Transit Leg to Stop Association - Content Template Updates
Carrier Confirmation Truckload
<div class="ContentFrame" style="width: 1200px;">
<table style="width: 95%; margin: auto; height: 132px;" cellpadding="1">
<tbody>
<tr style="height: 22px;">
<td width="40%" style="height: 22px;"><strong>TRUCKLOAD RATE CONFIRMATION</strong></td>
<td rowspan="5" align="center" width="55%" style="height: 110px;"><img src="[SITE_LOGO_URL]" alt=""></td>
</tr>
<tr style="height: 22px;">
<td style="height: 22px;">[SITE_OWNER_NAME]</td>
</tr>
<tr style="height: 22px;">
<td style="height: 22px;">[SITE_OWNER_ADDRESS1] [SITE_OWNER_ADDRESS2]</td>
</tr>
<tr style="height: 22px;">
<td style="height: 22px;">[SITE_OWNER_CITY], [SITE_OWNER_STATE] [SITE_OWNER_ZIPCODE]</td>
</tr>
<tr style="height: 22px;">
<td style="height: 22px;"> </td>
</tr>
<tr style="height: 22px%;">
<td colspan="2" style="height: 22px;"> </td>
</tr>
</tbody>
</table>
<!-- ****SHIPMENT REFERENCE NUMBERS**** -->
<table style="width: 95%; margin: auto;" cellpadding="1">
<tbody>
<tr>
<td width="49%"><strong>Carrier Name: </strong>[CARRIER_NAME]</td>
<td width="46%"><strong>Load #:</strong> [SHIPMENT_ID]<strong><br></strong></td>
</tr>
<tr>
<td><strong>Ready Date: </strong>[PICKUP_READY_DATE]</td>
<td><strong>Customer PO: </strong>[PURCHASE_ORDER_NUMBER]</td>
</tr>
<tr>
<td><strong>Date Needed: </strong>[DELIVERY_ESTIMATED_DATE]</td>
<td><strong>Shipper Ref: </strong>[SHIPPER_REFERENCE_NUMBER]</td>
</tr>
<tr>
<td><strong>Service Level: </strong>[SERVICE_LEVEL]</td>
<td><strong> Trailer Type/Size: </strong>[TRAILER_TYPE] / [TRAILER_SIZE]</td>
</tr>
</tbody>
</table>
<!-- ****SHIPPER/CONSIGNEE INFORMATION**** -->
<table style="width: 95%; margin: auto;" cellpadding="1">
<tbody>
<tr>
<td colspan="4"><strong><u>Shipper Information:</u></strong></td>
</tr>
<tr>
<td width="14%"><strong>Name:</strong></td>
<td width="34%">[PICKUP_COMPANY_NAME]</td>
<td width="14%"><strong>Contact:</strong></td>
<td width="33%">[PICKUP_CONTACT_NAME]</td>
</tr>
<tr>
<td><strong>Address:</strong></td>
<td>[PICKUP_ADDRESS1] [PICKUP_ADDRESS2]</td>
<td><strong>Phone:</strong></td>
<td>[PICKUP_CONTACT_PHONE]</td>
</tr>
<tr>
<td> </td>
<td>[PICKUP_CITY], [PICKUP_STATE] [PICKUP_ZIPCODE]<br><br></td>
<td><strong>Pick Up Time:</strong></td>
<td><strong>[PICKUP_READY_DATE]</strong> [PICKUP_READY_TIME]-[PICKUP_CLOSE_TIME]</td>
</tr>
<tr></tr>
<tr><!-- [IF]([PICKUP_APPOINTMENT_DATE]) --></tr>
<tr>
<td></td>
<td></td>
<td><strong>Appointment Time:</strong></td>
<td>[PICKUP_APPOINTMENT_START] - [PICKUP_APPOINTMENT_END]</td>
</tr>
<!-- [ENDIF] --> <!-- [IF]([PICKUP_REFERENCES.REFERENCE_TYPE]) --> <!--[EACH]([PICKUP_REFERENCES]) -->
<tr>
<td><strong>[PICKUP_REFERENCES.REFERENCE_TYPE]:</strong></td>
<td>[PICKUP_REFERENCES.REFERENCE_VALUE]</td>
</tr>
<!-- [ENDEACH] --> <!-- [ENDIF] -->
<tr>
<td><strong>PICK UP INSTRUCTIONS:</strong></td>
<td>[PICKUP_INSTRUCTIONS]</td>
</tr>
<!-- ****ADDITIONAL STOP INFORMATION**** -->
<tr></tr>
<tr></tr>
<!-- [IF]([ADDITIONAL_STOPS]) --> <!-- [EACH]([ADDITIONAL_STOPS]) -->
<tr>
<td colspan="4"><strong><u>Additional Stop Information:</u></strong></td>
</tr>
<tr>
<td width="14%"><strong>Stop Type:</strong></td>
<td width="34%">[ADDITIONAL_STOPS.STOP_TYPE]</td>
</tr>
<tr>
<td width="14%"><strong>Name:</strong></td>
<td width="34%">[ADDITIONAL_STOPS.COMPANY_NAME]</td>
<td width="14%"><strong>Contact:</strong></td>
<td width="33%">[ADDITIONAL_STOPS.CONTACT_NAME]</td>
</tr>
<tr>
<td><strong>Address:</strong></td>
<td>[ADDITIONAL_STOPS.ADDRESS.STREETADDRESS1] [ADDITIONAL_STOPS.ADDRESS.STREETADDRESS2]</td>
<td><strong>Phone:</strong></td>
<td>[ADDITIONAL_STOPS.PHONE]</td>
</tr>
<tr>
<td> </td>
<td>[ADDITIONAL_STOPS.ADDRESS.CITY], [ADDITIONAL_STOPS.ADDRESS.STATE] [ADDITIONAL_STOPS.ADDRESS.ZIPCODE]</td>
<td><strong>Email:</strong></td>
<td>[ADDITIONAL_STOPS.EMAIL]</td>
</tr>
<tr>
<td><strong>Scheduled:</strong></td>
<td>[ADDITIONAL_STOPS.SCHEDULED_READY_DATE] [ADDITIONAL_STOPS.SCHEDULED_READY_TIME] - [ADDITIONAL_STOPS.SCHEDULED_CLOSE_TIME]</td>
<td><strong>Appointment:</strong></td>
<td>[ADDITIONAL_STOPS.APPOINTMENT_READY_DATE] [ADDITIONAL_STOPS.APPOINTMENT_READY_TIME] - [ADDITIONAL_STOPS.APPOINTMENT_END_TIME]</td>
</tr>
<!--[EACH]([ADDITIONAL_STOPS.SHIPMENT_STOP_REFERENCES]) -->
<tr>
<td><strong>[SHIPMENT_STOP_REFERENCES.REFERENCE_TYPE]:</strong></td>
<td>[SHIPMENT_STOP_REFERENCES.REFERENCE_VALUE]</td>
</tr>
<!-- [ENDEACH] -->
<tr>
<td><strong>STOP INSTRUCTIONS:</strong></td>
<td>[ADDITIONAL_STOPS.INSTRUCTIONS]</td>
</tr>
<!-- [ENDIF] --> <!-- [ENDEACH]END Additional Stops -->
<tr>
<td colspan="4"><strong><u>Consignee Information:</u></strong></td>
</tr>
<tr>
<td width="14%"><strong>Name:</strong></td>
<td width="34%">[DELIVERY_COMPANY_NAME]</td>
<td width="14%"><strong>Contact:</strong></td>
<td width="33%">[DELIVERY_CONTACT_NAME]</td>
</tr>
<tr>
<td><strong>Address:</strong></td>
<td>[DELIVERY_ADDRESS1] [DELIVERY_ADDRESS2]</td>
<td><strong>Phone:</strong></td>
<td>[DELIVERY_CONTACT_PHONE]</td>
</tr>
<tr>
<td> </td>
<td>[DELIVERY_CITY], [DELIVERY_STATE] [DELIVERY_ZIPCODE]<br><br></td>
<td><strong>Delivery Time:</strong></td>
<td><strong>[DELIVERY_ESTIMATED_DATE] </strong>[DELIVERY_ESTIMATED_TIME] -<br>[DELIVERY_CLOSE_TIME]</td>
