B/L NO. U.S. GOVERNMENT BILL OF LADING SHEET NO ... 1109.pdf · prescribed by gsa, fpmr (41 cfr)...

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AUTHORIZED FOR LOCAL REPRODUCTION Previous edition is usable *Show also cubic measurements for shipment via air, truck or water carrier in cases where required. STANDARD FORM 1109 (Rev. 9-98) Prescribed by GSA, FPMR (41 CFR) 101-41.3 WEIGHT* (Pounds only) FOR USE OF BILLING CARRIER ONLY SERVICES RATE CHARGES CITY STATE ZIP CODE PACKAGES NO. KIND HM DESCRIPTION OF ARTICLES (Use carrier's classification or tariff description if possible; otherwise use a clear nontechnical description.) U.S. GOVERNMENT BILL OF LADING CONTINUATION SHEET (This form is to be used as a continuation sheet for SF 1103, U.S. Government Bill of Lading - Original, or SF 1203, U.S. Government Bill of Lading - Privately Owned Personal Property - Original.) ORIGINAL B/L NO. SHEET NO. ISSUING OFFICE NAME STREET ADDRESS

Transcript of B/L NO. U.S. GOVERNMENT BILL OF LADING SHEET NO ... 1109.pdf · prescribed by gsa, fpmr (41 cfr)...

Page 1: B/L NO. U.S. GOVERNMENT BILL OF LADING SHEET NO ... 1109.pdf · prescribed by gsa, fpmr (41 cfr) 101-41.3. weight* (pounds only) for use of billing carrier only. services rate. charges

AUTHORIZED FOR LOCAL REPRODUCTIONPrevious edition is usable

*Show also cubic measurements for shipment via air, truck or water carrier in cases where required.

STANDARD FORM 1109 (Rev. 9-98) Prescribed by GSA, FPMR (41 CFR) 101-41.3

WEIGHT* (Pounds only)

FOR USE OF BILLING CARRIER ONLY

SERVICES RATE CHARGES

CITY STATE ZIP CODE

PACKAGESNO. KIND

HMDESCRIPTION OF ARTICLES

(Use carrier's classification or tariff description if possible; otherwise use a clear nontechnical description.)

U.S. GOVERNMENT BILL OF LADING CONTINUATION SHEET

(This form is to be used as a continuation sheet for SF 1103, U.S. Government Bill of Lading - Original, or SF 1203, U.S. Government Bill of Lading - Privately Owned Personal Property - Original.)

ORIGINAL

B/L NO.SHEET NO.

ISSUING OFFICENAME

STREET ADDRESS

Page 2: B/L NO. U.S. GOVERNMENT BILL OF LADING SHEET NO ... 1109.pdf · prescribed by gsa, fpmr (41 cfr) 101-41.3. weight* (pounds only) for use of billing carrier only. services rate. charges

(This form is to be used as a continuation sheet for SF 1104, U.S. Government Bill of Lading - Shipping Order, or SF 1204, U.S. Government Bill of Lading - Privately Owned Personal Property - Shipping Order.)

AUTHORIZED FOR LOCAL REPRODUCTIONPrevious edition is usable

*Show also cubic measurements for shipment via air, truck or water carrier in cases where required.

STANDARD FORM 1109 (Rev. 9-98) Prescribed by GSA, FPMR (41 CFR) 101-41.3

WEIGHT* (Pounds only)

FOR USE OF BILLING CARRIER ONLY

SERVICES RATE CHARGES

CITY

FROM (Shipping Point)TRANSPORTATION COMPANY TENDERED TO WAYBILL DATE

STATE ZIP CODE

PACKAGESNO. KIND

HMDESCRIPTION OF ARTICLES

(Use carrier's classification or tariff description if possible; otherwise use a clear nontechnical description.)

U.S. GOVERNMENT BILL OF LADING CONTINUATION SHEET

SHIPPING ORDER

B/L NO.SHEET NO.

ISSUING OFFICENAME

STREET ADDRESS

WAYBILL NUMBER

Page 3: B/L NO. U.S. GOVERNMENT BILL OF LADING SHEET NO ... 1109.pdf · prescribed by gsa, fpmr (41 cfr) 101-41.3. weight* (pounds only) for use of billing carrier only. services rate. charges

AUTHORIZED FOR LOCAL REPRODUCTIONPrevious edition is usable

*Show also cubic measurements for shipment via air, truck or water carrier in cases where required.

STANDARD FORM 1109 (Rev. 9-98) Prescribed by GSA, FPMR (41 CFR) 101-41.3

WEIGHT* (Pounds only)

FOR USE OF BILLING CARRIER ONLY

SERVICES RATE CHARGES

CITY STATE ZIP CODE

PACKAGESNO. KIND

HMDESCRIPTION OF ARTICLES

(Use carrier's classification or tariff description if possible; otherwise use a clear nontechnical description.)

U.S. GOVERNMENT BILL OF LADING CONTINUATION SHEET

(This form is to be used as a continuation sheet for SF 1103A, U.S. Government Bill of Lading - Memorandum Copy, or SF 1203A, U.S. Government Bill of Lading - Privately Owned Personal Property - Memorandum Copy.)

MEMORANDUM COPY

B/L NO.SHEET NO.

