LOST OR MISSING BILL OF LADING
Guaranty made __________ (month & day), _______ (year), by___________________
(claimant), of ________________________________________ (address), __________ (city), __________ (county), __________ (state), to ___________________ (bailee), of ______________________________________________________________ (address).
In consideration of ___________________________ (bailee) delivering to __________ _________________ (claimant), the shipment referred to below, without surrender by _____________________ (claimant) of ______________________________ (bailee's) original bill of lading number __________ covering such shipment, which bill has been lost or misplaced, ______________________________________ (claimant) guarantees to reimburse _________________ (bailee) for whatever losses, damages, costs, counsel fees, or other expenses it may suffer or pay by reason of such delivery.
DESCRIPTION OF SHIPMENT
Shipment of ______________ (describe goods). Made by ______________ (shipper).
From ___________ (place of shipment) on _____________ (month & day), ___ (year).
Consigned to ____________________ (consignee) at ______________ (destination).
In witness whereof, _______________________ (claimant) has executed this guaranty at _______________________ (designate place of execution) on __________ (month & day), _______ (year).