You are on page 1of 1

ISSUED BY: 91272HCS

DOCK RECEIPT - RECEIPT FOR CARGO Missionary Expediters, Inc. oti 268f
Carolina Nat. Tel: 757.440.8858 5620 Tchoupitoulas Street
• New Orleans LA 70115 USA
tel 1504 891 6300 • fax 1504 891 6365 • mx@solvenet.com
JZ
SHIPPER / EXPORTER BOOKING NO. BILL OF LADING NO.
HOPE CHARITABLE SERVICES 529261880
1541 CENTERVILLE TURNPIKE EXPORT REFERENCES NN Mae Svc 283970*
VIRGINIA BEACH VA 23464 USA Shipper. No.

CONSIGNEE (NOT NEGOTIABLE UNLESS CONSIGNED TO ORDER) DELIVERY SCHEDULE
To confirm date, time, and place of vanning, CALL:DEACON
HONDURAS MCKENZIE @ 757-761-0971
DATE: 10/15/09 at 9 am

NOTIFY PARTY (COMPLETE NAME AND ADDRESS) ROUTING

PRECARRIAGE BY PLACE OF RECEIPT BY PRECARRIER

VIRGINIA BEACH VA 23451
EXPORT CARRIER (VESSEL / VOYAGE) PORT OF LOADING CUTOFF & LOAD TML:
Maersk Tangier V.0943 NORFOLK 10/16/09
PORT OF DISCHARGE PLACE OF DELIVERY EQUIPMENT PICKUP

PUERTO CORTES container pool
PARTICULARS FURNISHED BY SHIPPER / EXPORTER, WITHOUT WARRANTY AS TO CORRECTNESS BY CARRIER

MARKS NOS, DESCRIPTION WEIGHT MEASUREMENT
1 40' CONTAINER (S)
DONATED RELIEF CARGO:
This shipment is a DONATION for relief or charity only.
Not to be resold. Not for exchange for profit or gain.
No commercial value. Cargo must not be stowed in any
hold that is being used to carry insecticides or any
other toxic substances.
Unit No.: Seal: Shipper's stow & count:
____ ______-_ ___________ said to contain: ___ pieces.
TOTALS:
Kgs
Total

AES ITN:
FREIGHT PREPAID NLR - NO LICENSE REQUIRED.

RECEIVED THE ABOVE DESCRIBED GOODS OR PACKAGES SUBJECT TO ALL THE TERMS OF THE UNDERSIGNED'S REGULAR FORM
OF DOCK RECEIPT AND BILL OF LADING WHICH SHALL CONSTITUTE THE CONTRACT UNDERWHICH THE GOODS ARE RECEIVED,
COPIES OF WHICH ARE AVAILABLE FROM THE CARRIER ON REQUEST AND MAY BE INSPECTED AT ANY OF ITS OFFICES.
IN OUT TERMINAL SIGNATURES DRAYMAN SIGNATURES
WAREHOUSE -
SUPPLIER
DATE & TIME DATE & TIME WAREHOUSEMAN DRIVER - PICKUP

DOCK / WHARF
for the Master
DATE & TIME DATE & TIME RECEIVING CLERK DRIVER - DELIVERY

Page 1 ONLY CLEAN DOCK RECEIPT ACCEPTED.