Dock Receipt Template

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DOCK RECEIPT
SHIPPER / EXPORTER
BOOKING NUMBER
EXPORT CARRIER
TRUCKING COMPANY
FORWARDING AGENT
EXPORT INSTRUCTIONS
DOMESTIC ROUTING/EXPORT INSTRUCTIONS
PICK UP DATE:
PICK UP TERMINAL:
CUT OFF DATE:
RETURN TERMINAL:
OCEAN VESSEL
VOYAGE NO.
PORT OF LOADING
PORT OF DISCHARGE
LOADING PIER / TERMINAL
PLACE OF DELIVERY
TYPE OF MOVE
CONTAINERIZED (VESSEL ONLY)
?
?
YES
NO
NUMBER
GROSS
MARKS & NUMBER
DESCRIPTION OF COMMODITIES IN SCHEDULE B DETAIL
MEASUREMENT
PKGS
WEIGHT
DELIVERED BY:
RECEIVED THE ABOVE DESCRIBED GOODS OR PACKAGES SUBJECT
TO ALL THE TERMS OF THE UNDERSIGNED'S REGULAR FORM OF
LIGHTER
DOCK RECEIPT AND BILL OF LADING WHICH SHALL CONSTITUTE THE
TRUCK
CONTRACT UNDER WHICH THE GOODS ARE RECEIVED, COPIES OF
WHICH ARE AVAILABLE FROM THE CARRIER ON REQUEST AND MAY
ARRIVED DATE ____________ TIME ___________
BE INSPECTED AT ANY OF IT'S OFFICES.
UNLOADED DATE __________ TIME ___________
FOR THE MASTER
CHECKED BY ______________________________
BY: ______________________
RECEIVING CLERK
PLACED - LOCATION ________________________
DATE: ____________________

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