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Form A 8                              11-1911-100,000
Uniform Bill of Lading -- Standard form of Straight Bill of Lading approved by the Interstate Commerce Commission by Order No. 787 of June 27 1908

The Long Island Railroad Company.
                               Shippers No ___________
STRAIGHT BILL OF LADING -- ORIGINAL--NOT NEGOTIABLE.
                               Agents No. ___________
===============================================================
RECEIVED, subject to the classifications and tariffs in effect on the date of issue of this Original Bill of Lading.
at ^[[New York  [[stamped over]] October 30[[/stamped over]] ]] [[stamp]]LONG ISLAND RAILROAD CO OCT 30 1913 AGENT LONG ISLAND CITY [[/stamp]]  19 ^[[13]] .
from ^[[Jacques Sleigmann 707 5th Ave]] the property described below, in apparent good order, except as noted (contents and condition of contents of packages unknown), marked, consigned and destined as indicated below, which said Company agrees to carry to its usual place of delivery at said destination, if on its road, otherwise to deliver to another carrier on the route to said destination.  It is mutually agreed, as to each ^[[N Y City]] carrier of all or any of said property over all or any portion of said route to destination, and as to each party at any time interested in all or any of said property, that every service to be performed hereunder shall be subject to all the conditions, whether printed or written, herein contained (including conditions on back hereof) and which are agreed to by the shipper and accepted for himself and his assigns.

The Rate of Freight from _____________________________________
to________________________ is in Cents per 100 Lbs.

IF_Times 1st IF 1st Class IF 2d Class IF Rule 25 IF 3d Class IF Rule26 IF Rule 28 IF 4th Class IF 5th Class IF 6th Class IF Special per ___ IF Special per ___
============================================================
(Mail Address - Not for purposes of Delivery.)
Consigned to ^[[Mr. Clarence H. Mackay. Harbor Hill.]]
Destination, ^[[Roslyn]] State of ^[[L.I.]] County of ___________ Route, ^[[L.I.R.R.]] Car Initial __________ Car No. _________

NO. PACKAGES  DESCRIPTON OF ARTICLES AND SPECIAL MARKS  WEIGHT (Subject to Correction)  CLASS OR RATE  CHECK COLUMN
^[[1 One Care Tuf. Stone E.G. 61]]

If charges are to be prepaid, write or stamp here, "To be Prepaid."_____________

Received $____________ to apply in prepayment of the charges on the property described hereon.
____________ Agent or Cashier.

Per _____________ (The signature here acknowledges only the amount prepaid) [[stamped over]]

Charges Advanced: $_________
[[stamp]] LONG ISLAND RAILROAD CO. RECEIVED OCT 30 1913 LONG ISLAND CITY AGENT]]
^[[signed RB Thurper ??]] [[/stamp]]

__________ Shipper. ^[[D]]__________Agent. Per__________ Per _________ (This Bill of Lading is to be signed by the shipper and agent of the carrier issuing same.)