Straight Bill of Lading

Shipper (Name & Address):

Consignee (Name & Address):

Carrier Name:

Date:

Bill of Lading No.:

Trailer No.:

Pro No.:

Origin:

Destination:

Freight Charge Terms:

[ ] Prepaid

[ ] Collect

[ ] 3rd Party

Description of Goods

Qty	Type of Packaging	Description of Articles	NMFC No.	Class	Weight

Special Instructions:

Shipper Signature

Date

Carrier Signature/Pickup

Date

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.