This document is an order for moving services prepared for Julie Krause to move from Cranston, Rhode Island to Lake Zurich, Illinois. The estimated weight of the shipment is 5,000 pounds. The total charges before discounts are $8,810.69 and with a 69% discount applied the estimated total cost is $2,896.91. The order provides options for valuation protection during the move, including full value protection with no deductible for an additional $240, or a released value of 60 cents per pound per article for no additional charge.

1. Order for Service Prepared For: Julie Krause
Arpin Van Lines, Inc. - M.C. 621 Agent Arpin Of Rhode Island
P.O. Box 1302 Box 1302
East Greenwich, RI 02818-0998 East Greenwich, RI 02818
http://www.arpin.com 401-828-8111
Arpin.com
Janet Kurucz
Origin Destination Service Information
Shipper Julie Krause Consignee Julie Krause
Order Number: PA1069894
Address 305 Woodhaven Court Address 25 North Bueshing Rd.
PO:
Address 2 Address
Date: 9/3/2010
City, State Cranston, RI 02920 City, State Lake Zurich, IL 60047
County Providence County Lake Pack Dates: 9/17/2010 to 9/17/2010
Phone (Home) 401-374-4562 Phone (Home) Load Dates: 9/17/2010 to 9/17/2010
Phone (Work) Phone (Work) Delivery Dates: 9/20/2010 to 9/30/2010
E-Mail julie.krause@ajoster.com
Summary of Charges
Tariff T-08 Section 3 Effective Date 5/18/2010 Minimum Weight 1,000 Estimated Weight 5,000
Transportation Charges Description Weight Rate Gross Charges Net Charges
Transportation Cost (Linehaul) 5,000 $6,939.63 $6,939.63 $2,151.29
Origin Fees 5,000 $5.44 $272.00 $84.32
Destination Fees 5,000 $8.35 $417.50 $129.42
Total Discount Applied $5,264.10
Total Transportation Charges $2,365.03 Sub Total $2,365.03
Packing Charges Rate Type Packing UnPacking
Qty Cost Ea. Total Qty Cost Ea. Total
K/Q Bed Per Carton 2 $71.28 $142.56 2 $17.82 $35.64
Sub Total $142.56 Sub Total $35.64
Total Discount Applied $122.96 Container/Packing & Unpacking Charges Sub Total $55.24
Additional Charges Description Gross Charges Net Charges
4% Ins Related Rev $277.59 $86.05
7% Fuel Surcharge $485.77 $150.59
Total Additional Charges $236.64 Sub Total $236.64
Valuation Charges Description Amount Deductible Net Charges
Valuation $25,000.00 $0.00 $240.00
Non Binding Order for Service Discount %: 69 %
IMPORTANT NOTICE: This amount covers only the articles and services listed in the estimate. It is not a
guarantee that the actual charges will not exceed the amount of the estimate. Common carriers are required Total Charges Before Discount: $8,810.69
by law to collect transportation and other incidental charges computed on the basis of rates shown in their
lawfully published tariffs regardless of prior rate quotations or estimates made by the carrier or its agents. Total Discount Applied: $5,913.78
Charges for loading, transporting, and unloading are based upon the actual weight of the goods transported.
Such charges cannot be determined prior to the time the goods are loaded on the van and weighed. Total Estimated Cost: $2,896.91
Charges for additional services will be added to the transportation charges.
If the total tariff charges for the listed articles and services exceed the estimate by more than ten percent,
then, upon your request, the carrier must relinquish possession of your shipment upon payment of the
estimate plus ten percent ( $3,186.60) plus payment in full for any services not included in the estimate. You
are still obligated to pay the balance of the total charges within 30 days of delivery.
Customer Signature Date
Listed below are the Valuation Options that are offered
and the total price for the move with each option.