</tr>
<tr><!-- [IF]([DELIVERY_APPOINTMENT_DATE]) --></tr>
<tr>
<td></td>
<td></td>
<td><strong>Appointment Time:</strong></td>
<td>[DELIVERY_APPOINTMENT_START] - [DELIVERY_APPOINTMENT_END]</td>
</tr>
<!-- [ENDIF] -->
<tr><!-- [IF]([DELIVERY_REFERENCES.REFERENCE_TYPE]) --> <!--[EACH]([DELIVERY_REFERENCES]) -->
<td><strong>[DELIVERY_REFERENCES.REFERENCE_TYPE]:</strong></td>
<td>[DELIVERY_REFERENCES.REFERENCE_VALUE]</td>
</tr>
<!-- [ENDIF] --> <!-- [ENDEACH] -->
<tr>
<td><strong>DELIVERY INSTRUCTIONS:</strong></td>
<td>[DELIVERY_INSTRUCTIONS]</td>
</tr>
</tbody>
</table>
<!-- ****COMMODITY INFORMATION**** --><br>
<table style="width: 95%; margin: auto; border-color: #999999;" border="1" cellpadding="10">
<tbody>
<tr style="background-color: #999999;">
<td style="padding-left: 10px;" width="15%"><strong>Handling Units</strong></td>
<td style="padding-left: 10px;" width="15%"><strong>Package Type</strong></td>
<td style="padding-left: 10px;" width="10%"><strong>Pieces</strong></td>
<td style="padding-left: 10px;" width="10%"><strong>HAZMAT</strong></td>
<td style="padding-left: 10px;" width="35%"><strong>List of Items</strong></td>
<td style="padding-left: 10px;" width="15%"><strong>Total Weight</strong></td>
</tr>
<!--[EACH]([COMMODITY])-->
<tr>
<td style="padding-left: 10px;">[COMMODITY.HANDLING_UNITS]</td>
<td style="padding-left: 10px;">[COMMODITY.PACKAGE_TYPE]</td>
<td style="padding-left: 10px;">[COMMODITY.QUANTITY]</td>
<td style="padding-left: 10px;">[COMMODITY.HAZMAT]</td>
<td style="padding-left: 10px;">[COMMODITY.DESCRIPTION] [IF]([COMMODITY.HAZMAT]) UN [COMMODITY.HAZMAT.UNNUMBER], [COMMODITY.HAZMAT.HAZARD_CLASS], PG [COMMODITY.HAZMAT.PACKING_GROUP][ENDIF] [IF]([COMMODITY.LENGTH]) [COMMODITY.LENGTH]x[COMMODITY.WIDTH]x[COMMODITY.HEIGHT] [DIMENSION_UNIT][ENDIF]</td>
<td style="padding-left: 10px;">[COMMODITY.WEIGHT_LBS]</td>
</tr>
<!--[ENDEACH]--></tbody>
</table>
<!-- ****INSTRUCTIONS**** -->
<table style="width: 95%; margin: auto;" cellpadding="1">
<tbody>
<tr>
<td colspan="3"> </td>
</tr>
<tr>
<td colspan="3"> </td>
</tr>
<!-- END Headers --> <!-- [EACH]([COMMODITY]) -->
<tr>
<td colspan="3"> </td>
</tr>
<tr>
<td width="44%"><strong>[IF]([COMMODITY.HAZMAT])HAZMAT DETAILS:[ENDIF]</strong></td>
<td width="10%"> </td>
</tr>
<tr>
<td>[IF]([COMMODITY.HAZMAT])UN [COMMODITY.HAZMAT.UNNUMBER], [ENDIF] [IF]([COMMODITY.HAZMAT]), [COMMODITY.HAZMAT.HAZARD_CLASS], PG [COMMODITY.HAZMAT.PACKING_GROUP][ENDIF]</td>
<td> </td>
</tr>
<!-- [ENDEACH] -->
<tr>
<td colspan="3"> </td>
</tr>
</tbody>
</table>
<table style="width: 95%; margin: auto;" cellpadding="1">
<tbody>
<tr>
<td width="60%"> </td>
<td width="30%" style="width: 30%;"><strong>Rate:</strong></td>
<td width="25%" style="width: 25%; text-align: right;">USD $[TOTAL_BUY_LEG]</td>
</tr>
<!-- LINEHAUL-ONLY FUEL, DIRECTLY UNDER RATE --> <!-- [IF]([BUY_LINEHAUL_FUEL])-->
<tr>
<td width="60%"> </td>
<td width="30%" style="width: 30%;"><strong>Fuel:</strong></td>
<td width="25%" style="width: 25%; text-align: right;">USD $[BUY_LINEHAUL_FUEL]</td>
</tr>
<!-- [ENDIF]--> <!-- ACCESSORIALS (ALL LEGS) --> <!-- [IF]([ACCESSORIAL])--> <!-- [EACH]([ACCESSORIAL])-->
<tr>
<td width="40%" style="width: 40%;"> </td>
<td width="30%" style="width: 30%;"><strong>[ACCESSORIAL.DESCRIPTION] </strong></td>
<td width="25%" style="text-align: right; width: 25%;">USD $[ACCESSORIAL.BUY]</td>
</tr>
<!--[ENDEACH]--> <!--[ENDIF]-->
<tr>
<td width="40%" style="width: 40%;"> </td>
<td width="30%" style="width: 30%;"><strong>TOTAL:</strong></td>
<td width="25%" style="width: 25%; text-align: right;">USD $[TOTAL_BUY_CARRIER]</td>
</tr>
<tr>
<td colspan="3"> </td>
</tr>
<tr>
<td style="font-family: courier; font-size: 10px;" colspan="3" align="justify">This confirmation governs the movement of the above-referenced freight as of the specified and hereby amends, is incorporated by reference and becomes a part of the certain transportation contract by and between “Broker” and “Contract carrier”. Carrier Agrees to sign the confirmation and return it to the broker via FAX and carrier shall be conclusively presumed and compensatory that the freight would not have been tendered to Carrier at higher rates and that not shipments handled under such rates will subsequently be subject to a later claim for undercharges. IF AGREED SERVICES ARE FULFILLED, RATES ARE NOT NEGOTIABLE. Carrier is responsible for all delivery appointments. Failure to comply with appointments will result in a penalty of $100.00 Per Appointment. <br>The undersigned accepts the referenced shipment on behalf of the carrier and acknowledge as correct the information contained herein, the carrier agrees to the terms of the Master agreement previously executed between our companies. Invoicing by the carrier and payment by [SITE_OWNER_NAME], constitutes acceptance of this agreement and creates a valid contract for carriage shipment. <br>When loading, the driver must count and inspect his/ her load. The Driver / Carrier is responsible for piece count and condition of load at time of delivery. <strong>For payment of freight charges, we must receive original and signed Bill of landing and Proof of Delivery with a carrier invoice.</strong> Payment will be made 30 days after all required paperwork is received at [SITE_OWNER_NAME], facilities. We are not responsible for Overweight. If Dimensions, Weight, Quantity or type of commodity are different than those consigned in our Load Confirmation Agreement, the carrier or Broker contracted MUST notify [SITE_OWNER_NAME] Before picking up and request a WRITTEN AUTHORIZATION. [SITE_OWNER_NAME] will not pay any extra charges without AUTHORIZATION.</td>
