Sample Bill of Lading.pdf

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Attached to
Bagged De-Icing Materials 50 lb. bags - Supplement
Solicitation number
6100066498
Issued by
Pennsylvania

About this file

This is a Sample Bill of Lading document referenced in Section 13(iii) of the contract specifications for a bagged de-icing materials procurement by the Commonwealth of Pennsylvania. The document illustrates the shipping format and documentation requirements for deliveries to Pennsylvania's Department of Transportation. The sample bill of lading shows a shipment from ABCD Corporation in Yuma, Arizona to the Commonwealth of Pennsylvania in Harrisburg, Pennsylvania via XYZ Transportation, Inc. The shipment includes two line items: 72 pieces of SAP Forms (40-01234) weighing 1,700 pounds across 9 pallets, and 109 pieces of Rock Salt (40-58789) weighing 2,600 pounds across 5 pallets, for a total shipment weight of 4,300 pounds. The bill of lading contains standard shipping information including shipper and consignee details, carrier information, service type selection options (air/surface, priority/standard ground), and fields for signatures, dates, and times from both the shipper and receiving party.

This supplemental solicitation is designated for Bagged De-Icing Materials in 50-pound bags as a supplement to IFB numbers 6100060797 and 6100061430, with materials intended for use by various Commonwealth agencies as de-icing agents during winter weather events. The procurement has been identified as fitting the criteria under the Small Business Procurement Initiative established by Executive Order 2011-09, which restricts bidder eligibility to only those certified as small businesses through the Department of General Services' self-certification process. Only certified small business bidders are eligible to submit bids and receive contract awards under this solicitation.

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Text version

SAMPLE BILL OF LADING

ABCD Corporation 123 Any Ave, Yuma AZ 65009 Carrier: XYZ Transportation, Inc

Service Requested: Charges To: Bill to: 123456

Air Surface Shipper Priority Track Consignee Date: 02-16-01 Standard Ground Third Party

Shipper: ABCD Corporation Consignee: Commonwealth of Pennsylvania Street: 962 Blossom Ave. Street: 2221 Forster Street City/State Yuma, AZ 12345 City/State: Harrisburg, PA 17105 Bill To: Commonwealth Of Pennsylvania

Attn: Transportation 2221 Forster Street Harrisburg, PA 17105

Trailer Seal Number:

Pieces Pallets Description RSF WPO Weight 72 9 SAP Forms 40-01234 1700 109 5 Rock Salt 40-58789 2600 181 14 4300

Shippers Signature: Date: Time:

Print Name: Received By:

ABCD Corporation 123 Any Ave, Yuma AZ 65009 Carrier: XYZ Transportation, Inc

Service Requested: Charges To: Bill to: 123456

Air Surface Shipper Priority Track Consignee Date: 02-16-01 Standard Ground Third Party

Shipper: ABCD Corporation Consignee: Commonwealth of Pennsylvania Street: 962 Blossom Ave. Street: 2221 Forster Street City/State Yuma, AZ 12345 City/State: Harrisburg, PA 17105 Bill To: Commonwealth Of Pennsylvania

Attn: Transportation 2221 Forster Street Harrisburg, PA 17105

Trailer Seal Number:

Pieces Pallets Description RSF WPO Weight 72 9 SAP Forms 40-01234 1700 109 5 Rock Salt 40-58789 2600 181 14 4300

Shippers Signature: Date: Time:

ATTACHMENT D SAMPLE BILL OF LADING 6100047963

THIS SAMPLE DOCUMENT IS REFERENCED IN, AND APPLIES TO, SECTION 13 (iii.) OF THE

CONTRACT SPECIFICATIONS.

Print Name: Received By:

File details come from the government source that posted it. Updated .