Print Date

Pack Date

Pickup Date

Contact Moverat this addressand phone

IL C.C. NO. 17287 MC Delivery Date

Origin: Destination: Name Consigned to: Address Address

ZipSTCityZipSTCityPhonePhonePhonePhone

# Chargeable

# Men# Trucks

Rate:# Hours:Travel Time$ per mile:# Miles:Mileage Charge

Valuation Charge $ Other Charge: $

Ext.RateMilesNet Weight lbs $ Valuation Charge $ Other Charge $

## FULL ### FULL Container ### OT ### OT Description

41086

Ext.

5 10

Qty

Packing Charges

Rate

Ext.Rate

1 054.25

Ext.RateUnpacking

40.004 20

QtyExt.

(weight-mileage rates - moves more than 35 miles)

Container Charge PackingRateQty

03/26/1240994

Ext.Rate# Hrs

LOCAL MOVE TotalCharges

$$Overtime Sunday / Holiday (hourly rates)

IMPORTANT NOTICE

Straight Time# HrsExt.Hours Rate# Hrs

estimates made with the mover or its agents.

This estimate covers only the articles and services listed. It is not a warranty or representation that the actual charges will not exceed the amount of the estimate. Any additional articles and services added after the written estimate is executed may result in additional charges.

of rates shown in their lawfully published tariffs at theMover will collect charges computed on the basis

moves 35 miles or less from origin to destination

of the goods transported or the time consumed in

This is not a binding estimate.

made with the mover for expedited services to guaranteea delivery date for intercity shipments, for which an

additional charge normally will apply. As determinedby the mover's tariff, rates may be computed by the hour for

1 5 C Ft CtDishpack

or wholly within the area encompassed by the counties of

M 35 il (if t id b d tiCook, Du Page, Kane, Kendall, Lake, McHenry and Will.

time of the move, regardless of prior rate quotations or

INTRASTATE MOVEtransporting the shipment. Special arrangements can be

Transportation charges are based upon either the weight

Total packing charges (see attached packing addendum if appropriate)

Extra pickup or delivery charge: $ Hoisting or Piano Charge: $ Stair Carry, Elevator, Long Carry Origin Destination $ Extra Labor: # Personnel: # Hours: Rate $ Appliance Service: # Origin: Rate $ # Destination: Rate $ Bulky Item Charge: $ Storage Date In: Weight lbs Mo Stg Rate $ cwt #Mo Warehouse Handling Charge: $ cwt Warehouse Valuation Charge: $ per $ Trip Transit Insurance Policy Charge: $

$$$$

Estimator's Signature Code # Date

Customer's Signature ## Customer has been provided with IL C.C. required consumer brochure

5.75

250.0099.00

11.90

1.751.053.80

5.10

40.00

8.65

Other:

2.501.759.50

14.50

X

TOTAL ESTIMATED CHARGES

X

Important Notice about Payment

Dbl Matt CtnK/Q Matt CtnPlasma TV RtnPlasma TV Sell

The mover is not required to accept a personal

apply for value over 30 cents per pound per article.

will receive a certificate of insurance.

Declaring a released value for goods is not the same

may be purchased at an additional charge, for which youas purchasing a policy of insurance. Separate insurance

the shipment in pounds. Additional tariff charges may

Other Charges

balance of the total actual charges.

which time the mover will release your goods. You are required by law to pay within 30 days of delivery the

expected to pay for the move at delivery. Paymentmust be in cash, money order or cashier's check.

amount of the estimated cost PLUS 10 percent, at

contained in this written estimate, you will be required charges on the day of the move exceed the chargesinformation you have provided. If the actual tariff the charges for your move, based upon the

to estimate, you will be required to pay at delivery the

check or credit card.