</tr>
</tbody>
</table>
<table style="width: 95%; margin: auto;" cellpadding="1">
<tbody>
<tr>
<td colspan="4" align="center"><strong>Phone: [SITE_OWNER_PHONE] | Fax: [SITE_OWNER_FAX]</strong></td>
</tr>
<tr>
<td colspan="4" align="center"><strong>Please sign and return via fax [SITE_OWNER_FAX] or email to <a href="mailto:[SITE_OWNER_ALERT_EMAIL]?Subject=LTL Rate Confirmation - [SHIPMENT_ID]" target="_top">[SITE_OWNER_ALERT_EMAIL]</a></strong></td>
</tr>
<tr>
<td colspan="4"> </td>
</tr>
<tr>
<td width="24%"><strong>Carrier Signature:</strong></td>
<td width="24%"><strong><u>________________________</u></strong></td>
<td width="23%"><strong>Driver Name:</strong></td>
<td width="24%"><strong><u>________________________</u></strong></td>
</tr>
<tr>
<td><strong>MC#:</strong></td>
<td><strong>________________________</strong></td>
<td><strong>Driver Phone#:</strong></td>
<td><strong>________________________</strong></td>
</tr>
<tr>
<td colspan="4"> </td>
</tr>
</tbody>
</table>
<div class="FinePrint" style="width: 95%; text-align: center; font-size: 11px; margin: auto;">Please call [SITE_OWNER_PHONE] immediately with any questions, concerns, or problems! <br><strong>Send Invoicing to</strong>: [SITE_OWNER_NAME] | [SITE_OWNER_ADDRESS1] [SITE_OWNER_ADDRESS2] | [SITE_OWNER_CITY], [SITE_OWNER_STATE] [SITE_OWNER_ZIPCODE]</div>
</div>
BOL LTL
<style type="text/css"><!--
.PageBody { width: 1024px; max-width: 1500px; color: #000000; font: normal 12px Arial; text-align: left; } .Header { overflow: hidden; border: 1px solid #000000; padding: 0 302px 0 302px; } .Header .HeaderLeft { float: left; width: 290px; margin-left: -292px; padding: 5px 0 0 0; } .Header .HeaderCenter { float: left; width: 100%; font: bold 22px Arial; text-align: center; } .Header .HeaderRight { float: left; width: 290px; margin-right: -292px; padding: 5px 0 0 0; text-align: right; } .TopContainer { overflow: hidden; padding: 0 491px 0 0; border-left: 1px solid #000000; border-right: 1px solid #000000; border-bottom: 1px solid #000000; } .TopContainer .TopLeft { float: left; position: relative; width: 100%; border-right: 1px solid #000000; } .TopContainer .TopRight { float: left; position: relative; width: 490px; margin-right: -491px; } .BlockTitle { width: 100%; font: bold 16px Arial; border-top: 1px solid #000000; border-bottom: 1px solid #000000; color: #ffffff; background-color: #000000; text-align: center; } .CustomerOrderBlock { overflow: hidden; border-left: 1px solid #000000; border-right: 1px solid #000000; border-bottom: 1px solid #000000; } .CarrierBlock, .CustomerOrderBlock { font-size: 12px !important; overflow: hidden !important; border-left: 1px solid #000000 !important; border-right: 1px solid #000000 !important; border-bottom: 1px solid #000000 !important; } .CustomerOrderBlock table tr td ,.CustomerOrderBlock table tr th, .CarrierBlock table tr td ,.CarrierBlock table tr th {padding: 0;border: 1px solid #000;} .CODBlock { overflow: hidden; height: 90px; padding: 0 401px 0 0; border-left: 1px solid #000000; border-right: 1px solid #000000; } .CODBlock .CodLeft { float: left; position: relative; width: 100%; } .CODBlock .CodRight { float: left; position: relative; width: 396px; margin-right: -401px; border-top: 2px solid #000000; border-right: 2px solid #000000; border-bottom: 3px solid #000000; border-left: 3px solid #000000; } .ReceivedBlock { overflow: hidden; height: 90px; padding: 0 491px 0 0; border-left: 1px solid #000000; border-right: 1px solid #000000; border-bottom: 1px solid #000000; } .ReceivedBlock .ReceivedLeft { float: left; position: relative; width: 100%; } .ReceivedBlock .ReceivedRight { float: left; position: relative; width: 490px; height: 100%; margin-right: -491px; border-left: 1px solid #000000; } .SignatureBlock { overflow: hidden; height: 150px; border-left: 1px solid #000000; border-right: 1px solid #000000; border-bottom: 1px solid #000000; padding: 0 0 0 654px; } .SignatureBlock .SignatureLeft { float: left; position: relative; width: 340px; height: 100%; margin-left: -654px; border-right: 1px solid #000000; } .SignatureBlock .SignatureCenter { float: left; position: relative; width: 290px; height: 100%; margin-left: -300px; border-right: 1px solid #000000; font: normal 12px Arial; } .SignatureBlock .SignatureRight { float: left; position: relative; width: 100%; }@media print{ .Header { padding: 0; } .Header .HeaderLeft { margin-left: 0; padding: 5px 0 0 10px; } .Header .HeaderCenter { width: 370px; color: #000000; } .Header .HeaderRight { margin-right: 0; padding: 5px 10px 0 0; } .SignatureBlock { padding: 0; } .SignatureBlock .SignatureLeft { margin-left: 0; padding: 0; } .SignatureBlock .SignatureCenter { margin-left: 0; } .SignatureBlock .SignatureRight { width: 390px; }}
