Document: Bill Of Lading UPC Vendor Invoice Date 
Shipper #
123456 
1656-00
Cust #: 101 PO Date PO #
Page # 10/16/16 
1
Consigned To: ABC Distributing
Destination: ABC Distributing                     Shipper: H & H Distributing 
#15002 S. Circle Blvd.                            5555 Tech Center DriveSuite 300
Colorado Springs, CO 80905                        Colorado Springs, CO 80919
Route: Instructions: Ship Point: H & H Distributing #1
Carrier: Car or Vehicle No:
Class/Ln#     Qty Ship      Unit      Product Description       Weight    Cubes     Rate
––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––--
1              0.00         each      2-221 Adhesive
2              5.00         each      2-203 Devcon Epoxy Coat    11.00000  0.50000
3              12.00        each      1-111 Duct Tape            12.00000
External Comment
Last Page
           17.00 Qty Ship Total # Packages Total Wt/Cubes  11.00000      12.50000
Package ID
C.O.D. $ Signature _________________________ Date __________