Full Value Protection (FVP) $25,000.00
Deductible ** Charge Total
FVP, $0 Deductible $240.00 $2,896.91
$.60 per pound per article $0 $2,656.91
Prepared For: Julie Krause Page: 1 of 6 Rev: 11/13/08
Rating Version: 6.20.7, 4/27/2010 Ver: ARPV-6433

2. CUSTOMER'S DECLARATION of VALUE
THIS IS A TARIFF LEVEL OF CARRIER LIABILITY - IT IS NOT INSURANCE
Unless you select the alternative level of Liability shown below your shipment will be ALTERNATIVE LEVEL OF LIABILITY - Released Value of 60 Cents
transported under your mover's FULL (REPLACEMENT) VALUE level of liability. If any article is Per Pound Per Article
lost, destroyed or damaged while in your mover's custody, your mover will, at its option, either 1)
(Waiver of FULL (Replacement) VALUE)
repair the article to the extent necessary to restore it to the same condition as when it was received
by your mover, or pay you for the cost of such repairs; or 2) replace the article with an article of like If any article is lost, destroyed or damaged while in your mover's custody,
kind and quality, or pay you for the cost of such a replacement. An additional charge applies for this your mover's liability is limited to the actual weight of the lost, destroyed
level of liability; to avoid this additional charge, you must select the Alternative Level of Liability or damaged article multiplied by 60 cents per pound per article. This is
shown below. the basic liability level, and is provided at no charge. It is considerably
less than the average value of household goods. If you do not select this
Under the FULL (Replacement) VALUE level of liability your shipment will be transported based Alternative Level of Liability, your shipment will be transported at Full
on a value of not less than $5,000 or $5.00 per pound multiplied by the actual weight of the (Replacement) Value level of liability and you will be assessed the
shipment, whichever is greater. If you wish to declare a higher value for your shipment, you must applicable valuation charge.
indicate that amount below:
The value of my shipment is: ______________________________ To waive the Full (Replacement) Value Level of Liability and to select the
Alternative Level of Liability, you must write, on the line below, the words
You must also select one of the followingdeductible amounts under the FULL (Replacement) "60 cents per pound".
VALUE level of liability that will apply for your shipment (if you do not make a selection, the
"No Deductible" level will apply):
No Deductible (______) $250 Deductible (______) $500 Deductible (______) The value of my shipment is: ______________________________
Service Contact Information CUSTOMER REQUESTS NOTIFICATION
NO YES
OF ACTUAL WEIGHT AND CHARGES
Booking Agent Arpin Of Rhode Island Code 138015 CUSTOMER'S CONTACT ENROUTE DESTINATION
Name Phone
Salesperson Phone 401-828-8111
Address
City State Zip
Origin Agent Arpin Of Rhode Island Code 138015
BILLING INFORMATION
Salesperson Phone 401-828-8111
Bill To:
Address
Dest. Agent Code
City/State:
Salesperson Phone Attn: P.O.
SHIPMENT TYPE: NAT'L ACCT MILITARY C.O.D. PAYMENT TYPE: DIRECT BILL CREDIT CARD PRE-PAID
ALL C.O.D. CHARGES ARE TO BE PAID IN FULL PRIOR TO UNLOADING BY TRAVELERS CHECK, CERTIFIED CHECK, CASH, MONEY ORDER, VISA, MASTERCARD, AMERICAN EXPRESS OR
DISCOVERY CARD.
Please read Important Information and Terms before signing estimate.
1. This proposal is governed by the rules and regulations as described in HHCB tariffs T-08 and 104 supplements and reissues thereof.
2. All terms of this form are agreed to by both parties.
3. You have the opportunity to rescind this order for service without any penalty for a three-day period after you sign this order for service, if you
have scheduled your shipment to be loaded more than three days after signing this order for service.
4. If the carrier extends credit by agreeing to bill an employer or other party, and in the event that any or all of the charges are not paid, the owner
of the goods and/or beneficiary of the services acknowledges they are liable for payment.
5. COD Shipments, unless other payment arrangements are made in writing with the carrier, this shipment is Collect On Delivery. Carrier will
honor the following forms of payment in US funds; Cash, Bank Check, Travelers Check, or Pre-Authorized Credit Card(s).
6. The carrier will not deliver or relinquish possession of property transported by it until the charges on the estimate given at origin., (1) either the
total binding estimate (Option "B" or Option "C") amount OR 110% of the non-binding estimate (Option "A") amount; plus (2) any charges
applicable for service(S) requested by the shipper after the contract was executed that were not included in the estimate; plus (3) any charges
for impracticable operations (such as shuttle service), that do not exceed fifteen (15%) percent of the total charges due at delivery, have been
paid in cash, certified check, traveler's check, or bank check (one drawn by a bank on itself and signed by an officer of the bank).
7. Customer agrees that the carrier shall transport the goods and effects tendered by the Customer subject to the preceding.
ARPIN VAN LINES, BY SIGNATURE BELOW, AGREES TO PROVIDE THE SERVICES OUTLINED.
TRANSPORTATION OF GOODS MUST COMMENCE WITHIN 60 DAYS FROM THE DATE OF THE PROPOSAL.
This section should be signed only if you wish the carrier to perform services requested. By signing below, you acknowledge receipt of all the publications
required to be distributed and receipt of the order for service.
