Tracking Number:
			(bar code label)
			UC002010-
		We Bring Solutions,
UCFSGROUP.COM
12139 Los Nietos Road, Santa Fe Springs, Ca 90670  Toll 800.717.5091 Fax 562.906.1923
Sales@CFS.US			www.ucfs.us	Date
UCFS does not undertake transportation of any article or package of a value of more than
$ 100.00 and liability for loss or damage thereof is limited to said sum. Claims not made within 15 days after receipt
of the merchandise or of the request to pick-up merchandise shall be deemed waived.
SHIPPER'S NAME (PICK-UP FROM)			CONSIGNEE'S NAME (TO)
Special Instructions:				Appointment	Delivery
				Inside	Delivery
				Residential	Delivery
				Set-up	Delivery
Purchase Order #				Special	Handling
Quantity	Description of	Articles, Special Marks,	Exceptions, Etc.	Item No.	Class	Weight
					Pallets
					Loose boxes
				Total	Received
RECEIVED IN GOOD CONDITION EXCEPT AS NOTED:
X		Print:			Date:
Rates and charges for transportation and/or accessorial services include fees which are transmitted by the carrier to the
Ca, NV, Public Utilities Commission for the purpose of funding regulation of transportation companies and taxes which
are distributed to Ca, NV, cities in lieu of their excise or business license taxes on for-hire transportation companies.
"Freight Prepaid"		C.O.D. AMOUNT: $		RATE $
SHIPPER			CARRIER:	UCFS
AUTHORIZED SIGNATURE			UCFS AUTHORIZED DRIVER:
Date			Date
			Amount of Pieces Picked-Up