For use in connection with the Standard form of StraightBillof Lading approved by the Interstate Commerce Commissionby Order No. 737 of June 27, 1903 
Railroad Company Shippers No. 
THIS MEMORANDUTt/l is an acknowledgment that a bill of lading has been issued and is not the Original Bill of Lading, 
nor a copy or dupl'cate, covering the property named herein, and is intended solely for filing or record. 
Agents No. 
RECEIVED, subject to the classifications and tariffs in effect on the date of the receipt by the carrier of the property described in the Original Bill of Lading, 
At Salt Lake City, Utah, 
191 
FROM 
THE MINE & SMELTER SUPPLY CO. 
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, u on its road, otherwise to deliver to another earner on the route to said destination. It is mutually agreed, a:, to each carrier ot all or any 
01 said property over ail or any portion ot said route to oestmati n, and as to each oarty at any time interested in all or any of said property that every service to be \ erform*»d ) (**eimdcr shall be subject 
to all the conditions, whether nrmted or written- herein contained (kic-uding conditions on back hereoi) and which are agreed to by the shipper and accepted lor hunseit and his assigns. 
The Rate of Freight from Salt Lake City, Utah, to 
is in Cents per 100 Lbs. 
If Special 
If.. ..times 1st 
If 1st Class 
If 2d Class 
If 3d Class 
If 4th Class 
If 5th Class 
If Class A 
If Class B 
If Class C 
If Cla s 13 
If Class E 
per 
(.Mail Address— Not for purposes of delivery.) 
Consigned to 
Destination 
State of - 
County of. 
Route 
Car Initial 
Car No. 
No. 
Packages 
DESCRIPTION OF ARTICLES AND SPECIAL MARKS 
WEIGHT 
(Sub. to Correction) 
CLASS 
or RATE 
CHECK 
COLUMN 
\ 
If charges are to be pr 
paid, write or stamp her 
“To be Prepaid." 
Received $ 
to apply in prepayme 
of the charges on t 
property describe 
hereon. 
Agent or Cashier. 
Per. 
(The signature here ackno 
ledges only the amou 
prepaid.) 
Charges Advanced 
$. 
I This is to certify that the articles in this shipment are properly described, packed and mailed, and tmd a.l necessary labels have bwt 
\ I / 
attached to packages, as required by General Notice — — * 
R. R. 
! E MINE & SMELTER SUPPLY CO., Shippers 
I 
-Agent 
A 2429 
Per. 
y452 ***». By l>;\ fT ED AuT®aMAI»HIO H Stills T Eft 0 C»*lCA>fe© 
