Date: 
Bill Of Lading
Page: 
SHIP FROM  
Company :
Address : 
City/ST/Zip :
Phone :
Contact :
Dock Hrs :
Comments :
SHIP TO  
Company :
Address :
City/ST/Zip :
Phone :
Contact :
Dock Hrs :
Comments :
Third Party Freight Charges Bill To:
Company :    
Address :
City/ST/Zip :
ACCOUNT :
Freight Charge Terms: :
QUOTE NUMBER :
Shipment ID
BOL #     
PO #:    
Order #:
Phone#  
Carrier    
SCAC    
PRO Number    
 

BARCODE SPACE

Accessorial Services   
Special Instructions   
BOL History
Master Addresses
3rd PArty Addresses
Blank BOL
CARRIER INFORMATION
HANDLING UNIT PACKAGE WEIGHT HAZMAT COMMODITY DESCRIPTION LTL ONLY
QTY Type QTY Type Lbs. (X) Commodities requiring special or additional care or attention in handling or stowing must be so marked and packaged to insure safe transportation qith ordinary care See section 2(e) of NMFC item 360 NMFC CLASS