Form 3788 - Carrier Schedule Of Deliveries Page 2
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2203-PD
Form 3788, Page 2
Instructions for Form 3788, Carrier Schedule of Deliveries
General Instructions
Schedule of Deliveries provides detail of each pipeline, barge or marine vessel delivery included on the Carrier's Monthly Report (form 3715). Provide a separate
sheet for each product and schedule type. Sort entries by each terminal "Delivered To" (Column 7 and 9) and provide subtotals for each terminal in Column 12. Prior
to recording the information requested in columns (1) through (13), you should organize your records as follows:
Schedule 14A - Deliveries of fuel from Michigan to locations outside the state (Exports).
Schedule 14B - Deliveries of fuel from out-of-state locations to locations in Michigan (Imports).
Schedule 14C - Deliveries of fuel between locations in Michigan (Intrastate).
Product Codes - Enter the appropriate code on page 1. See the Carrier's Monthly Report instructions or Treasury's Web site for a list of product codes.
Column Instructions
Shaded columns are not required.
Column (1) & (2):
Hired By - Not Applicable.
Column (3) & (4):
Seller - Enter the name and FEIN of the company from whose account the fuel was withdrawn at the terminal/refinery.
Column (5):
Mode of Transport - Enter one of the following:
B = Barge
PL = Pipeline
S = Ship (Great Lakes or ocean marine vessel)
Column (6):
Origin - If the product was loaded at a terminal, enter the Terminal Control Number (TCN) assigned to that terminal. For all other loads, enter
the city/state, province/country if outside the United States, shown on the delivery document where the product was loaded.
Column (7):
Delivered Name - Enter name of Terminal owner/operator where the product was delivered.
Column (8):
Delivered to TCN - Enter the Terminal Control Number (TCN) where the product was delivered.
Column (9):
Delivered To: FEIN - Enter the Federal Employer Identification Number (FEIN or TR Number) of the Terminal/Customer.
Column (10):
Date Delivered - Enter the date the petroleum product was delivered for each load (MM/DD/YYYY).
Column (11):
Ticket Number - Enter the pipeline, barge or marine vessel ticket number.
Column (12):
Net Gallons - Enter the number of net gallons for each delivery.
Column (13):
Gross Gallons - Not Applicable.
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