--></style>
<style type="text/css"><!--
.test { font:bold 16px Arial; }
--></style>
<div class="PageBody"><!-- Top header -->
<div class="Header">
<div class="HeaderLeft">Date: [PICKUP_READY_DATE]</div>
<div class="HeaderCenter">BILL OF LADING</div>
<div class="HeaderRight">Page: ______</div>
</div>
<!-- Top left and right container -->
<div class="TopContainer"><!-- Top left block -->
<div class="TopLeft">
<div class="BlockTitle"><span style="font-size: 12pt;">SHIP FROM</span></div>
<div style="padding: 5px 0px 5px 10px; width: 100%; min-height: 100px; overflow: hidden;">
<div style="width: 94.71%; height: 94px; float: left;">
<div><span style="font-size: 12pt;">[PICKUP_COMPANY_NAME]</span></div>
<div>
<div><span style="font-size: 12pt;">[PICKUP_ADDRESS1] [PICKUP_ADDRESS2]</span></div>
<div><span style="font-size: 12pt;">[PICKUP_CITY], [PICKUP_STATE] [PICKUP_ZIPCODE]</span></div>
</div>
<div><span style="font-size: 12pt;">[PICKUP_CONTACT_NAME] - [PICKUP_CONTACT_PHONE]</span></div>
<div><span style="font-size: 12pt;">Pickup open/close time: [PICKUP_READY_TIME] - [PICKUP_CLOSE_TIME]</span></div>
</div>
</div>
<span style="font-size: 12pt;"> <!-- ****ADDITIONAL STOP INFORMATION**** --> <!-- [IF]([ADDITIONAL_STOPS]) --> <!-- [EACH]([ADDITIONAL_STOPS]) --> </span>
<div class="BlockTitle"><span style="font-size: 12pt;">ADDITIONAL STOP - [ADDITIONAL_STOPS.STOP_TYPE]</span></div>
<div style="padding: 5px 10px; width: 100%; min-height: 100px; overflow: hidden;">
<div><span style="font-size: 12pt;">[ADDITIONAL_STOPS.COMPANY_NAME]</span></div>
<div><span style="font-size: 12pt;">[ADDITIONAL_STOPS.ADDRESS.STREETADDRESS1] [ADDITIONAL_STOPS.ADDRESS.STREETADDRESS2]</span></div>
<div><span style="font-size: 12pt;">[ADDITIONAL_STOPS.ADDRESS.CITY], [ADDITIONAL_STOPS.ADDRESS.STATE] [ADDITIONAL_STOPS.ADDRESS.ZIPCODE]</span></div>
<div><span style="font-size: 12pt;">[ADDITIONAL_STOPS.CONTACT_NAME] - [ADDITIONAL_STOPS.PHONE]</span></div>
<!-- STOP-LEVEL REFERENCES FOR THIS ADDITIONAL STOP --> <!--[EACH]([ADDITIONAL_STOPS.SHIPMENT_STOP_REFERENCES])-->
<div><span style="font-size: 12pt;">[SHIPMENT_STOP_REFERENCES.REFERENCE_TYPE]: [SHIPMENT_STOP_REFERENCES.REFERENCE_VALUE]</span></div>
<!-- [ENDEACH] --></div>
<span style="font-size: 12pt;"> <!-- [ENDEACH]END Additional Stops --> <!-- [ENDIF] --> </span>
<div class="BlockTitle"><span style="font-size: 12pt;">SHIP TO</span></div>
<div style="padding: 5px 10px; width: 100%; min-height: 100px; overflow: hidden;">
<div><span style="font-size: 12pt;">[DELIVERY_COMPANY_NAME]</span></div>
<div>
<div><span style="font-size: 12pt;">[DELIVERY_ADDRESS1] [DELIVERY_ADDRESS2]</span></div>
<div><span style="font-size: 12pt;">[DELIVERY_CITY], [DELIVERY_STATE] [DELIVERY_ZIPCODE]</span></div>
</div>
<div><span style="font-size: 12pt;">[DELIVERY_CONTACT_NAME] - [DELIVERY_CONTACT_PHONE]</span></div>
<div><span style="font-size: 12pt;">Delivery open/close time: [DELIVERY_ESTIMATED_TIME] - [DELIVERY_CLOSE_TIME]</span></div>
</div>
<div class="BlockTitle">THIRD PARTY FREIGHT CHARGES BILL TO</div>
<div style="padding: 5px 10px; width: 100%; height: 120px; overflow: hidden;">
<div><span style="font-size: large;">Name: [BILL_TO_NAME]</span></div>
<div><span style="font-size: large;">Address: [BILL_TO_ADDRESS1] [BILL_TO_ADDRESS2]</span></div>
<div><span style="font-size: large;">City/State/Zip: [BILL_TO_CITY], [BILL_TO_STATE], [BILL_TO_ZIPCODE]</span></div>
<!-- [IF]([TARIFF_ACCOUNT_NUMBER]) -->
<div><span style="font-size: large;">Account: [TARIFF_ACCOUNT_NUMBER]</span></div>
<!-- [ENDIF] --> <!-- [IF_NOT_WHITE_GLOVE] -->
<div><span style="font-size: large;">Service Level: [SERVICE_LEVEL]</span></div>
<!-- [ENDIFNOT] --></div>
<div style="width: 100%; border-top-color: #000000; border-top-width: 1px; border-top-style: solid;"><!-- [IF]([PICKUP_ACCESSORIALS]) -->
<div style="padding: 5px 0px 0px 10px;"><span style="font-size: small;">ORIGIN ACCESSORIALS: [PICKUP_ACCESSORIALS]</span></div>
<!-- [ENDIF] --> <!-- [IF]([PICKUP_INSTRUCTIONS]) -->
<div style="padding: 5px 0px 0px 10px;"><span style="font-size: small;">ORIGIN INSTRUCTIONS: [PICKUP_INSTRUCTIONS]<br></span></div>
<!-- [ENDIF] --> <!-- [IF]([PICKUP_APPOINTMENT_START]) -->
<div style="padding: 5px 0px 0px 10px;"><span style="font-size: small;">ORIGIN APPOINTMENT: [PICKUP_APPOINTMENT_START] - [PICKUP_APPOINTMENT_END]<br></span></div>
<!-- [ENDIF] --> <!-- [IF]([DELIVERY_ACCESSORIALS]) -->
<div style="padding: 5px 0px 0px 10px;"><span style="font-size: small;">DESTINATION ACCESSORIALS: [DELIVERY_ACCESSORIALS]</span></div>
<!-- [ENDIF] --> <!-- [IF]([DELIVERY_INSTRUCTIONS]) -->
<div style="padding: 5px 0px 0px 10px;"><span style="font-size: small;">DESTINATION INSTRUCTIONS: [DELIVERY_INSTRUCTIONS]</span></div>
<!-- [ENDIF] --> <!-- [IF]([DELIVERY_APPOINTMENT_START]) -->
<div style="padding: 5px 0px 0px 10px;"><span style="font-size: small;">DESTINATION APPOINTMENT: [DELIVERY_APPOINTMENT_START] - [DELIVERY_APPOINTMENT_END]<br></span></div>
<!-- [ENDIF] --> <!-- [IF]([EMERGENCY_CONTACT_NUMBER]) -->
<div style="padding: 5px 0px 0px 10px;"><span style="font-size: small;">EMERGENCY CONTACT #: [EMERGENCY_CONTACT_NUMBER]</span></div>
<!-- [ENDIF] --> <!-- [IF_NOT_WHITE_GLOVE] -->