This proposal is governed by the rules and regulations as described in HHCB tariffs T-08 and 104 supplements and reissues thereof.
Arpin Van Line Agency Code Authorized Representative Date
Customer Signature Date
Prepared For: Julie Krause Page: 2 of 6 Rev: 11/13/08
Rating Version: 6.20.7, 4/27/2010 Ver: ARPV-6433

3. SPECIAL INSTRUCTIONS/COMMENTS: Julie Krause
This is a condo complex at orig. It has a wide parking area, The drive should be able to back in from the main street.
Accessability at dest. o.k. The earliest she can except in Ill. is Oct.8th.
Prepared For: Julie Krause Page: 3 of 6 Rev: 11/13/08
Rating Version: 6.20.7, 4/27/2010 Ver: ARPV-6433

4. Additional Services Price List
(Potential Additional Charges, If Needed Or Requested By Customer)
Arpin Van Lines, Inc. - M.C. 621
P.O. Box 1302
East Greenwich, RI 02818-0998
Shipper Name: Julie Krause Order Number: PA1069894
Origin Address: 305 Woodhaven Court Dest. Address: 25 North Bueshing Rd.
City,State,Zip: Cranston, RI, 02920 City,State,Zip: Lake Zurich, IL, 60047
IMPORTANT NOTICE TO SHIPPER: Below is a list of en route and/or destination services and corresponding
rates/charges, which you or your designated representative may request or that may be necessary to deliver your
household goods shipment. We have reviewed these services with you and to the best of your knowledge no such
services are required at this time. These potential services and their cost are based upon the tariff issued in
accordance with the regulations of the Surface Transportation Board of the Department of Transportation.
The rates/charges for these en route and/or destination services (should you request them or if they are necessary
to deliver your shipment) will be based on actual weight and/or per occurrence and are in addition to all other
charges on the estimate you received at origin.
Additional Services Service Description Rate Estimated Charge
Unpacking (Full Service Per Cwt) $14.90 $230.95
Shuttle Service (Flat Charge Weight-Based) $1,486.80 $460.91
Extra Stops (Per Stop) $129.58 $40.17
Waiting Time (Per Hour * Per Vehicle) & (Per Hour * Per Man) $79.71 $24.71
Extra Labor (Per Hour * Per Man) $79.71 $24.71
Overtime Unloading (Per Cwt) $12.38 $191.89
Advanced Charges (Per Third Party Invoice) $0.00 $0.00
1st Day Storage-In-Transit (Per CWT) $15.24 $419.10
Each Additional Day Storage-In-Transit (Per CWT * Per Day) $0.67 $18.43
Delivery Out of Storage-In-Transit (Flat Charge Weight-based) $2,169.22 $1,193.07
Self-Storage/Mini-Storage Delivery (Flat Charge Weight-Based) $276.19 $85.62
Must Be Signed & Dated @ Origin, Prior To Completion Of Loading
Carrier’s Shipper's or Shipper's
Representative: Representative Signature:
Print Name: Print Name:
Date: Date:
Prepared For: Julie Krause Page: 4 of 6 Rev: 11/13/08
Rating Version: 6.20.7, 4/27/2010 Ver: ARPV-6433

5. Additional Services Price List
(Potential Additional Charges, If Needed Or Requested By Customer)
Arpin Van Lines, Inc. - M.C. 621
P.O. Box 1302
East Greenwich, RI 02818-0998
Shipper Name: Julie Krause Order Number: PA1069894
Origin Address: 305 Woodhaven Court Dest. Address: 25 North Bueshing Rd.
City,State,Zip: Cranston, RI, 02920 City,State,Zip: Lake Zurich, IL, 60047
IMPORTANT NOTICE TO SHIPPER: Below is a list of en route and/or destination services and corresponding
rates/charges, which you or your designated representative may request or that may be necessary to deliver your
household goods shipment. We have reviewed these services with you and to the best of your knowledge no such
services are required at this time. These potential services and their cost are based upon the tariff issued in
accordance with the regulations of the Surface Transportation Board of the Department of Transportation.
The rates/charges for these en route and/or destination services (should you request them or if they are necessary
to deliver your shipment) will be based on actual weight and/or per occurrence and are in addition to all other
charges on the estimate you received at origin.
