BILL OF LADING

SHIPPER
Anthem Coffee Imports
13623 Wyandotte Street
Kansas City, MO, 64145, USA
JV Sanoubane (816)666-0225
CONSIGNEE
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PLEASE AFFIX PRO NUMBER HERE
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Carrier
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Carrier PRO#:
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Pickup Date
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Bill of Lading #:
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Freight Charge Terms
Prepaid
Collect
Third Party
QUOTE #:-
PICKUP REMARKS
Ready from1:00PMto5:00PM
DELIVERY REMARKS
Accessorials:None
SPECIAL INSTRUCTIONS
Food Grade. Do not double stack or load with odorous substances. All authorized accessorials are noted on the BOL. Anthem will not accept any further unauthorized accessorial charges.
Handling UnitPackageCommodity DescriptionWeight*Freight ClassNMFC#DimensionsStackable?
TypeQTYTypeQTYLWH
PALLET0Bag / Box0green coffee 0.007048405NO
Total H/U0Total Pkg00.0070Density0.00Cube0.00
* Weights are total for number of handling units stated. Do not multiply weight by number of handling units.
Shipper signature/date
ยง172.204 This is to certify that the above-named materials are properly classified, described, packaged, marked and labeled, and are in proper condition for transportation according to the applicable regulations of the Department of Transportation.
Signature
Date
Trailer Loaded:
By Shipper
By Driver
Freight Counted:
By Shipper
By Driver / Pallets said to contain
By Driver / Pieces
H/U Count:
Piece Count:
Carrier signature/date
Carrier acknowledges receipt of packages and required placards / Carriers certifies emergency response information was made available and / or carrier has the DOT emergency response guidebook or equivalent documentation in the vechicle.
Signature
Date

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