Dock Receipt Template

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Dock Receipt
SHIPPER/REPORTER
DOCUMENT NUMBER
CUSTOMS BROKERS
AGENT
CONSIGNEE
NOTIFY PARTY
Please receive for shipment the following goods subject
BERTH
to the conditions expressed in the ocean carriers bill
of lading
OUTWARD INLAND ROUTING
EXPORTING CARRIER (Vessel)
PORT OF LOADING
PORT OF DISCHARGE
FOR TRANSHIPMENT TO
PARTICULAR FURNISHED BY SHIPPER
MARKS AND NUMBERS
DESCRIPTIONS OF PACKAGES AND GOODS
GROSS WEIGHT
NO. OF PKGS
MEASUREMENT
WHARFAGE CHARGES PAYABLE BY SHIPPER
RECEIVED the foregoing
Wharfinger
Date
The within Goods, while on the wharf or elsewhere, previous to shipment, to be at the shipper’s risk and all risk of
Habour craft and fire, to borne by the Shippers.
No receipt will be given for goods at the wharf except on this form
All goods to have port of destination for which they are intended distinctly marked upon them otherwise the
company will not be responsible for the correct delivery of the goods
I / We, declare the above particulars of weights measurement and quantities to be correct
Number of Packages (in words)
Date
Signature
CUSTOMER’S COPY

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