Sample Dock Receipt Template printable pdf download

Dock Receipt

Exporter/Shipper

Booking Number

Voyage Number

Exporter’s Reference

Customer Reference

Consignee

Forwarding Agent

FMC#

CHB#

Notify Party

Domestic Routing/Export Instructions / Also Notify

Pre Carriage By

Place of Receipt by Pre Carrier

Shipment Number

XTN #

Exporting Vessel

Flag

Port of Loading

Loading Pier / Terminal

Port of Discharge

For Transshipment To

Type of Move

Point and Country of Origin of Goods

Particulars Furnished by Shipper

Marks & Numbers

No of Packages

Description of Packages and Goods

Gross Weight

Measurement

RECEIVED THE ABOVE MERCHANDISE IN APPARENT GOOD ORDER AND CONDITION UNLESS OTHERWISE INDICATED. THIS DATA FREIGHT RECEIPT IS ISSUED SUBJECT TO THE PROVISIONS

OF THE U.S. CARRIAGE OF GOODS BY SEA ACT. THE CARRIER'S REGULAR LONG FORM BILL OF LADING IS ON FILE WITH THE

FEDERAL MARITIME COMMISSION AND IS INCORPORATED

HEREIN WITH LIKE FORCE AND EFFECT AS IF THEY WERE SET FORTH IN LENGTH HEREIN. A COPY OF THE BILL OF LADING MAY BE OBTAINED UPON REQUEST FROM THE CARRIER OR ITS

AGENT. IT IS UNDERSTOOD AND AGREED BY THE SHIPPER AND

THE CARRIER THAT THIS RECEIPT IS NOT A BILL OF LADING.

(carrier name- 35)

or Agent for Carrier

By___________________

At___________________

Date _________________

Delivered By: ____________________________

eceived the above mentioned merchandise, goods or packages for shipment

as indicated hereon, subject to all terms and conditions of the undersigned's

Arrived:

Date______________ Time _______