Short Form Freight Bill of Lading

Shipper Name
Consignee Name
Shipper Address
Consignee Address
Carrier Name
Carrier Address
Bill of Lading No.
Date
Pro Number
Origin
Destination
Routing
Qty. Type of Packaging Description of Goods NMFC No. Class Weight
Special Instructions
Freight Charges (circle one)
COD Amount
Shipper Signature / Date
Carrier Signature / Date
Consignee Signature / Date