场站收据样单
Shipper (发 货 人) D/R No. (编号)
(实际托运人章)
Consignee (收 货 人) 场站收据副本 第 大副联 六 COPY OF DOCK RECEIPT 联 (FOR CHIEF OFFICER)
Notify Party (通 知 人)
Received by the Carrier the Total number
of containers or other
packages or units stated below to be
transported subject to the terms
and conditions of the Carrier's regular form of Bill of Loading (for
combined Transport or Port to Port
Shipment) Which shall be deemed
to be incorporated herein.
Date (日期):
Pre-carriage by (前程运输) Place of Receipt (收货地点)
Ocean Vessel (船名) Voy. No. (航Port of Loading (装货港) 次)
场站章
Final Destination for the Port of Discharge (卸货港) Place of Delivery (交货地点) Merchant's Reference
(目的
的)
Container No of Gross Measurement Seal No. (封志号) King of Package: Description of Goods (包装种类与货No. contai- Weight 尺码(立方米) Marks & Nos. 名) ners or (集装箱毛重(公(标记与号码) p'kgs. 号) 斤) (箱数或
件数)
TOTAL NUMBER OF
CONTAINERS
OR PACKAGES (IN WORDS)
集装箱数或件数合计(大写)
Container No. (箱Container No. (箱Seal No. (封志号) Pkgs. (件数) Seal No. (封志号) Pkgs. (件数) 号) 号)
Received (实收) By Terminal clerk (场站员签字)
Place of Issue (签Prepaid at (预付地点) Payable at (到付地点) FREIGHT 发地点) & CHARGES Total Prepaid (预付总额) No. of Original B(s) /L (正本提BOOKING (订舱确
单份数) 认)
APPROVED BY
Reefer Temperature Required (冷Service Type on Receiving Service Type on Delivery 藏温度)
,CY ,CFS ,DOOR ,CY ,CFS , ? ?
DOOR
Ordinary. Reefer. Dangerous.(Auto. (普通) (冷藏) 危险) (裸装车辆) TYPE Class: 危 OF Property: 险 GOODS Live IMDG Code Page: Liquid. Bulk. 品 (种类) UN No. Animal. (液体) (散货) (活动物)
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