The mover has made every effort to estimate accurately

6.5 Cu Ft Ctn

7.75

0.902.60

10.90

20.8012.35

2.202.40

3.0 Cu Ft Ctn7.90

1.557.859.65

6.45

8.95

1.054.20

agreed in writing to credit arrangements, you will beIn accordance with Illinois law, unless the mover has

Before the move begins, the shipper must insert in

article". Otherwise, the shipment will be deemed released

Mover's Liability

Mirror Ctn

6.0 Cu Ft Ctn

Sgl Matt Ctn

1.5 Cu Ft Ctnmust be computed on a weight-mileage basis.

4.5 Cu Ft Ctn

Moves over 35 miles (if outside above named counties

Crib Matt Ctn

to a maximum value equal to $2.00 times the weight of

the space provided on the bill of lading, in his/her ownhandwriting, wither declaration of the actual value ofthe shipment or the words "30 cents per pound per

Wardrobe Ctn

4.70

10.10

7.05

NOTE

copyright 1998 Illinois Mover's and Warehousemen's Association Rev 10/06 Form # 2208-EST LTR

ESTIMATE OF CHARGES

VEHICLE NO

SHIPPER CONSIGNEEADDRESS Floor ADDRESS FloorCITY COUNTY CITY COUNTYSTATE ZIP PHONE STATE ZIP PHONE

AGREED PACK DATE IL TARIFF NO

C.O.D.

CASH, CASHIER'S CHECK OR MONEY ORDERMILEAGE CHARGE / TRAVEL TIME

TOTAL LOCAL CHARGESSEND INVOICE TO: ATTN:

NAME NET WEIGHT LBS GOING MILESADDRESS EXTRA STOP CHARGECITY ST ZIP HOISTING OR PIANO CHARGE

ELEVATORSTAIR CARRY ORIG DESTLONG CARRY ORIG DESTEXTRA LABOR Men X Hr(s)SIT: DATE IN = DATE OUT =SIT PICKUP OR DELIVERYSIT WAREHOUSE HANDLINGAPPLIANCE SERVICE ORIG DESTOTHER CHARGE

MY ITEMS INCLUDE THE FOLLOWING:AUTO PIANO TOTAL INTER - CITY CHARGESGUN SAFE MOTORCYCLE ## FULL ## OT ## FULL ### OTRIDING LAWN MOWER BIG SCREEN TV / PLASMAHOT TUB / SPA SATELLITE DISH

DishPack/ BarrelSHIPPER REQUESTED REWEIGH 1.5 Cu Ft Ctn

ORIGINAL REWEIGH 3.0 Cu Ft CtnGROSS WEIGHT 4.5 Cu Ft CtnTARE WEIGHT 6.0 Cu Ft CtnNET WEIGHT 6.5 Cu Ft CtnMIN WEIGHT Wardrobe Ctn

Mirror CtnCrib Matt Ctn

@ 7 LBS/CF= Sgl Matt CtnDbl Matt CtnK/Q Matt CtnPlasma TV RtnPlasma TV Sell

TOTAL PACKING CHARGESVALUATION CHARGE @ $0.50 PER $100.00 or fraction thereofTRIP TRANSIT rate per $100.00

Prepayment collected by

YOU ARE OBLIGATED TO PAY THE BALANCE IN 30 DAYS BALANCE DUE

ORDERED WERE PERFORMED.SHIPPER DATE

copyright 2007 Illinois Mover's and Warehousemen's Association FORM 2209-BOL LTR

TOTAL TOTAL TOTAL

99.00

2.202.40

6.45

PROPERTY UNLESS OTHERWISE INDICATED BELOW BY CARRIER

DES

T D

RIV

ER

250.00 OR

IG D

RIV

ER

2.50

SHIPPER TO READ & INITIAL BEFORE LOADING

DA

TE

DA

TE

1.551.05

I HAVE RECEIVED "A CONSUMER'S GUIDE"I HAVE RECEIVED "UNDERSTANDING YOUR OPTIONS"

GOODS SHALL BE DEEMED TO WEIGH 7 LBS PER CU FT

PROFESSIONAL PACKING/UNPACKING SERVICES

I HAVE DECLARED MY RELEASED VALUEI HAVE READ & SIGNED THE PRESSBOARD WAIVER

DOORS, FLOORS AND STAIRWAYSTHE CREW HAS PROVIDED PROTECTION TO MY

CUBIC FT

WILL BE DEEMED RELEASED TO A MAXIMUM VALUE EQUAL

TO $2.00 TIMES THE WEIGHT OF THE SHIPMENT IN POUNDS.

