Reference/PO #:
Date Shipped:
Shipper Consignee
Name: Name:
Address: Address:
   
Contact: Contact:
Phone: Phone:
Service Type Payment Type Third Party Billing







Name:
Address:
 
HazMat C.O.D./F.C.C.O.D.
UN#: Amount:
Emergency #: Payable To:
Special Instructions
Payable By:
COD Fees:

Pieces Dimensions

Weight

Description

  Received in good order except as noted  
Consignee Please Sign Below: Date:
Time:
By submitting Bill of Lading you agree to Terms and Conditions.
AeroAssociate:
   
 
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