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Log in for account specific rates
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Please wait, your request is being processed ...
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STRAIGHT BILL OF LADING- SHORT FORM- Original- Not Negotiable
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AAA Cooper Transportation
(AACT)
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ACT BOL ID:
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1751 Kinsey Rd. Dothan, AL 36303
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SHIPPER BILL OF LADING:
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CONSIGNEE REFERENCE/PO NO.:
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RECEIVED, subject to individually determined rates or contracts that have been agreed
upon in writing between the carrier and the 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;
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FROM:
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CONTACT:
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STREET:
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CITY:
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STATE:
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ZIP:
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COUNTRY:
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The property described below, in apparent good order, except as noted (contents
and condition of contents of packages unknown) marked, consigned, and destined as
shown below, which said carrier agrees to carry to destination, if on its route,
or otherwise to deliver to another carrier on the route to destination. It is mutually
agreed as to each carrier of all or any of the 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 to be performed hereunder shall be subject
to all the terms and conditions of the Uniform Bill of Lading set forth in the National
Motor Freight Classification 100-x and successive issues. The shipper hereby certifies
that he is familiar with all the terms and conditions of the said bill of lading,
including those on the back thereof, and the said terms and conditions are hereby
agreed to by the shipper and accepted for himself and his assigns.
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CONSIGNED TO:
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CONTACT:
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PHONE:
EXTN:
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STREET:
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CITY:
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STATE:
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ZIP:
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COUNTRY:
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Collect on Delivery $:
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and remit to:
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Street:
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City:
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State:
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Zip:
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COD Payment Type:
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CONSIGNEE’S CHECK “OK”
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[ ]
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C.O.D. Fee to be paid by:
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Shipper
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[ ]
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Consignee
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[ ]
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* Mark “X” to designate Hazardous Materials as defined in DOT Regulations
NOTE (1) 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 __________. “
NOTE (2) Liability Limitation for loss or damage on this shipment may be applicable.
See 49 U.S.C 14706 (c)(1)(AB)
SEE AACT 190 RULES TARIFF FOR PROVISIONS OF LIMITED LIABILITY.
NOTE (3) 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 Sec. 2(e) of NMFC Item 360.
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AFFIX PRO LABEL HERE
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PRO Number:
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AACT:
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FOR FREIGHT COLLECT SHIPMENTS:
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If this shipment is to be delivered to the consignee, without recourse on the consignor,
the consignor shall sign the following statement:
The carrier may decline to make delivery of this shipment without payment of freight
and all other lawful charges.
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SIGNATURE OF CONSIGNOR
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Package
Count_____
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Pallet
Count_____
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Number
Shipments____
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STRETCH WRAPPED YES
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NO
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___
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CARRIER: AAA COOPER TRANSPORTATION
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SHIPPER:___________________________________________________
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CARRIER:___________________________
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DATE:_____________
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NOTIFY IF PROBLEM ENROUTE OR AT DELIVERY:(Name:)___________________________________(Fax:)_______________(Phone:)____________
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SEND FREIGHT BILL TO:
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CONTACT:
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PHONE:
Ext:
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STREET ADDRESS:
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CITY:
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STATE:
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ZIP:
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Shipper Certification
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Carrier Certification
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These 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.
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Carrier acknowledges receipt of packages and required placards. Carrier certifies
emergency response information was made available and/or carrier has the DOT emergency
guidebook or equivalent document in the vehicle.
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