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GS1 Standard BOL: WWW.GS1US.

ORG for complete GS1 BOL Guideline Information


Date: 28/03/2019 BILL OF LADING Page _______
27
SHIP FROM
Name: Miguel Gonzalez AAB1378972575
Bill of Lading Number: ______________________
Address: Av. Juan de Garay 358, C1153 ABO, Buenos Aires
City/State/Zip: 9JGH+7Q Buenos Aires BAR CODE SPACE
SID#: FOB:
SHIP TOCARRIER NAME: _______________________________
ALIANCA NAVEGACAO
Name: Victoria Rosales Location #: __________
1000 Trailer number: 440
Address: Seal number(s):
Mar Mediterráneo 117, Jardines del Puerto, 48315 Puerto Vallarta, Jal.,6740179
México
City/State/Zip: MQ68+JM Puerto Vallarta, Jalisco, México SCAC: CLAK
CID#: 21060-5998156 FOB: ✖ Pro number: 6018CA0316NILI
THIRD PARTY FREIGHT CHARGES BILL TO:
Name: Aliança Navegação e Logística BAR CODE SPACE
Address: Rua Verbo Divino, 1547 Bairro Chácara Santo Antônio 04719-002 São Paulo SP
City/State/Zip: Brasil, São Paulo SP Freight Charge Terms:
(freight charges are prepaid unless marked collect)
SPECIAL INSTRUCTIONS: Prepaid ______
✖ Collect _____ 3rd Party _____
CFDA, Packing List Attached
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)
5354088215 50 206.75 Y ✖ N
Y N
Y N
Y N
Y N
GRAND TOTAL 50 206.75
CARRIER INFORMATION
HANDLING UNIT PACKAGE COMMODITY DESCRIPTION LTL ONLY
QTY TYPE QTY TYPE WEIGHT H.M. Commodities requiring special or additional care or attention in handling or stowing
must be so marked and packaged as to ensure safe transportation with ordinary care. NMFC # CLASS
(X) See Section 2(e) of NMFC Item 360

PLTS CTNS 152.76 PANS/BOWLS-DRIP/ REFLECTOR NEST 65


PLTS CTNS 38.50 DECOR-NUTIONS OR NOVELTY 70
PLTS CTNS 2.25 STOVE PADS, METAL 77.5RECEIVING
PLTS CTNS 4,50 PLASTIC ARTICLES BOX STAMP
70 SPACE
PLTS CTNS 8,74 CORRUGATED BOXES 70
GRAND TOTAL
Where the rate is dependent on value, shippers are required to state specifically in writing the agreed or declared COD Amount: $ ______________________
1899000
value of the property as follows: Noting a value is not a request for Additional Cargo Liability under OD Rules 100, Item 574.
“The agreed or declared value of the property is specifically stated by the shipper to be not exceeding Fee Terms: Collect: Prepaid: ✖
__________________ per ___________________.” Personal/company check NOT acceptable:
NOTE - Liability Limitation applies. See OD Rules 100, Items 574 and 594.
RECEIVED, subject to the rates, classifications and rules that have been established by the Carrier and are available on request The carrier shall not make delivery of this shipment without payment of
to the Shipper (Shipper defined in 49 U.S.C.A. § 13102(13)(c)), and to all applicable state and federal regulations. Shipper 1) freight and all other lawful charges.
warrants it has read all applicable contract(s) or Carrier’s applicable tariff(s) and the limitation of liability provisions set forth
therein; and 2) has actual knowledge of and accepts the applicable contract or tariff terms, including the limits on carrier liability. _______________________________________
Carriers’ tariff(s), including OD Rules 100, take precedence in the event of any terms or conditions conflicts. 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, Carrier acknowledges receipt of packages and required placards. Carrier
described, packaged, marked and labeled, and are in proper condition for By Shipper By Shipper 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 contain documentation in the vehicle.

By Driver/Pieces Property described above is received in good order, except as noted.

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