Additional Services - Unpacking Per Container
Container Rate Estimated Charge Container Rate Estimated Charge
K/Q Bed $5.52
Must Be Signed & Dated @ Origin, Prior To Completion Of Loading
Carrier’s Shipper's or Shipper's
Representative: Representative Signature:
Print Name: Print Name:
Date: Date:
Prepared For: Julie Krause Page: 5 of 6 Rev: 11/13/08
Rating Version: 6.20.7, 4/27/2010 Ver: ARPV-6433

6. Additional Services Price List
The Additional Services Price List has been provided to inform you, our customer, of the costs of potential services
that may have to be performed enroute or at destination to complete your move. At this time, you may not think
these services will be required, however, we would like you to understand the nature of and the reasoning behind
the charges, should any of these services become necessary.
EXPLANATION OF TERMS
SHUTTLE SERVICE - In cases where it is impossible for the van operator to deliver your shipment directly from the over-the-road
vehicle (usually a long tractor-trailer), either because of the physical terrain characteristics (such as tight turns, overhanging branches,
etc.) or safety considerations, you may request, or the van operator may require, shuttle service. A shuttle service includes placing your
household goods on a smaller vehicle and transporting them between the over-the-road vehicle and your residence. While the charge
shown on the Additional Service Price List has been based on the estimated weight of your shipment, the actual charge will be based on
the actual weight of the shipment and the location where the service is provided.
EXTRA STOP - The transportation charge includes loading from a single address and delivery to a single address. If you would like us
to deliver a portion of your shipment to another location other than the destination, there is a flat charge for each extra delivery.
SELF-STORAGE / MINI-STORAGE DELIVERY - Because of the additional handling, stacking, and other labor required in delivering a
shipment into a self-storage facility, there is an extra charge for this service based on the actual weight of the household goods delivered
into the self-storage and the location where the service is provided. Please be aware that if there is not sufficient room for the van
operator to drive the over-the-road truck into the facility for unloading, there may also be a shuttle charge involved.
WAITING TIME - If the van operator arrives at destination, and you are unable, for whatever reason, to accept delivery, the van
operator will wait for up to two hours at no charge. After two hours, Waiting Time charges will apply for the truck and Extra Labor
charges will apply for the van operator and any helpers that have been hired. These charges apply in conjunction with each other and
are charged on a per vehicle, per man, per hour basis (quarter hour increments -- 15 minute minimum).
EXTRA LABOR - If the carrier is requested to provide a service and the tariff does not indicate a charge for the service, Extra Labor
charges apply. Examples of situations where Extra Labor applies are, but are not limited to, Waiting Time (as indicated above),
unpacking "packed by owner" cartons, placing items in attics/crawlspaces, and removing/replacing doors and railings. Extra Labor
applies on a per man, per hour basis (quarter hour increments -- 15 minute minimum).
UNPACKING - Unpacking includes the removal of items from carrier packed cartons, placing those items on the nearest flat surface,
and the disposal of any packing debris. It does not include placing items into cabinets or closets. Most customers do not want the mover
to do any unpacking other than unpacking their mattresses and box springs so the van operator can set up their beds. If additional
unpacking is desired, either as a full or partial unpack, the cost is shown.
OVERTIME UNLOADING - If you demand that the van operator only unload after 5:00 PM (Monday through Friday) or anytime on a
weekend or holiday, the van operator is entitled to charge for Overtime Unloading. If the delivery is performed after 5:00 PM (Monday
through Friday) or anytime on a weekend or holiday at the van operator's convenience, no additional charge applies. Overtime
Unloading is applied on a per hundredweight basis, based on the actual weight of the shipment.
STORAGE - If you cannot accept delivery at destination and your shipment must be placed into an agent's warehouse for storage, the
following charges will be incurred:
FIRST DAY STORAGE - This charge is for the preparation of the storage vaults, receiving the shipment into storage, and
preparation of storage documentation. This charge is applied on a per hundredweight basis, based on the actual weight of the
shipment.
EACH ADDITIONAL DAY STORAGE - The charge is for each additional day after the first day. The charge is applied on a per
hundredweight basis, per day, based on the actual weight of the shipment. The storage period cannot exceed 180 days, after which
time, the rules and rates of the warehouse will apply.
DELIVERY OUT OF STORAGE-IN-TRANSIT (DRAYAGE) - This charge is for delivering your belongings from the storage
warehouse to your residence. This charge is based on the actual weight of the shipment and the location where the service is
provided.
EXTENDED VALUATION - If you declared Full Value Protection on your Bill of Lading, this charge is equal to 10% of the initial
valuation charge and it will be applied every 15 days, or increment thereof, that your shipment remains in Storage.
Prepared For: Julie Krause Page: 6 of 6 Rev: 11/13/08
Rating Version: 6.20.7, 4/27/2010 Ver: ARPV-6433