ISSUING OFFICENAME

STREET ADDRESS

Page 4: B/L NO. U.S. GOVERNMENT BILL OF LADING SHEET NO ... 1109.pdf · prescribed by gsa, fpmr (41 cfr) 101-41.3. weight* (pounds only) for use of billing carrier only. services rate. charges

(This form is to be used as a continuation sheet for SF 1105, U.S. Government Freight Waybill - Original, or SF 1205,

U.S. Government Freight Waybill - Privately Owned Personal Property - Original.)

AUTHORIZED FOR LOCAL REPRODUCTIONPrevious edition is usable

*Show also cubic measurements for shipment via air, truck or water carrier in cases where required.

STANDARD FORM 1109 (Rev. 9-98) Prescribed by GSA, FPMR (41 CFR) 101-41.3

WEIGHT* (Pounds only)

FOR USE OF BILLING CARRIER ONLY

SERVICES RATE CHARGES

CITY

FROM (Shipping Point)TRANSPORTATION COMPANY TENDERED TO WAYBILL DATE

STATE ZIP CODE

PACKAGESNO. KIND

HMDESCRIPTION OF ARTICLES

(Use carrier's classification or tariff description if possible; otherwise use a clear nontechnical description.)

U.S. GOVERNMENT BILL OF LADING CONTINUATION SHEET

ORIGINAL

B/L NO.SHEET NO.

ISSUING OFFICENAME

STREET ADDRESS

WAYBILL NUMBER

Page 5: B/L NO. U.S. GOVERNMENT BILL OF LADING SHEET NO ... 1109.pdf · prescribed by gsa, fpmr (41 cfr) 101-41.3. weight* (pounds only) for use of billing carrier only. services rate. charges

AUTHORIZED FOR LOCAL REPRODUCTIONPrevious edition is usable

*Show also cubic measurements for shipment via air, truck or water carrier in cases where required.

STANDARD FORM 1109 (Rev. 9-98) Prescribed by GSA, FPMR (41 CFR) 101-41.3

WEIGHT* (Pounds only)

FOR USE OF BILLING CARRIER ONLY

SERVICES RATE CHARGES

CITY STATE ZIP CODE

PACKAGESNO. KIND

HMDESCRIPTION OF ARTICLES

(Use carrier's classification or tariff description if possible; otherwise use a clear nontechnical description.)

U.S. GOVERNMENT BILL OF LADING CONTINUATION SHEET

(This form is to be used as a continuation sheet for SF 1106, U.S. Government Freight Waybill - Carrier's Copy, or SF 1206, U.S. Government Freight Waybill - Privately Owned Personal

Property - Carrier's Copy.)

CARRIER'S COPY

B/L NO.SHEET NO.

ISSUING OFFICENAME

STREET ADDRESS

Page 6: B/L NO. U.S. GOVERNMENT BILL OF LADING SHEET NO ... 1109.pdf · prescribed by gsa, fpmr (41 cfr) 101-41.3. weight* (pounds only) for use of billing carrier only. services rate. charges

AUTHORIZED FOR LOCAL REPRODUCTIONPrevious edition is usable

*Show also cubic measurements for shipment via air, truck or water carrier in cases where required.

STANDARD FORM 1109 (Rev. 9-98) Prescribed by GSA, FPMR (41 CFR) 101-41.3

WEIGHT* (Pounds only)

FOR USE OF BILLING CARRIER ONLY

SERVICES RATE CHARGES

CITY STATE ZIP CODE

PACKAGESNO. KIND

HMDESCRIPTION OF ARTICLES

(Use carrier's classification or tariff description if possible; otherwise use a clear nontechnical description.)

U.S. GOVERNMENT BILL OF LADING CONTINUATION SHEET

(This form is to be used as a continuation sheet for SF 1103A, U.S. Government Bill of Lading - Memorandum Copy, or SF

1203A, U.S. Government Bill of Lading - Privately Owned Personal Property - Memorandum Copy.)

MEMORANDUM COPY

B/L NO.SHEET NO.

ISSUING OFFICENAME

STREET ADDRESS

Page 7: B/L NO. U.S. GOVERNMENT BILL OF LADING SHEET NO ... 1109.pdf · prescribed by gsa, fpmr (41 cfr) 101-41.3. weight* (pounds only) for use of billing carrier only. services rate. charges

AUTHORIZED FOR LOCAL REPRODUCTIONPrevious edition is usable

*Show also cubic measurements for shipment via air, truck or water carrier in cases where required.

STANDARD FORM 1109 (Rev. 9-98) Prescribed by GSA, FPMR (41 CFR) 101-41.3

WEIGHT* (Pounds only)

FOR USE OF BILLING CARRIER ONLY

SERVICES RATE CHARGES

CITY STATE ZIP CODE

PACKAGESNO. KIND

HMDESCRIPTION OF ARTICLES

(Use carrier's classification or tariff description if possible; otherwise use a clear nontechnical description.)

U.S. GOVERNMENT BILL OF LADING CONTINUATION SHEET

(This form is to be used as a continuation sheet for SF 1103B, U.S. Government Bill of Lading - Memorandum Copy -

Consignee, or SF 1203B, U.S. Government Bill of Lading - Privately Owned Personal Property - Memorandum Copy -

Consignee.)

MEMORANDUM COPY - CONSIGNEE

B/L NO.SHEET NO.

ISSUING OFFICENAME

STREET ADDRESS