DIVERSION ORDER

STRAIGHT BILL OF LADING

Date: __________________________

To: _______________________________ (name of carrier)

__________________________________

__________________________________ (address)

RECONSIGNMENT OR DIVERSION ORDER

Straight Bill of Lading

Dated: _____________________________

Number: ____________________________

Consignor: __________________________

Consigned to: ________________________

The undersigned consignor under your straight bill of lading number _____________, dated

__________ (month &day) _______ (year), issued by you to __________, of ________________

(address), __________ (city), ___________ (county), ___________ (state), covering goods described

in the bill of lading as ____________, hereby instructs you to disregard the original instructions as to

place of delivery and recipient on the bill and to divert and deliver the goods to __________, of

_______________________ (address), __________ (city), _________ (county), _________ (state), at

_________ (location).

The undersigned will pay all reasonable costs and charges of this diversion on your reasonable

request, and warrants its authority to effect this diversion or reconsignment. The undersigned shall

indemnify and hold you harmless for any loss, damage, or expenses in the event the diversion or

reconsignment is challenged.

____________________________________________

(Name of consignor)

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