STRAIGHT BILL OF LADING - SHORT FORM

Ship To: Ship From:

UNIVERSAL SALTILLO SANTIAGO TRUCK MANUFACTURING PLANT

25300 EL DERRAMADERO KM 23.7 CARR. LA MARQUESA A TGO SN
SALTILLO, COAH. MX ESTADO DE MEXICO, MX 52600 MX

Comments:
Bill of Lading Ship Date Trailer Total Weight Cube Seal LTL ONLY
UNV002028261 54493 20420 77886 NMFC No. Class

Carrier Information: FMCH

Returnable ID Weight Type Qty

Time Stamp
PT-1 1 24
PT-2 3 12
PT-3 5 192
PT-5 11 20
PT-6 9 3
XL-2962-POOL 259 12
XL-2965-POOL 339 5
XL-2972-POOL 242 12
XL-4825-POOL 130 24
XL-4834-POOL 159 46
XL-4850-POOL 203 4
XL-6525-POOL 100 4
XL-6534-POOL 100 2
Where the rate is dependent on value, shippers are required to state specifically in writing the agreed or COD Amount: $
declared value of the property as follows: “The agreed or declared value of the property is specifically stated
by the shipper to Fee Terms:
Note: Liability limitation for loss or damage in this shipment may be applicable. See 49 USC § 14706(c)(1)(A) and (B).
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, classifications, and rules that have been established by the carrier and are available to the
shipper, on request, and to all the terms and conditions of the NMFC uniform straight bill of lading.
Shipper Signature:
Trailer Loaded: Freight Counted: Carrier acknowledges receipt of packages and required
This is to certify the above named materials are properly classified, packaged, marked,
and labeled, and are in proper condition for transportation according to the applicable
■By Shipper ■By Shipper placards. Carrier certifies emergency response information was
regulations of the DOT. □By Driver □By driver/pallets made available and/or carrier has the DOT emergency response
guidebook or equivalent documentation in the vehicle.
□By driver/pieces
Consignee Print: Driver Print: Date: 11/9/2023

Consignee Print: Driver Sign: Truck#