<div style="padding: 5px 0px 0px 10px;"><span style="font-size: large;">SERVICE LEVEL: [SERVICE_LEVEL]</span></div>
<!-- [ENDIFNOT] --> <!-- [IF]([DELIVERY_EXTERNAL_NOTES]) -->
<div style="padding: 5px 0px 0px 10px;"><span style="font-size: small;">NOTES: [DELIVERY_EXTERNAL_NOTES]<br></span></div>
<!-- [ENDIF] --></div>
</div>
<!-- END Top left block --> <!-- Top right block -->
<div class="TopRight">
<div style="width: 100%; height: 150px; border-bottom-color: #000000; border-bottom-width: 1px; border-bottom-style: solid;">
<div style="padding: 10px 0px 0px 10px;"><strong><span style="font-size: small;">Bill of Lading Number: [SHIPMENT_ID]</span></strong></div>
<!-- [IF]([SECONDARY_BOL_NUMBER]) -->
<div style="padding: 10px 0px 0px 10px;"><strong><span style="font-size: small;">Customer BOL: [SECONDARY_BOL_NUMBER]</span></strong></div>
<!-- [ENDIF] --> <!-- [IF]([SHIPPER_REFERENCE_NUMBER]) -->
<div style="padding: 10px 0px 0px 10px;"><strong><span style="font-size: small;">Reference Number: [SHIPPER_REFERENCE_NUMBER]</span></strong></div>
<!-- [ENDIF] --> <!-- [IF]( [CUSTOM_SHIPMENT_REFERENCES.HUGO_TEST]) -->
<div style="padding: 10px 0px 0px 10px;"><strong><span style="font-size: small;">Purchase Order Number: [CUSTOM_SHIPMENT_REFERENCES.HUGO_TEST]<br></span></strong></div>
<!-- [ENDIF] --> <!-- [IF]([LOAD_RELEASE_NUMBER]) -->
<div style="padding: 10px 0px 0px 10px;"><strong><span style="font-size: small;">Load Release Number: [LOAD_RELEASE_NUMBER]<br><br>Quote number: [QUOTE_NUMBER]</span></strong></div>
<!-- [ENDIF] --></div>
<div style="width: 100%; height: 142px; border-bottom-color: #000000; border-bottom-width: 1px; border-bottom-style: solid;">
<div style="padding: 5px 0px 0px 10px;"><strong><span style="font-size: small;">Carrier Name: [CARRIER_NAME]</span></strong></div>
<div style="padding: 5px 0px 0px 10px;"><strong><span style="font-size: small;">Quote ID Number: [API_QUOTE_NUMBER]</span></strong></div>
<div style="padding: 5px 0px 0px 10px;"><strong><span style="font-size: small;">Pro number: [LINEHAUL_PRO_NUMBER]<br></span></strong></div>
</div>
<div style="width: 100%; height: 70px; border-bottom-color: #000000; border-bottom-width: 1px; border-bottom-style: solid;">
<div style="padding: 5px 0px 0px 10px;"><span style="font-size: medium;"><strong>Freight charge terms:</strong> </span><span style="font-size: small;"><em>(freight charges are prepaid unless marked otherwise)</em></span></div>
<div style="padding: 5px 0px 0px 10px; font-size: 18px;"><strong>[TARIFF_BILL_TO_TYPE]</strong></div>
</div>
<div style="padding: 5px 0px 0px 10px; width: 457px; height: 50px;">
<div style="width: 80px; text-align: center; float: left;"><input type="checkbox"><br>(check box)</div>
<div>Master Bill of Lading: with attached underlaying Bill of Lading</div>
</div>
</div>
<!-- END Top right block --></div>
<!-- END Top left and right container --> <!-- Customer Order block -->
<div class="CustomerOrderBlock">
<table style="border: 1px solid #000000; width: 100%; border-collapse: collapse;" border="1">
<tbody>
<tr class="BlockTitle">
<td colspan="5">CUSTOMER ORDER INFORMATION</td>
</tr>
<tr>
<th style="text-align: center;">CUSTOMER PO NUMBER</th>
<th style="text-align: center;">#PKGS</th>
<th style="text-align: center;">WEIGHT</th>
<th style="text-align: center;"> </th>
<th style="text-align: center;">ADDITIONAL SHIPPER INFO</th>
</tr>
<tr>
<td align="center">[PURCHASE_ORDER_NUMBER]</td>
<td align="center">[TOTAL_PIECES]</td>
<td align="center">[TOTAL_WEIGHT] [WEIGHT_UNIT]</td>
<td align="center">PALLET / SLIP<br>(CIRCLE ONE)</td>
<td align="center">[STACKABLE] [ALL_MARKS]</td>
</tr>
</tbody>
</table>
</div>
<!-- END Customer Order block --> <!-- Carrier block -->
<div class="CarrierBlock"><br>
<table style="border: 1px solid #000000; width: 100%; border-collapse: collapse;" border="1">
<tbody>
<tr class="BlockTitle">
<td colspan="9">CARRIER INFORMATION</td>
</tr>
<tr>
<th style="text-align: center;" colspan="2" align="center">HANDLING<br>UNIT</th>
<th style="text-align: center;" colspan="2" align="center">PACKAGE</th>
<th style="text-align: center;" rowspan="2" align="center">WEIGHT</th>
<th style="text-align: center;" rowspan="2" align="center">H.M.<br>(X)</th>
<th style="padding-left: 4px;" rowspan="2" align="center" width="624">COMMODITY DESCRIPTION<br><span style="font-size: 8px;">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 Section 2(e) of NMFC Item 360</span></th>
<th style="text-align: center;" colspan="2" align="center">LTL ONLY</th>
</tr>
<tr>
<td align="center"><strong>QTY</strong><br><br></td>
<td align="center"><strong>TYPE</strong><br><br></td>
<th style="text-align: center;" valign="top">QTY</th>
<th style="text-align: center;" valign="top">TYPE</th>
<th style="text-align: center;">NMFC#</th>
<th style="text-align: center;">CLASS#</th>
</tr>
<!-- END Headers --> <!-- [EACH]([COMMODITY]) -->
<tr>
<td align="center">[COMMODITY.HANDLING_UNITS]</td>
<td align="center">[COMMODITY.PACKAGE_TYPE]</td>
<td align="center">[COMMODITY.QUANTITY]</td>
<td align="center"><!-- [IF]([COMMODITY.HAZMAT.PIECE_DESCRIPTION]) -->[COMMODITY.HAZMAT.PIECE_DESCRIPTION]<!-- [ENDIF] --><!-- [IFNOT]([COMMODITY.HAZMAT.PIECE_DESCRIPTION]) -->PCS<!-- [ENDIFNOT] --></td>
