NEVADA LANEService Driven

USDOT 2389049 MC 821097 SCAC NEXK

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Bill Of Lading

DRAFT — print and hand to driver. Dispatch must confirm the unit.

NEVADA LANE LLC 1800 East William St Unit 203
Carson City, NV 89701
USA
Tel: 775-235-2638
Load Number
BOL Number
Ship Date
Delivery Date
P.O. Number
Freight Charges
Shipper Consignee
3rd Party Billing Transportation Company
NEVADA LANE LLC
1800 East William St Unit 203
Carson City, NV 89701
Tel: 775-235-2638
# of pieces Description of the goods, marks, exceptions Weight in LBS Type NMFC HM Class
Total Pieces 0 Total Weight 0 LBS. Emergency Response Phone
Notes: C.O.D. Amount: $0.00
C.O.D. Fee: Prepaid
Declared Value: $0.00
If at consignor's risk, write or stamp here
Shipper Carrier Date Number Of Pieces Received
Per Per Time
Consignee Name Date Signature Number Of Pieces Received