Transcription of RECEIVED, subject to individually determined rates or ...
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Example: dental hygienist
RECEIVED, subject to individually determined rates or ...
Shipper s Reference No. _____Consignee s Reference/PO No. _____ _____Affix pro label hereCUSTOMERSHIPPER SIGNATURE _____ DATE _____ PICKUP TIME _____(MUST BE SIGNED BY REPRESENTATIVE OF SHIPPER.)DRIVER SIGNATURE _____ DATE _____ No. OF HANDLING UNITS _____(If over 25 units, use Tally on back of Part 2.) _____Address _____ _____City _____ State _____ ZIP _____Customer No. _____Name _____Address _____ _____City _____ State _____ ZIP _____Telephone _____Customer No. _____ FREIGHT CHARGES: q Prepaid q Collect q Standard LTL Guarantee**Additional charges may applyName _____Address _____ _____City _____ State _____ ZIP _____Customer No.
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 rate classifications and rules that have been established by the carrier and are available to the shipper, or request.
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