STRAIGHT BILL OF LADING

ORIGINAL – NOT NEGOTIABLE

CHICAGO

SUBURBAN

EXPRESS Inc. P.O. BOX 388568 - CHICAGO IL 60638

Shipper No._____________

Carrier No.______________

Date __________________

TO:

Consignee __________________________________________________

Street ______________________________________________________

Designation Zip Code

FROM:

Shipper __________________________________________________

Street ____________________________________________________

Origin Zip Code

Route

Vehicle

Number:

No.

Shipping

Units

Kind of Packaging, Description of Articles,

Special Marks, and Exceptions

WEIGHT

(Subject to

Correction)

RATE

CHARGES

REMIT

C.O.D. TO:

ADDRESS

Amt: $

C.O.D. FEE :

PREPAID $

COLLECT

TOTAL

Charges: $

* MARK WITH “X” TO DESIGNATE HAZARDOUS MATERIAL AS DEFINED IN TITLE 49 OF FEDERAL REGULATIONS

FREIGHT CHARGES

FREIGHT PREPAID

Except when box at right is checked

Check Box if charges are to be

NOTE – Where the rate is dependant on value, shippers are required to state specifically in writing the agreed or declared value of property.

The agreed or declared value of property is hereby specifically stated by the shipper to be not exceeding

$____________________________________per_________________________________________

Subject to Section 7 of the conditions, if this shipment is to be delivered to the consignee without recourse on the consignor, the consignor shall sign the following statement:

The carrier shall not make delivery of this shipment without payment of freight and all other charges.

________________________________________________________

(Signature of Consignor)

COLLECT

RECEIVED, subject to the classifications and tariffs in effect on the date of this issue of this Bill of Lading, the property described above in apparent good order, except as noted (contents and condition of contents of packages unknown), marked, consigned, and designated as indicated above which said carrier (the word carrier being understood throughout this contract as meaning any person or corporation in possession of the property under the contract) agrees to carry to its usual place of delivery at said destination, if on its routs, otherwise to deliver to another carrier on the route to said destination. It is mutually agreed as to each carrier of all or any of, said property overall or any portion of said route to destination and as to each party at any time interested in all or any of said property, that every service to be performed hereunder shall be subject to all the bill of lading terms and conditions in the governing classification on the date of shipment.

Shipper hereby certifies that he is familiar with all the bill of lading terms and conditions in the governing classification and the said terms and conditions are hereby agreed to by the shipper and accepted for himself and his assigns.

SHIPPER

CARRIER

PER

DATE

BL-874

SHIPPER PLEASE NOTE ( FREIGHT CHARGES ARE PREPAID ON THIS BILL OF LADING UNLESS MARKED COLLECT