OF THE ACTUAL VALUE OF THE SHIPMENT, OR THE WORDS

(TO BE COMPLETED BY PERSON SIGNING BELOW)

NOTICE: THE SHIPPER SIGNING THIS CONTRACT MUST INSERT IN THE

SPACE ABOVE IN HIS OWN HANDWRITING, EITHER HIS DECLARATION

HAVE BEEN EXPLAINED TO ME3RD PARTY SERVICE WAS EXPLAINED TO ME

AND CONDITIONS OF THE CARRIER'S TARIFF.

SHIPMENT TO A VALUE NOT EXCEEDING

"30 cents per pound per article", OTHERWISE THE SHIPMENT

THE SHIPMENT WILL MOVE SUBJECT TO THE RULES

FOR LIABILITY AND VALUATION PURPOSES HOUSEHOLD

CONSIGNEE SIGNATURE DATE

SHIPMENT WAS RECEIVED IN APPARENT GOOD CONDITION EXCEPT AS NOTED IN INVENTORY AND SERVICES

Maximum amount to be paid at time of delivery to obtain delivery of an estimated C.O.D. shipment

TOTAL CHARGES FOR ABOVE SERVICES

11.90 14.501.757.75 9.50

7.05 8.65 1.754.70 5.75 1.05

40.00 3.8020.80 0.90

10.10 12.35 2.608.95 10.907.90 9.65

7.85

40.004.20 5.10

4.25AMOUNT

CONTAINERSRATE AMOUNT QTYAMOUNT QTYEST

PACKING UNPACKINGQTY RATE RATE

I N T E R - C I T Y M O V I N G

AGREED PICKUP DATE

START TIMEL O C A L M O V I N G

1-U

VANS # CREW HOURS CHARGEOFF-CLOCKEND TIME RATE

ACTUAL PICKUP DATE AGREED DELIVERY DATE

03/26/12PRINT DATE

PHONE:

SHIPPER TO INITIAL BEFORE LOADINGALL ADVANCES AND LAWFUL CHARGES MUST BE PAID IN

BOL NO

Load Date

UNIFORM HOUSEHOLD GOODS BILL OF LADING AND FREIGHT BILL

RECEIVED, subject to classifications, tariffs, rules and regulations including all terms printed or stamped hereon or on the reverse side hereof in effect on the date of issue of this bill of lading.

40720

40994

SHIPPER HEREBY RELEASES THE ENTIRE

BEFORE CARRIER DELIVERS OR RELINQUISHES POSSESSION OF THE

VEHICLE NO

SHIPPER CONSIGNEEADDRESS Floor ADDRESS FloorCITY COUNTY CITY COUNTYSTATE ZIP PHONE STATE ZIP PHONE

AGREED PACK DATE IL TARIFF NO

C.O.D.

CASH, CASHIER'S CHECK OR MONEY ORDERMILEAGE CHARGE / TRAVEL TIME

TOTAL LOCAL CHARGESSEND INVOICE TO: ATTN:

NAME NET WEIGHT LBS GOING MILESADDRESS EXTRA STOP CHARGECITY ST ZIP HOISTING OR PIANO CHARGE

ELEVATORSTAIR CARRY ORIG DESTLONG CARRY ORIG DESTEXTRA LABOR Men X Hr(s)SIT: DATE IN = DATE OUT =SIT PICKUP OR DELIVERYSIT WAREHOUSE HANDLINGAPPLIANCE SERVICE ORIG DESTOTHER CHARGE

