liability is limited to $25 per pound per package
for NEW articles and $.50 per pound per package (or its equivalent in Mexican Pesos (MXN) or Canadian
for USED
or RECONDITIONED articles. In no case shall carrier liability exceed $100,000 per occurrence (or its equivalent
for NEW
articles or $10,000 per occurrence
at the place and on the date of shipment) for USED or RECONDITIONED articles. For availability and limits
of excess liability coverage and applicable rates and charges, please refer to FXF 100 Series Rules Tari. Not
selecting an additional coverage option is considered to be a waiver of same and standard liability coverage
will apply.
Articles are NEW, and require Excess Liability Coverage in the amount of _______________
o
USD o CAD oMXN per olb. or okg.
Articles are USED or RECONDITIONED and require Excess Liability Coverage.
or CONTRACT #
___________________________________________________________________
area code
CO202/518-FXF 0023776PM
Consignee FXF Acct. #
Attn. to
Ar
ea Code
Phone Number
A
ddress
Address (Store, Dept., Ste., Flr., Apt., Div.)
Address
City
State/Province
ZIP/
Postal Code
C
ountry
Optional or Additional Service Fees and Charges Ligate Inside Delivery Limited Access
Custom Delivery Window:
AREA CODE
Phone # (_______) ___________________
AREA CODE
EEI/SED Number or Exception _____________________________________
H MARK “X” OR “RQ” IN THE HM COLUMN TO DESIGNATE HAZARDOUS MATERIALS OR REPORTABLE QUANTITY AS DEFINED IN DOT REGULATIONS.
FedEx Freight
Create your next Bill of Lading online at fedex.com/us/freight/main/
Date Purchase Order #
Shipper # Shipper #
q A.M. Delivery q Close of Business Delivery
REQUIRED
UNIFORM STRAIGHT BILL OF LADING ORIGINAL---NOT NEGOTIABLE
FOR FREIGHT COLLECT SHIPMENTS
Subject to Section 7 of conditions of applicable Bill of Lading. If this shipment is to be delivered to the consignee,
without recourse on the consignor, the consignor shall sign the following statement. The carrier may decline to
make delivery of this shipment without payment of freight and all other lawful charges.
Consignor Signature ____________________________________________________________________________________________
Fax # (_______) _____________________
Broker Name______________________________________________________
USD
CAD
C.O.D.
AMOUNT
q
FedEx Freight
®
Priority
q
FedEx Freight
®
Economy
FOR INTERNATIONAL SHIPMENTS INDICATE BROKER NAME, FAX AND PHONE NUMBERS.
Shipper FXF Acct. #
Attn. to
Ar
ea Code
Phone Number
A
ddress
Address (Store, Dept., Ste., Flr., Apt., Div.)
Address
City
State/Province
ZIP/
Postal Code
C
ountry
Optional or Additional Service Fees and Charges Ligate Inside Pickup Limited Access
Shipper Bill of Lading #
Special Instructions