<td align="center">[COMMODITY.WEIGHT] [WEIGHT_UNIT]</td>
<td align="center">[COMMODITY.HAZMAT]</td>
<td style="padding-left: 4px;" align="left">[IF]([COMMODITY.HAZMAT])UN [COMMODITY.HAZMAT.UNNUMBER], [ENDIF][COMMODITY.DESCRIPTION] [IF]([COMMODITY.HAZMAT]), [COMMODITY.HAZMAT.HAZARD_CLASS], PG [COMMODITY.HAZMAT.PACKING_GROUP][ENDIF] [COMMODITY.DIMENSIONS][DIMENSION_UNIT]</td>
<td align="center">[COMMODITY.NMFC]</td>
<td align="center">[COMMODITY.FREIGHT_CLASS]</td>
</tr>
<!-- [ENDEACH] -->
<tr>
<td align="center">[TOTAL_HANDLING_UNITS]</td>
<td style="background-color: #000;" align="center"> </td>
<td align="center">[TOTAL_PIECES]</td>
<td style="background-color: #000;" align="center"> </td>
<td align="center">[TOTAL_WEIGHT] [WEIGHT_UNIT]</td>
<td style="background-color: #000;" colspan="4" align="center"> </td>
</tr>
</tbody>
</table>
</div>
<!-- END Carrier block --> <!-- COD block -->
<div class="CODBlock">
<div class="CodLeft">
<div style="padding: 10px 10px 0px;">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:<br>"The agreed or declared value of the property is specifically stated by the shipper to be not exceeding<br><br>______________________ per __________________."</div>
</div>
<div class="CodRight">
<div style="font: bold 14px/normal Arial; padding: 0px 10px; font-size-adjust: none; font-stretch: normal;">
<div>COD amount: $___________________________</div>
<div>Fee terms: Collect <input type="checkbox"> Prepaid <input type="checkbox"></div>
<div>Customer check acceptable: <input type="checkbox"></div>
</div>
</div>
</div>
<!-- END COD block -->
<div style="border: 1px solid #000000; clear: both;">
<div style="padding: 5px 0px 5px 10px;"><strong>NOTE Liability Limitation for loss or damage in this shipment may be applicable. See 49 U.S.C 14706(c)(1)(A) and (B).</strong></div>
</div>
<!-- Received block -->
<div class="ReceivedBlock">
<div class="ReceivedLeft">
<div style="padding: 10px 10px 0px;">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.</div>
</div>
<div class="ReceivedRight">
<div style="padding: 10px 10px 0px;">
<div>The carrier shall not make delivery of this shipment without payment of freight and all other lawful charges.</div>
<div>______________________________________ <br><strong>Shipper </strong><strong>Signature</strong></div>
</div>
</div>
</div>
<!-- END Received block --> <!-- Signature block -->
<div class="SignatureBlock"><!-- Left block -->
<div class="SignatureLeft">
<div style="padding: 10px 10px 0px;">
<div><strong>SHIPPER SIGNATURE / DATE</strong></div>
<div>This is to certify that the above named materials are properly classified, described, packaged, marked and labeled, and are in proper condition for transportation according to the applicable regulation of the Department of Transportation.</div>
</div>
</div>
<!-- Center block -->
<div class="SignatureCenter">
<div style="padding: 10px 0px 0px;">
<div style="width: 33%; float: left;">
<div>Trailer loaded:</div>
<div><input type="checkbox">By Shipper</div>
<div><input type="checkbox">By Driver</div>
</div>
<div style="width: 66%; float: left;">
<div>Freight Counted:</div>
<div><input type="checkbox">By Shipper</div>
<div><input type="checkbox">By Driver/pallets said to contain</div>
<div><input type="checkbox">By Driver/pieces</div>
</div>
</div>
</div>
<!-- Right block -->
<div class="SignatureRight">
<div style="padding: 10px 10px 0px;">
<div><strong>CARRIER SIGNATURE / PICKUP DATE</strong></div>
<div>Carrier acknowledges receipt of packages and required placards. Carrier certifies emergency response information was made available and/or carrier has the Department of Transportation emergency response guidebook or equivalent documentation in the vehicle.<br><br>_________________________________________________<br>Property described above is received in good order, except as noted.</div>
<div style="font: italic 12px/normal Arial; padding: 20px 0px 0px; font-size-adjust: none; font-stretch: normal;"> </div>
</div>
</div>
</div>
<!-- END Signature block --></div>
BOL Truckload
<style><!--
.ContentFrame label { width: 120px !important; text-align: left; display: inline-block; font-weight: bold; }
--></style>
<div class="ContentFrame" style="width: 1024px;">
<div style="width: 100%;">
<div style="width: 50%; float: left; align: center;"><img src="[SITE_LOGO_URL]" alt=""></div>
<div style="margin: 25px 0px 0px; width: 49%; float: left; padding-left: 30px;">
<div>
<h2>Shipment aidi #: [SHIPMENT_ID] <strong>Declared [PURCHASE_ORDER_NUMBER] value: [INSURANCE_DECLARED_VALUE]</strong></h2>
</div>
</div>
</div>
<div style="width: 100%; clear: both; border: #000000 1px solid; padding: 5px;">
<div style="width: 49.5%; float: left;">
<div>
<div style="width: 100px; float: left; font-weight: bold;">Shipper:</div>
<div style="float: left;">[PICKUP_COMPANY_NAME] <br>[PICKUP_ADDRESS1] [PICKUP_ADDRESS2] <br>[PICKUP_CITY], [PICKUP_STATE] <br>[PICKUP_ZIPCODE]</div>
</div>
</div>
<div style="float: left; width: 49.5%;">
<div>
<div style="width: 100px; float: left; font-weight: bold;">Contact:</div>
<div style="float: left; clear: right; padding: 5px 0px 0px 0px;">[PICKUP_CONTACT_NAME] <br>Phone: [PICKUP_CONTACT_PHONE] <br>E-mail: [PICKUP_CONTACT_EMAIL]</div>
