(This serves as DELIVERY RECEIPT upon acknowledgement by Consignee)
Delivery Authorized by Consignee Vessel:
Document Barge: No. PB0011552 Contract Ref: M1 S3/UFM-TAYUD Others ATL No: Consignee & Address Loading at Delivery and Unloading at S5
Data of Trucking Contractor Truck Scale Reports Description of Cargo Loaded
Hauler's Name ENROSE TRUCKING Trailer Plate No. SVCS Data Origin Destination As Loaded Quantity & Weight Truck Plate No. ABK 6321 Gross Weight 23.78 Name of Driver NERI, GLENFORD G Tare Weight 12.15 No. of Bags Net Weight, MT THE HAULER IS RESPONSIBLE FOR THE Net Weight 11.63 SAFTEY, SECURITY AND CARE FOR THE 11.63 WS Ticket No. LOADED CARGOES WHILE ABOARD THIS TRUCK TRAILER Remarks Issued by :
Driver's Signature over Printed Name
PDL No. Dispatcher on Duty
Data Loading Unload
Received the above cargoes in good order and Date condition with exceptions and remarks if any : Start End By: Security & Escourt Data NO CLAIMS FOR SHORTAGES AND Authorized by Consignee Signature DAMAGES TO CARGOES COVERED BY THIS WAYBILL WILL BE ENTERTAINED Printed Name UNLESS DOCUMENTED AND REPORTED Agency WITHIN 24 HOURS AFTER RECEIPT TO Printed Name / Date ANY AUTHORIZED REPRESENTATIVE OF No. of Seals BRIGHT Sealed by Position