Amos Bill Logistics, LLC

PO Box 9

11 Tyler Drive

North Franklin, CT 06254

860-642-1886

Fax: 860-642-6910

 

Date:    

Customer Name:

Buyer Number:

Phone Number:

Cell Number:

Fax Number:

 

Pick Up Location:

 

                         

Delivery Location:

 

 

Pick Up Date: 

Delivery Date:

Notes:

 

Lot #’s:

# Of Pieces:

Description:

 

 

Rate:.

 

Accessory Charges:  Please note that rate includes 1 hour of loading and unloading time. This includes the time of securing and unchaining/strapping the load. Any time extending beyond these parameters is charged a fee of $120.00 per hour. All redeliveries are charged at double the initial rate. All deliveries are COD. Checks can be made payable to Amos Bill Logistics, LLC.

 

Customer Signature:

Date:

 

 

 

 

 

 

 

 

 

 

Amos Bill Logistics, LLC

PO Box 9

11 Tyler Drive

North Franklin, CT 06254

860-642-1886

Fax: 860-642-6910

 

 

Date :  ________________________

 

 

  I _____________________________  release the following lot numbers of equipment  to   Amos Bill Logistics, LLC for transportation. 

 

                                                    Lot #

 

                                                    Lot #

 

                                                    Lot #

 

                                                    Lot #

 

                                                    Lot #

 

Thank you,

 

_______________________________________________

Signature

 

 

______________________________________________

Date

 

 

_______________________________________________

Buyer #

 

Equipment Release