STRAIGHT BILL OF LADING - SHORT FORM

Ship To: Ship From:

CONMET DE MEXICO (PLASTICS) SANTIAGO TRUCK MANUFACTURING PLANT

AVE. LAS AMERICAS 100 PARQUE INDUSTRIAL KM 23.7 CARR. LA MARQUESA A TGO SN
CIENEGA DE FLORES, N, 65550 MX ESTADO DE MEXICO, MX 52600 MX

Comments:

Bill of Lading Ship Date Trailer Total Weight Cube Seal LTL ONLY
UNV002017555 53852 6469 77813 NMFC No. Class

Carrier Information: FMCH

Returnable ID Weight Type Qty

Time Stamp
M2-3706 530 2
P3-3010 700 1
P3-3074 450 2
P4-2011 853 3
P4-2080 250 5
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
be not exceeding _________________ per _______________
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:
This is to certify the above named materials are properly classified, packaged, marked, ■By Shipper ■By Shipper Carrier acknowledges receipt of packages and required
placards. Carrier certifies emergency response information was
and labeled, and are in proper condition for transportation according to the applicable □By Driver □By driver/pallets
made available and/or carrier has the DOT emergency response
regulations of the DOT. □By driver/pieces guidebook or equivalent documentation in the vehicle.

Consignee Print: Driver Print: Date: 11/6/2023

Consignee Print: Driver Sign: Truck#