Jack Frost 1524 W. 15th Street Long Beach, California 90813 Ph.#(562)437-2166 Fax#(562)495-1857 info@jack-frost jack-frost August 26, 2012 BILL OF LADING – SHORT FORM – NOT NEGOTIABLE SHIP FROM Interstate Cold Storage, Inc. 4350 Roberts Road Columbus, Ohio 43228 (614)876-1215 contactus@interstatecoldstorage interstatecoldstorage SID No.: 4528052902 00011 SHIP TO B J’s Grocery Store 150 N. Craft Highway Chickasaw, Alabama 36611 (215)457-7574 CID No.:4528052902 THIRD PARTY FREIGHT CHARGES BILL TO N.J.R. Group, Inc. Trucking Department Kareesha C. Robinson 4242 Richmond Road Warsaw, Virginia 22572 (800)235-0446 Ext.#138 info@njrgroupinc njrgroupinc Consignor: N.J.R. TRUCKING Tariq Tony Robinson / Owner Operator DOT & Operating Authority 5143 Newland Road Warsaw, VA 22572 Ph.#(804)333-4395 Fax#(804)333-4525 Cell#(804)450-4255 njrtruckinginc@gmail Website: Under Construction Tax ID# 80-0835104 DL#R6022-05367-12692 New Jersey Business Name: Naomi Jeanette Robinson Trucking Driver ID#781205 Alpha Code: ROBT69 Date Picked up:__________________________ Time of Arrival @ Shipper:________________ Time called Broker for a start time:_______________ Time Shipment Secured on Trailer:_________________ Time shipment secured in Trailer:__________________ Departure time @ shipper:_________________________ Person Name contact @ Broker ship:_________________ Source of Communication:_______________________ Date Delivered:__________________________ Time of Arrival @ Receiver:________________ Time called Broker for a start time:_______________ Time Shipment Unloaded:_________________ Time shipment secured @ Receiver:__________________ Departure time @ Receiver:_________________________ Person Name contact @ Broker ship:_________________ Source of Communication:_______________________ Bill of Lading Number: 00011 Carrier Name: Jack Frost 1524 W. 15th Street Long Beach, California 90813 Ph.#(562)437-2166 Fax#(562)495-1857 info@jack-frost jack-frost Trailer number: Great Dane 53’ Reefer Serial number(s): N/a SCAC: Pro Number: 9780877-798514 Freight Charge Terms (Freight charges are prepaid unless marked otherwise): Prepaid Collect 3rd Party Master bill of lading with attached underlying bills of lading. Gross Commodity: $24,695.00 JACK FROST. 35% OF GROSS COMMODITY: $1.57 PER CONTAINER / 5,500 CONTAINERS / $8,635.00 NET PAY $2,200.00 N.J.R. TRUCKING, 75% OF JACK FROST. GROSS: $6,435.00 NET PAY $1,650.00 N.J.R. GROUP, 75% OF N.J.R. TRUCKING GROSS: $4,785.00 NET PAY $_____________ JACK FROST, (___%) GROSS: $_________________ PALLET WEIGHT: 45 POUNDS EACH TOTAL WEIGHT ON A PALLET: 423 POUNDS # OF PALLETS: 26 PALLETS CUSTOMER ORDER INFORMATION Customer Order No. Fresh Strawberries Pallets # of Packages 5,500 26 Weight 11,000 1,170 Additional Shipper Information 423 lbs. on a pallet / 26 Pallets 45 lbs. each pallet Grand Total 5,526 Items 12,170 Weight Qty 5,500 26 Type Perish. Pallet Qty 5,500 26 Type Perish. Rec. Weight 11,000 1,170 Commodity Description Commodities requiring special or additional care or attention in handling or stowing must be so marked and packaged as to ensure safe transportation with ordinary care. See Section 2(e) of NMFC item 360 Fresh Strawberries 32oz Containers Recycled Wood Pallet 48”x48”x6” Where the rate is dependent on value, shippers are required to state specifically in writing the agreed or 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 _______________. COD Amount: $ Not Known Fee terms: Collect Prepaid Customer check acceptable 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 applicable state and federal regulations. The carrier shall not make delivery of this shipment without payment of charges and all other lawful fees. Shipper Signature Interstate Cold Storage, Inc. Shipper Signature/Date Interstate Cold Storage / Aug. 26, 2012 This is to certify that the above named materials are properly classified, packaged, marked, and labeled, and are in proper condition for transportation according to the applicable regulations of the DOT. Trailer Loaded: By shipper By driver Freight Counted: By shipper By driver/pallets said to contain By driver/pieces Carrier Signature/Pickup Date Mrs. Frost / Jack- - Frost Carrier acknowledges receipt of packages and required placards. Carrier certifies emergency response information was made available and/or carrier has the DOT emergency response guidebook or equivalent documentation in the vehicle. Property described above is received in good order, except as noted.
Posted on: Fri, 12 Jul 2013 02:44:18 +0000
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