MY ITEMS INCLUDE THE FOLLOWING:AUTO PIANO TOTAL INTER - CITY CHARGESGUN SAFE MOTORCYCLE ## FULL ## OT ## FULL ### OTRIDING LAWN MOWER BIG SCREEN TV / PLASMAHOT TUB / SPA SATELLITE DISH

DishPack/ BarrelSHIPPER REQUESTED REWEIGH 1.5 Cu Ft Ctn

ORIGINAL REWEIGH 3.0 Cu Ft CtnGROSS WEIGHT 4.5 Cu Ft CtnTARE WEIGHT 6.0 Cu Ft CtnNET WEIGHT 6.5 Cu Ft CtnMIN WEIGHT Wardrobe Ctn

Mirror CtnCrib Matt Ctn

@ 7 LBS/CF= Sgl Matt CtnDbl Matt CtnK/Q Matt CtnPlasma TV RtnPlasma TV Sell

TOTAL PACKING CHARGESVALUATION CHARGE @ $0.50 PER $100.00 or fraction thereofTRIP TRANSIT rate per $100.00

Prepayment collected by

YOU ARE OBLIGATED TO PAY THE BALANCE IN 30 DAYS BALANCE DUE

ORDERED WERE PERFORMED.SHIPPER DATE

copyright 2007 Illinois Mover's and Warehousemen's Association FORM 2209-BOL LTR

TOTAL TOTAL TOTAL

99.00

2.202.40

6.45

PROPERTY UNLESS OTHERWISE INDICATED BELOW BY CARRIER

DES

T D

RIV

ER

250.00 OR

IG D

RIV

ER

2.50

SHIPPER TO READ & INITIAL BEFORE LOADING

DA

TE

DA

TE

1.551.05

I HAVE RECEIVED "A CONSUMER'S GUIDE"I HAVE RECEIVED "UNDERSTANDING YOUR OPTIONS"

GOODS SHALL BE DEEMED TO WEIGH 7 LBS PER CU FT

PROFESSIONAL PACKING/UNPACKING SERVICES

I HAVE DECLARED MY RELEASED VALUEI HAVE READ & SIGNED THE PRESSBOARD WAIVER

DOORS, FLOORS AND STAIRWAYSTHE CREW HAS PROVIDED PROTECTION TO MY

CUBIC FT

WILL BE DEEMED RELEASED TO A MAXIMUM VALUE EQUAL

TO $2.00 TIMES THE WEIGHT OF THE SHIPMENT IN POUNDS.

OF THE ACTUAL VALUE OF THE SHIPMENT, OR THE WORDS

(TO BE COMPLETED BY PERSON SIGNING BELOW)

NOTICE: THE SHIPPER SIGNING THIS CONTRACT MUST INSERT IN THE

SPACE ABOVE IN HIS OWN HANDWRITING, EITHER HIS DECLARATION

HAVE BEEN EXPLAINED TO ME3RD PARTY SERVICE WAS EXPLAINED TO ME

AND CONDITIONS OF THE CARRIER'S TARIFF.

SHIPMENT TO A VALUE NOT EXCEEDING

"30 cents per pound per article", OTHERWISE THE SHIPMENT

THE SHIPMENT WILL MOVE SUBJECT TO THE RULES

FOR LIABILITY AND VALUATION PURPOSES HOUSEHOLD

CONSIGNEE SIGNATURE DATE

SHIPMENT WAS RECEIVED IN APPARENT GOOD CONDITION EXCEPT AS NOTED IN INVENTORY AND SERVICES

Maximum amount to be paid at time of delivery to obtain delivery of an estimated C.O.D. shipment