</div>
</div>
<span style="clear: both; display: block; line-height: 5px;"> </span></div>
<!-- ****ADDITIONAL STOP INFORMATION**** -->
<!-- [IF]([ADDITIONAL_STOPS]) -->
<!-- [EACH]([ADDITIONAL_STOPS]) -->
<div style="width: 100%; clear: both; border: #000000 1px solid; padding: 5px; margin-top: 2px;">
<div style="width: 49.5%; float: left;">
<div>
<div style="width: 100px; float: left; font-weight: bold;">Additional Stops: <br><br><br><br>Instructions: <br>Notes:</div>
<div style="float: left;">
Stop Type: [ADDITIONAL_STOPS.STOP_TYPE] <br>
[ADDITIONAL_STOPS.COMPANY_NAME] <br>
[ADDITIONAL_STOPS.ADDRESS.STREETADDRESS1] [ADDITIONAL_STOPS.ADDRESS.STREETADDRESS2] <br>
[ADDITIONAL_STOPS.ADDRESS.CITY], [ADDITIONAL_STOPS.ADDRESS.STATE] <br>
[ADDITIONAL_STOPS.ADDRESS.ZIPCODE]<br>
[ADDITIONAL_STOPS.INSTRUCTIONS]<br>
[ADDITIONAL_STOPS.NOTES]
</div>
</div>
</div>
<div style="float: left; width: 49.5%;">
<div>
<div style="width: 100px; float: left; font-weight: bold;">Contact: <br><br><br>Scheduled: <br>Appointment:</div>
<div style="float: left; clear: right; padding: 5px 0px 0px 0px;">
[ADDITIONAL_STOPS.CONTACT_NAME] <br>
Phone: [ADDITIONAL_STOPS.PHONE] <br>
E-mail: [ADDITIONAL_STOPS.EMAIL]<br>
[ADDITIONAL_STOPS.SCHEDULED_READY_DATE] [ADDITIONAL_STOPS.APPOINTMENT_READY_TIME] - [ADDITIONAL_STOPS.APPOINTMENT_END_TIME] <br>
[ADDITIONAL_STOPS.APPOINTMENT_READY_DATE] [ADDITIONAL_STOPS.APPOINTMENT_READY_TIME] - [ADDITIONAL_STOPS.APPOINTMENT_END_TIME]
<!-- STOP-LEVEL REFERENCES FOR THIS ADDITIONAL STOP -->
<!--[EACH]([ADDITIONAL_STOPS.SHIPMENT_STOP_REFERENCES])-->
<br>[SHIPMENT_STOP_REFERENCES.REFERENCE_TYPE]: [SHIPMENT_STOP_REFERENCES.REFERENCE_VALUE]
<!-- [ENDEACH] -->
</div>
</div>
</div>
<span style="clear: both; display: block; line-height: 5px;"> </span></div>
<!-- [ENDEACH]END Additional Stops -->
<!-- [ENDIF] -->
<div style="width: 100%; clear: both; border: #000000 1px solid; padding: 5px; margin-top: 2px;">
<div style="width: 49.5%; float: left;">
<div>
<div style="width: 100px; float: left; font-weight: bold;">Consignee:</div>
<div style="float: left;">[DELIVERY_COMPANY_NAME] <br>[DELIVERY_ADDRESS1] [DELIVERY_ADDRESS2] <br>[DELIVERY_CITY], [DELIVERY_STATE] <br>[DELIVERY_ZIPCODE]</div>
</div>
</div>
<div style="float: left; width: 49.5%;">
<div>
<div style="width: 100px; float: left; font-weight: bold;">Contact:</div>
<div style="float: left; clear: right; padding: 5px 0px 0px 0px;">[DELIVERY_CONTACT_NAME] <br>Phone: [DELIVERY_CONTACT_PHONE] <br>E-mail: [DELIVERY_CONTACT_EMAIL]</div>
</div>
</div>
<span style="clear: both; display: block; line-height: 5px;"> </span></div>
<div style="width: 100%; clear: both; border: #000000 1px solid; padding: 5px; margin-top: 2px;">
<div style="width: 49.5%; float: left;">
<div style="width: 100px; float: left; font-weight: bold;">3rd Party <br>Bill To:</div>
<div style="float: left;">[SITE_OWNER_NAME] <br>[BILL_TO_ADDRESS1] [BILL_TO_ADDRESS2] <br>[BILL_TO_CITY], [BILL_TO_STATE], [BILL_TO_ZIPCODE] <br>Phone: [SITE_OWNER_PHONE]</div>
</div>
<div style="width: 49.5%; float: left;">
<div>
<div><label>Carrier:</label>[CARRIER_NAME] [LINEHAUL_PRO_NUMBER]</div>
<!-- [IF]([SECONDARY_BOL_NUMBER]) -->
<div><label>Customer BOL:</label>[SECONDARY_BOL_NUMBER]</div>
<!-- [ENDIF] -->
<!-- [IF]([SHIPPER_REFERENCE_NUMBER]) -->
<div><label>Shipper Ref #:</label>[SHIPPER_REFERENCE_NUMBER]</div>
<!-- [ENDIF] -->
<!-- [IF]([LOAD_RELEASE_NUMBER]) -->
<div><label>Delivery #:</label>[LOAD_RELEASE_NUMBER]</div>
<!-- [ENDIF] -->
<!-- [IF]([PURCHASE_ORDER_NUMBER]) -->
<div><label>PO#:</label>[PURCHASE_ORDER_NUMBER]</div>
<!-- [ENDIF] -->
<!-- [IF]([SERVICE_LEVEL]) -->
<div><label>Service Level:</label>[SERVICE_LEVEL]</div>
<!-- [ENDIF] -->
<!-- [IF]([TRAILER_TYPE]) -->
<div><label>Chassis:</label>[TRAILER_TYPE]</div>
<!-- [ENDIF] -->
<!-- [IF]([TRAILER_SIZE]) -->
<div><label>Trailer Size:</label>[TRAILER_SIZE]</div>
<!-- [ENDIF] -->
<!-- [IF]([PICKUP_STOP_REFERENCE_NUMBER]) -->
<div><label>Pickup Ref #:</label>[PICKUP_STOP_REFERENCE_NUMBER]</div>
<!-- [ENDIF] -->
<!-- [IF]([DELIVERY_STOP_REFERENCE_NUMBER]) -->
<div><label>Delivery Ref #:</label>[DELIVERY_STOP_REFERENCE_NUMBER]</div>
<!-- [ENDIF] -->
<!-- [IF]([MAWB_NUMBER]) -->
<div><label for="MAWBNumber">MAWB #: </label>[MAWB_NUMBER]</div>
<!-- [ENDIF] -->
<!-- [IF]([CUSTOM_REFERENCE_NUMBER]) -->
<div><label for="MAWBNumber">MBL #: </label>[CUSTOM_REFERENCE_NUMBER]</div>
<!-- [ENDIF] -->
<!-- [IF]([SEAL_NUMBER]) -->
<div><label for="MAWBNumber">SEAL#: </label>[SEAL_NUMBER]</div>
<!-- [ENDIF] -->
<!-- [IF]([CONTAINER_NUMBER]) -->
<div><label for="CONTAINER#">CONTAINER#: </label>[CONTAINER_NUMBER]</div>
<!-- [ENDIF] -->
</div>
</div>
<span style="clear: both; display: block; line-height: 5px;"> </span></div>
<div style="width: 100%; clear: both; border: #000000 1px solid; padding: 5px; margin-top: 2px;">
<div style="width: 49.5%; float: left;">
<div><strong>Pickup Date:</strong> [PICKUP_READY_DATE]</div>
<div><strong>Pickup Hours:</strong> [PICKUP_READY_TIME] - [PICKUP_CLOSE_TIME]</div>
<div>
<div><strong>Pickup Instructions:</strong> [PICKUP_INSTRUCTIONS]</div>
</div>
<div>
<div><strong>Pickup Accessorials:</strong> [PICKUP_ACCESSORIALS]</div>
