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Combined Uniform Household Goods Bill of Lading and Freight Bill-New York Commercial Zone COVERED WAGON, INC. MOVING-STORAGE-TRUCKING 506 HUDSON STREET NEW YORK 14, N.Y. ALgonquin 5-1788 NAME Richard Stankiewicz FROM Storage 712 GReenwich St APT. TO Stable GalloRy APT. OTHER STOPS Moving Date 3/23/24 DAY Mon TIME A.M. P.M. TIME RECORD Start A.M./P.M. Customer Initials Finish A.M./P.M Customer Initials JOB HOURS TRAVEL Hours MOVING RATE: 1 SW 2 MEN @$11 00 Per Job Hr., Plus Hrs Travel Time ESTIMATE OR REMARKS Approx estimate-packing date-Instructions on job-or other info. VALUATION Customer (Shipper) is required to declare in writing the released value of the property. The agreed or declared value of the property is hereby specifically stated by the customer (shipper) and confirmed by their signature heron to be NOT exceeding 30 ( ) cents per pound per article unless specifically excepted. The Customer (Shipper) hereby declares valuations in excess of the above limits on the following articles: Article | Value READ BY IMPORTANT (SIGN BEFORE START OF ANY SERVICE) The Shipper, subject to and based on the rates, rules, regulations, and conditions in the carriers lawfully published tariff hereby orders the carrier to furnish transportations facilities and service described herein subject to all conditions herein contained, including valuation agreed or declared and the conditions on the back hereof which are hereby agreed to by the Shipper and accepted for himself and his assigns. Unless credit arrangements are made in writing the Shipper agrees to pay charges in cash, money order, or certified check prior to complete delivery. CUSTOMER: By: MOVER: By: DELIVERY RECEIPT Except as specifically endorsed heron All services and All articles recieved in Good Condition. CUSTOMER: By: RATES and DESCRIPTION Charges Moving hours @ $ per hr. OVERTIME hours @ $ per hr. PIANO CHGS: OTHER: Barrels, packed @ $ each Barrels, loaned @ $ each Wardrobes @ $ each Cartons or boxes @ $ each Matt, Cartons @ $ each Other Whse. Labor chgs. Storage chgs. Other INSURANCE Shipper declares the full value of the shipments for the purpose of insurance to be: Amt. $ @ $ per $100.00 TOTAL CHARGES Advance Deposit BALANCE DUE RECEIVED PAYMENT MOVER By TERMS. Charges Payable in Cash, Money Order, or Certified Check on Delivery, BILL OF LADING |GIVE TO CUSTOMER BEFORE START OF JOB|