Bill of Lading

Description of Shipment

	INVOICE NUMBER
	-

LENNARD AG COMPANY

1202 SAMARIA ROAD

SAMARIA, MI 48177

Phone	(734) 856-1650
Fax	(734) 856-1660

ORIGINAL - EXEMPT COMMODITY BILL OF LADING - NOT NEGOTIABLE

Name and Address of Truck Company

	Load at:		Samaria, MI		Howe, IN	Date :	--

Received by the above Truck Company from LENNARD AG COMPANY, the perishable property described below. In good order and condition, marked, consigned and destined as indicated below pursuant to an agreement arranged by the shipper named herein, whereby the Truck Company shown above, in consideration of the transportation charges to be paid, agrees to carry and deliver said property to the buyer, subject only to the terms and conditions of this contract printed on the face and back hereof, which are hereby agreed to by the Truck Company, and the Shipper or his agent if any.

Sold to		P.O. No.


Destination	,

Delivery Information

Day:

Date:

Time:

Seal No.		and			Maintain Unit Temp at 50°

		x

Trailer Licence No.	Truck Driver Name	Truck Driver Signature

BUYER'S RECEIPT

The Buyer hereby acknowledges receipt at destination of the above described merchandise, in good condition, except as noted here (if any exceptions, they must be noted):

Time Delivered at Destination:		Dated


Buyer Signature:	x

Office Use Only

Field:		Time:		Sel:

Empty LBS:		Loaded LBS:		Net LBS: