P.O. Box 1498
Windsor, CA 95492
ph: 707-321-1272
fax: 707-620-0200
alt: 707-888-2331
thewindi
BILL OF LADING
Wind Delivery Services
PO Box 1498, Windsor, CA 95492 Bill To: Name________________________
Street or PO Box_______________________________
Wind Pro #____________________ City, State, Zip_________________________________
Via Carrier:_____________Carrier Pro:________________
Consignee:________________________________________________ Shipper:______________________________________________
Street (No PO Box)________________________________________ Street (No PO Box)___________________________________
City, State, Zip:_____________________________________________ City, State, Zip:_______________________________________
Phone Number:_____________________________________________ Phone Number:_______________________________________
Quantity Description Weight Bill Rate Bill Amount
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Freight Charges are Prepaid unless marked collect. Check here if freight charges are Collect: ________________
C.O.D Shipment, Remit COD to Shipper unless otherwise shown below. C.O.D AMOUNT: __________________
Remit
To: _________________________Street:_____________________________City/State/Zip______________
Where the rate is dependent on value, shippers are required to state the declared value of the property. "The agreed or declared value of the property is hereby specifically stated by the shipper to be not exceeding: $_____________________________per__________________________."
Liability Limitation for loss or damage on this shipment may be applicable. See 49 U.S.C. Section 14706 (C) (1) (A) and (B). Commodities requiring special or additional care in handling must be so marked and packaged as to insure safe transportation with ordinary care. 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 & all other lawful charges":
Signature of Consignor:____________________________________________________
The property described above is in apparent good order, except as noted, is marked, consigned, and destined, as indicated above which said carrier agrees to carry to its usual place of delivery of said destination, if on its route, 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 over all 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 performed hereunder shall be subject to all the conditions not prohibited by law whether printed or herein contained, which are hereby agreed to by the shipper and his assigns. By signature below, shipper hereby certifies 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.
Shipper Signature Date Carrier Signature Date Pcs Received
______________________________________________________________________________
Consignee Signature / Printed Last Name Carrier Signature Date Pcs Delivered
______________________________________________________________________________
P.O. Box 1498
Windsor, CA 95492
ph: 707-321-1272
fax: 707-620-0200
alt: 707-888-2331
thewindi