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bis is not a Bill of Lading when property described below <br />_ moved in vehicles operated by shipper or owner of product, <br />~ul merely a receipt for producL) <br /> <br />-or when'lhl~' instrument constitutes a Bill of Lading the <br />~ropedy described below, in apparent good order, is received <br /> the Carrier shown herein, which Carrier agrees to transport <br />~-the Consignee and destination shown herein subject Io the <br />erms and conditions of the special contract between the carrier <br /> d the Consignor or Consignee in effect on the date of the <br />~..~ue of this Bill of Lading. In the absence of a special contract, <br />ransportalion will be subject to all the terms and conditions <br /> the Carrier's lariffs legally on file. It is further agreed by <br />~ Carrier that lhe lransportalion of this shipment will be <br />erformed in compliance with all applicable rules, regulations, <br /> d law. <br />':i-gnature, of Dr,ive~Loader I Received by: <br /> <br />This is to certify lhat the herein-named materials are ~ <br />properly classified, described, packaged, marked, and labeler <br />and are in proper condition for transporlation according to th <br />applicable regulations of the Department of Transportation. <br /> <br />Carrier hereby certifies lhat the cargo tank used for this shi!: <br />merit is a proper container for fhe commodity loaded Iherel <br />and complies with Departmenl of Transportation specification: <br /> <br />If LPG, Ihis material has been odorized with ethyl mercapta <br />in proportion of 1.5 lbs. per 10,000 gals. <br /> <br />I! this shipment is to be delivered to the Consignee witheL. <br />recourse on Ihe Consignor, the Consignor shall sign th <br />following statement: The Carrier shall not make delivery of thJ <br />shipment without payment of freight and all other laWfL <br />charges. <br /> <br />Signature of Consignor <br /> <br />I <br /> <br />--CONSIGNEE: CAROLINA PETRO GIST <br /> ADDRESS : OF CHARLOTTE INC. <br /> ~718 N. GDRAND ST. <br /> CHARLOTTE, N.C. <br /> CAROLINA PETRO. DIST <br /> <br /> CUSTOMER # : 1220411 <br /> ORDER # : <br /> <br /> CARRIER NAME: CAROLINA PETRO <br /> DRIVER NAME : RANDY BENTON <br />_TRAILER # : 00418 <br /> <br />DATE: 0:3/18/96 <br />TIME IN: 1:3:52 <br /> <br />BILL # : 090568 <br />TIME OUT: 14:00 <br /> <br />SHIPPER : <br />SUPPLIER : <br />LOADED AT : <br />EXCHANGE #: <br /> <br />CAROLINA PETRO. GIST <br />PHILLIPS PETYRO. CO. <br />CHARLOTTE NC <br /> <br />CARRIER # : 9004 <br />DRIVER # : 00062 <br />GROSS CAPACITY : <br /> <br />4330 <br /> <br />PREF'AID OR <br />COLLECT: C <br />LOAD SPOT: <br /> <br />O2 <br /> <br />FUEL OIL, COMBUSTIBLE LIQUID, NA <br />~ 2 LOW SULFUR <br /> <br /> F"GIII, PRODUCT NUMBER : <br /> GRAVITY: 35.1 <br />GALLONS OROS$: 1103 <br /> <br />34260 <br />TEMP 54.9 <br />NET: 11'}~ <br /> <br />13 <br /> <br />PHILLIPS PETRO, IS RESPONSIBLE FOR COLLETING & REMITTING STATE MOTOR FUEL TAXE3. <br /> <br />"GASOLINE DELIVERY RESTRTICTION8 AND <br />INFORMATION ATTACHED" <br /> <br /> HAZARDINFORMATION ON BACK <br /> <br />FORM 15016-S 4t9~ <br /> <br /> <br />