Date: Bill of Lading Page:
SHIP FROM


Name:  Address:  City:  State :  Zip:

SID #:  FOB

SHIP TO


Name:  Address:  City:  State :   Zip:

Location #:   CID #:  FOB

BILL TO

Name:  Address:  City:  State :   Zip:

SPECIAL INSTRUCTIONS:

Bill of Lading Number:

SCAC:

Pro Number:

Carrier Name:  ATL Transportation, LLC

Trailer Number: 

Seal Number(s): 

Freight Charge Terms: (freight charges are prepaid
unless marked otherwise)

Prepaid          Collect           3rd Party

(check box)

Master Bill of Lading: with attached underlying Bills of Lading
CARRIER INFORMATION
HANDLING UNIT
WEIGHT

H.M.
(x)
COMMODITY DESCRIPTION
LTL ONLY
QTY
TYPE
NMFC #
CLASS
   
GRAND TOTALS
    

COD Amount: $
Fee Terms:  Collect:      Prepaid:  
Customer Check Acceptable:  

Trailer Loaded:
    By Shipper
    By Driver

 Freight Counted:
By Shipper
By Driver-pallets said to contain
By Driver-pieces

NOTE: Liability Limitation for loss or damage in this shipment may be applicable. See ATL's Terms and Conditions of Service-copy available upon request.
RECEIVED, subject to individually determined rates or contracts that have been agreed upon in writing between the carrier and 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., and to all applicable state and federal regulations.

SHIPPER SIGNATURE/DATE
This 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.
*

CARRIER SIGNATURE/PICK-UP DATE

______________________________________ - ___________
Signature                                                               Date

*By typing your name in the E Signature field, you are agreeing that all information is correct to the best of your knowledge and that you agree to the terms, conditions, and policies set forth by Anderson Trasportation and Logistics, LLC.