TOTAL CHARGES FOR ABOVE SERVICES

11.90 14.501.757.75 9.50

7.05 8.65 1.754.70 5.75 1.05

40.00 3.8020.80 0.90

10.10 12.35 2.608.95 10.907.90 9.65

7.85

40.004.20 5.10

4.25AMOUNT

CONTAINERSRATE AMOUNT QTYAMOUNT QTYEST

PACKING UNPACKINGQTY RATE RATE

I N T E R - C I T Y M O V I N G

AGREED PICKUP DATE

START TIMEL O C A L M O V I N G

1-U

VANS # CREW HOURS CHARGEOFF-CLOCKEND TIME RATE

ACTUAL PICKUP DATE AGREED DELIVERY DATE

SHIPPER TO INITIAL BEFORE LOADINGALL ADVANCES AND LAWFUL CHARGES MUST BE PAID IN

BOL NO

Load Date

UNIFORM HOUSEHOLD GOODS BILL OF LADING AND FREIGHT BILL

PRINT DATE

03/26/12RECEIVED, subject to classifications, tariffs, rules and regulations including all terms printed or stamped hereon or on the reverse side hereof in effect on the date of issue of this bill of lading.

40720

40994

SHIPPER HEREBY RELEASES THE ENTIRE

BEFORE CARRIER DELIVERS OR RELINQUISHES POSSESSION OF THE

PHONE:

Addendum

to Bill of Lading No.

Mover’s Nameand License

ALL MY SONS MOVING & STORAGE, INC.

Shipper or Owner orConsignee NAME as

shown on Bill of Lading

LIMITATION OF LIABILITY ON PRESSBOARD, PARTICLE BOARD, AND/ORENGINEERED WOOD “READY TO ASSEMBLE” FURNITURE

ADDENDUM TO BILL OF LADING

DEFINITION: “Ready to assemble” furniture shall be defined as meaning articles constructed of press board,particle board and/or engineered wood, which are shipped from place of manufacture in a knocked down“KD” or knocked down flat “KDF” condition to be assembled post-factory by a store, reseller, or end user.

Ready to assemble furniture is not built to withstand the normal stresses of a move as an assembled unit.Most is not designed with the extra wood structural pieces to adequately brace the unit for movement out ofor into a residence, nor the normal truck vibration, even in air-ride trailers. Usually chips or dents are notrepairable. Surface impressions can be made on the furniture when writing on a single piece of paper.Assembly instructions frequently suggest that connecting hardware pieces be glued in place. This does notsignificantly improve the structural integrity of the pieces, but does make disassembly impossible withoutcreating substantial, unrepairable damage.

The shipper, owner, or consignee should choose one of the following options when shippingfurniture constructed of these materials. Documentation of this choice shall include an “x” in the boxnext to the option choice and the shipper, owner or consignee’s signature. If the shipper,owner or consignee fails to indicate a specific option on the addendum form, then Option 3 willautomatically apply.

Option 1: Shipper, owner, or consignee may disassemble pressboard, particle board and/or engineeredwood furniture prior to move. Shipper, owner, or consignee assumes responsibility for damage to thepressboard, particle board and/or engineered wood furniture which may occur during the disassembly ofthe furniture.

Option 2: Shipper, owner, or consignee may engage the services of another individual or company todisassemble press board, particle board, and/or engineered wood furniture prior to move. Shipper,owner, or consignee assumes all responsibility for damage to the press board, particle board, and/orengineered wood furniture which may occur during the disassembly of the furniture.

Option 3: If shipper, owner, or consignee fails to avail themselves of Options 1 or 2 as set forth above,and press board, particle board, and/or engineered furniture is rendered to the carrier fully assembled,any claim or damage to the press board, particle board, and/or engineered wood furniture may be denieddue to inherent vice, based upon the fact that fully assembled press board, particle board, and/orengineered wood furniture is inherently susceptible to damage as outlined above.

I understand the provisions outlined in the special addendum to the bill of lading and have selected theoption indicated by “x” above. I understand that this addendum to the bill of lading becomes part of themoving contract and is subject to the rules and regulations to the mover’s tariffs.

Signed:

Date: