*** LOAD CONFIRMATION & RATE AGREEMENT***
Date/Time: 02/11/2008 1700 Page
1
___________________________________________________________________________________________________________
SUREWAY TRANSPORTATION COMPANY
Phone: 806-296-7070
Emergency #:
P. O. Box 7095
Fax: 806-296-7202
St. Cloud, MN 56302-7095
Dispatcher/Contact: HENRY GALVAN
******************************************************************************************************************
*** THIS AGREEMENT MUST BE SIGNED AND RETURNED VIA FACSIMILE TO
SUREWAY TRANSPORTATION
806-296-7202
Carrier:
Date:
NORBET TRUCKING
PASADENA
TX
02/11/2008
77501
Reference:
Contact: NORM/FRANCIS
Phone:
281-283-8155
Fax:
281-283-8152
Commodity:
Order #
BOL:
Weight:
47500.0
1273633
Trailer:
FLATBED
TARP:
N
___________________________________________________________________________________________________________
1
PU Name:
Address:
SO Name:
Address:
C.T.R.
Date:
02/11/2008 0000
15653 N. BRENTWOOD
Contact:
CHANNELVIEW
TX 77530
Phone:
1-281-744-6131
Driver Load: N
___________________________________________________________________________________________________________
Date:
02/12/2008 0000
Contact:
NEW ORLEANS
LA 70140
Phone:
Driver Load: N
___________________________________________________________________________________________________________
Carrier Pay Information Carrier Freight Pay:
$500.00
Total pay
$500.00
___________________________________________________________________________________________________________
Instructions
$instructions$
*
Charges may apply for late pick-ups or deliveries
** It is the driver's responsibility to make sure the load is safe, secure, and legal for transport.
*** Driver is required to check call daily by 10am to secure prompt payment!
****The above rate is for exclusive use of truck unless otherwise noted above.
___________________________________________________________________________________________________________
All invoices must include a SIGNED DELIVERY RECEIPT, ORDER # and be sent to
SUREWAY TRANSPORTATION COMPANY
**CARRIER SETTLEMENTS PAID IN LESS THAN 5
P. O. BOX 7095
WORKING DAYS IF PAPERWORK IS RECEIVED IN 10
St. Cloud, MN 56302-7095
WORKING DAYS FROM DELIVERY. OTHERS NET 30.
The undersigned hereby acknowledges as correct and accepts the referenced shipment on behalf of the
broker. It is agreed that the charges indicated above include all costs fees in connection with the shipment
as described. A minimum of $100,000.00 cargo insurance is required unless otherwise noted above.
Invoicing by the carrier and template by SUREWAY TRANSPORTATION COMPANY constitutes acceptance of this
agreement and by signing this creates a contract carriage shipment. *** THIS AGREEMENT MUST BE SIGNED AND
RETURNED VIA FACSIMILE TO SUREWAY TRANSPORTATION at the FAX number listed above ***
SUREWAY TRANSPORTATION COMPANY
NORBET TRUCKING
HENRY GALVAN
______________________________________
__________________________________________
Carrier Fax: 2193787107
Carrier Phone: 2193787134
DRIVER NAME AND CELL PHONE #:______________________________________
Order #: 1273633
Trailer #: _________________
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