</div>
</div>
<div style="width: 49.5%; float: left;">
<div><strong>Delivery Date:</strong> [DELIVERY_ESTIMATED_DATE]</div>
<div><strong>Consignee Hours:</strong> [DELIVERY_ESTIMATED_TIME]- [DELIVERY_CLOSE_TIME]</div>
<div>
<div><strong>Delivery Instructions:</strong> [DELIVERY_INSTRUCTIONS]</div>
</div>
<div>
<div><strong>Delivery Accessorials:</strong> [DELIVERY_ACCESSORIALS]</div>
</div>
</div>
<span style="clear: both; display: block; line-height: 5px;"> </span></div>
<div class="Shipment" style="width: 100%;">
<h3>Shipment Details</h3>
<table style="border: 1px solid #000000; width: 100%; border-collapse: collapse;" border="1">
<tbody>
<tr class="BlockTitle">
<td colspan="8"><strong>Shipment Information</strong></td>
</tr>
<tr>
<th style="text-align: center;" colspan="2" align="center">HANDLING <br>UNIT</th>
<th style="text-align: center;" colspan="2" align="center">PACKAGE</th>
<th style="text-align: center;" rowspan="2" align="center">WEIGHT</th>
<th style="text-align: center;" rowspan="2" align="center">H.M. <br>(X)</th>
<th style="padding-left: 4px;" rowspan="2" align="center" width="624">COMMODITY DESCRIPTION</th>
</tr>
<tr>
<td align="center"><strong>QTY</strong></td>
<td align="center"><strong>TYPE</strong></td>
<th style="text-align: center;" valign="top">QTY</th>
<th style="text-align: center;" valign="top">TYPE</th>
</tr>
<!-- END Headers -->
<!-- START Line Item[EACH]([COMMODITY]) -->
<tr>
<td align="center">[COMMODITY.HANDLING_UNITS]</td>
<td align="center">[COMMODITY.PACKAGE_TYPE]</td>
<td align="center">[COMMODITY.QUANTITY]</td>
<td align="center"><!-- [IF]([COMMODITY.HAZMAT.PIECE_DESCRIPTION]) -->[COMMODITY.HAZMAT.PIECE_DESCRIPTION]<!-- [ENDIF] --><!-- [IFNOT]([COMMODITY.HAZMAT.PIECE_DESCRIPTION]) -->PCS<!-- [ENDIFNOT] --></td>
<td align="center">[COMMODITY.WEIGHT_LBS]</td>
<td align="center">[COMMODITY.HAZMAT]</td>
<td style="padding-left: 4px;" align="left">[IF]([COMMODITY.HAZMAT])UN [COMMODITY.HAZMAT.UNNUMBER], [ENDIF][COMMODITY.DESCRIPTION] [IF]([COMMODITY.HAZMAT]), [COMMODITY.HAZMAT.HAZARD_CLASS], PG [COMMODITY.HAZMAT.PACKING_GROUP][ENDIF] [COMMODITY.DIMENSIONS][DIMENSION_UNIT]</td>
</tr>
<!-- [ENDEACH]END Line Item -->
<tr>
<td align="center">[TOTAL_HANDLING_UNITS]</td>
<td style="background-color: #000;" align="center"> </td>
<td align="center">[TOTAL_PIECES]</td>
<td style="background-color: #000;" align="center"> </td>
<td align="center">[TOTAL_WEIGHT_LBS]</td>
<td style="background-color: #000;" colspan="4" align="center"> </td>
</tr>
</tbody>
</table>
<div style="width: 100%; clear: both; border: #000000 1px solid; padding: 5px; margin-top: 2px;"><strong>Notes:</strong> <br>[CUSTOMER_NOTES][DELIVERY_EXTERNAL_NOTES]</div>
<div style="width: 100%; clear: both; border: #000000 1px solid; padding: 5px; margin-top: 2px;">Carrier Liability agreed to $.50 per LB unless an insured value is declared and purchased.</div>
<span style="clear: both; display: block; line-height: 5px;"> </span></div>
<table style="border: 1px solid #000; border-collapse: collapse; width: 100%; vertical-align: top;">
<tbody>
<tr style="border: 1px solid #000; height: 50px; vertical-align: top;">
<td style="border: 1px solid #000; width: 15%;">Shipper Signature:</td>
<td style="border: 1px solid #000;">Date:</td>
<td style="font-size: 10px; border: 1px solid #000;" colspan="2"><span>This is to certify that the above named materials are properly classified, </span><span>described, packaged, marked, and labeled, and are in proper condition for </span><span>transportation according to the applicable regulations of the Department of </span><span>Transporation.</span></td>
</tr>
<tr style="border: 1px solid #000; height: 50px; vertical-align: top;">
<td style="border: 1px solid #000;">Pickup Carrier Signature:</td>
<td style="border: 1px solid #000; width: 15%;">Date:</td>
<td style="font-size: 10px; border: 1px solid #000;" colspan="2">Carrier acknowledges receipt of packages and required placards. Carrier certifies emergency response information was made available and/or carrier has the Department of Transportation emergency response guidebook or equivalent documentation in the vehicle.</td>
</tr>
<tr style="border: 1px solid #000; height: 50px; vertical-align: top;">
<td style="border: 1px solid #000; width: 40%;">Delivered By:</td>
<td style="border: 1px solid #000; width: 15%;">Date:</td>
<td style="border: 1px solid #000; width: 15%;">Time:</td>
<td style="border: 1px solid #000; width: 25%;"># of Pieces:</td>
</tr>
<tr style="border: 1px solid #000; height: 50px; vertical-align: top;">
<td style="border: 1px solid #000;">Consignee Signature:</td>
<td style="border: 1px solid #000;">Date:</td>
<td style="border: 1px solid #000;">Time:</td>
<td style="border: 1px solid #000;">Printed Last Name:</td>
</tr>
</tbody>
</table>
<div style="text-align: center; margin: 10px 0px; font: 10px Verdana;">[SITE_OWNER_NAME] | [SITE_OWNER_ADDRESS1] | [SITE_OWNER_CITY], [SITE_OWNER_STATE] [SITE_OWNER_ZIPCODE] <br>Phone: [SITE_OWNER_PHONE] | Fax: [SITE_OWNER_FAX] </div>
<div style="text-align: center; margin: 10px 0px; font: 10px Verdana;"></div>
<div style="text-align: center; margin: 10px 0px; font: 10px Verdana;"></div>
</div>
