Shipment Request

Reference No Non-standard Code

Shipped From Branch

Shipped To Company

Shipped To Address Postal/Zip

Shipped To City Terms

Units Weight Volume Feet

Commodity

Class Service Level Trailer Declared Value

Carrier Pro Bill #

Billed To Company Acct No

Interline Point Destination or Origin Connecting Carrier

Con/car Pro Bill #

Notes

 

 

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