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Коносамент (товарораспорядительный документ) (Bill of Lading)

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                              Bill of Lading

SHIP (VESSEL): _________________________________________
(name, home port and registration number)
BILL DATE: __________________

TO                                      FROM

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¦Consignee                        ¦     ¦Shipper                          ¦
+---------------------------------+-----+---------------------------------+
¦Street                           ¦     ¦Street                           ¦
+---------------------------------+-----+---------------------------------+
¦Destination                      ¦     ¦Origin                           ¦
+---------------------------------+-----+---------------------------------+
¦City/State/Zip                   ¦     ¦City/State/Zip                   ¦
+---------------------------------+-----+---------------------------------+
¦Route:                           ¦     ¦Special Instructions:            ¦
----------------------------------+-----+----------------------------------

FOR PAYMENT, SEND BILL                 TO SHIPPER'S INSTRUCTIONS

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¦Name                             ¦     ¦                                 ¦
+---------------------------------+-----+---------------------------------+
¦Company                          ¦     ¦                                 ¦
+---------------------------------+-----+---------------------------------+
¦Street                           ¦     ¦                                 ¦
+---------------------------------+-----+---------------------------------+
¦City/State/Zip                   ¦     ¦                                 ¦
----------------------------------+-----+----------------------------------

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¦NO. SHIPPING UNITS¦TIME¦   DESCRIPTION OF ARTICLES   ¦WEIGHT¦RATE¦CHARGES¦
¦                  ¦    ¦  SPECIAL MARKS & EXCEPTIONS ¦      ¦    ¦       ¦
+------------------+----+-----------------------------+------+----+-------+
¦                  ¦    ¦                             ¦      ¦    ¦       ¦
+------------------+----+-----------------------------+------+----+-------+
¦                  ¦    ¦                             ¦      ¦    ¦       ¦
+------------------+----+-----------------------------+------+----+-------+
¦                  ¦    ¦                             ¦      ¦    ¦       ¦
+------------------+----+-----------------------------+------+----+-------+
¦                  ¦    ¦                             ¦      ¦    ¦       ¦
+------------------+----+-----------------------------+------+----+-------+
¦                  ¦    ¦                             ¦      ¦    ¦       ¦
+------------------+----+-----------------------------+------+----+-------+
¦                  ¦    ¦                             ¦      ¦    ¦       ¦
+------------------+----+-----------------------------+------+----+-------+
¦                  ¦    ¦                             ¦      ¦    ¦       ¦
+------------------+----+-----------------------------+------+----+-------+
¦                  ¦    ¦                             ¦      ¦    ¦       ¦
+------------------+----+-----------------------------+------+----+-------+
¦                                                                         ¦
+-------------------------------------------------------------------------+
¦REMIT C.O.D.      ¦C.O.D. AMOUNT:                    ¦C.O.D. FEE         ¦
¦                  ¦                                  ¦PREPAID ___________¦
¦                  ¦                                  ¦COLLECT ___________¦
+------------------+----------------------------------+-------------------+
¦TO:               ¦If this shipment is to be         ¦TOTAL              ¦
¦                  ¦delivered to the consignee without¦CHARGES $          ¦
¦ADDRESS:          ¦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  ¦                   ¦
¦                  ¦lawful charges.                   ¦                   ¦
¦                  ¦__________________________________¦                   ¦
¦                  ¦     (Signature of Consignor)     ¦                   ¦
-------------------+----------------------------------+--------------------

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¦NOTE: Where the rate is dependent ¦                  ¦Freight Charges    ¦
¦on value, shippers are required to¦                  ¦are collect unless ¦
¦state specifically in writing the ¦                  ¦market prepaid     ¦
¦agreed or declared value of the   ¦                  ¦                   ¦
¦property. The agreed or declared  ¦                  ¦CHECK BOX IF       ¦
¦value of the property is hereby   ¦                  ¦PREPAID ___________¦
¦specifically stated by the shipper¦                  ¦                   ¦
¦to be not exceeding $             ¦                  ¦                   ¦
¦per                               ¦                  ¦                   ¦
+----------------------------------+------------------+-------------------+
¦Shipper                           ¦Carrier                               ¦
+----------------------------------+--------------------------------------+
¦Per                               ¦Per               ¦Date:              ¦
+----------------------------------+------------------+-------------------+
¦Mark with "X" or "RQ" if appropriate to designate Hazardous Materials    ¦
¦Substances as defined in the Department of Transportation Regulations    ¦
¦governing the transportation of hazardous materials. The use of this     ¦
¦column is an optional method for identifying hazardous materials on Bills¦
¦of Lading 172.201(a)(1) (iii) of Title 49. Code of Federal Regulations.  ¦
¦Also when shipping hazardous materials, the shipper's certification      ¦
¦statement prescribed in section 172.204(a) of the Federal Regulations, as¦
¦indicated on the Bill of Lading does apply, unless a specific exception  ¦
¦from the requirement is pro vided in the Regulation for a particular     ¦
¦material.                                                                ¦
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