Main Office: (320)-251-2420

 

Kilian Truck Line
3622 30th St. SE
Saint CLoud, MN 56304

 

 

Fax: (320)-204-1335

 

 

BILL OF LADING

Date:
 
Page 1 of

 

Ship From

 

Name:
Address:
City/State/Zip:
SID#:
FOB:

 

Ship To

 

Name:
Location #:
Address:
City/State/Zip:
CID#:
FOB:

 

Third Party Freight Charges Bill To

 

Name:
Address:
City/State/Zip:
Special Instructions:

 

 

Bill of Lading Number:

 

Carrier Name:
Trailer Number:
Seal Number(s):

 

SCAC:
Pro Number:

 

Freight Charge Terms: (REQUIRED INPUT)

Prepaid/Collect/Third Party:

 

Master Bill of Lading: with attached underlying Bills of Lading
Customer Order Information

 

Customer Order Number
# Pkgs
Weight
Pallet/Slip
(Select One)
Additional Shipper Info
Y
N
Y
N
Y
N
Y
N
Y
N
Y
N
Y
N
Y
N

Grand Total:
Carrier Information

 

HANDLING UNIT
PACKAGE
LTL ONLY
QTY
TYPE
QTY
TYPE
WEIGHT
H.M.
X
COMMODITY DESCRIPTION
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
NMFC #
CLASS

Grand Total
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:
“The agreed or declared value of the property is specifically stated by the shipper to be not exceeding

 

per
COD Amount: $

 

Fee Terms:
Collect:
Prepaid:

 

Customer check acceptable:

 

 

NOTE Liability Limitation for loss or damage in this shipment may be applicable. See 49 U.S.C.  14706(c)(1)(A) and (B).