Date:

<<COUNTRY PROGRAM>> Reception Site / Warehouse:

GOODS RECEIVED NOTE (GRN) No.: GRN-

DN / WB No.: Transport Co.: Truck No.:

Origin: Driver: Trailer No.:

PO Number:
Condition Of Unit QTY Received Upon Arrival and Discharge
Broken, Torn or Damaged Units
Missing / Short- Empty and Light Total Damaged &
PL# Unit QTY
Landed Units
Leaking (wet, crushed,
Units Missing
Commodity Description According to DN / Good Condition Containers etc.)
WB
(A) (B) (C) (D) (A + B + C + D)

TOTALS: 0 0 0 0 0 0 0

We the undersigned declare that we witnessed the unloading of the truck identified above, and we concur that the products and commodities listed were received in the condition as noted:

NOTE: By signing, individuals verify the authenticity of this document; it IS NOT an admission of responsibility for loss or damage.

Signature Warehouse Mgr: Driver: Date:

UNIT QTY OF DAMAGED & MISSING AFTER RECONDITIONING

PL# Recovered Unfit or Destroyed Other Losses Total Lost Recovered & Lost
Commodity Description Remarks / Comments
(a) (b) (c) (b + c) ( a + b + c)

TOTALS:

Reconditioning Operation completed on 20 at AM / PM.

We the undersigned declare that we concur that the products & commodities listed above were determined to be in such condition as noted:

NOTE: By signing, individuals verify the authenticity of this document; it IS NOT an admission of responsibility for loss or damage.

If the Driver is no longer present at the time of completion of reconditioning, then have transport company representative sign in recognition.

Signature Warehouse Mgr: Driver/Rep.: Date:

GRN Distribution: 1. Original (white) - CMU copy 2. Pink - Transporter Copy 3. Green - Transporter Invoice Copy 4. Yellow - CRS Warehouse Copy 5. Blue - Laborers Payment Copy 6. White - Pad Copy

STANDARD REPORTING FORMAT