Dock Receipt Page 1 of 1
Exporter Booking Number Document Number
Export References
Ultimate Consignee Forwarding Agent
Notify Party Also Notify
Pre-Carriage By Place of Receipt Domestic Routing
Exporting Carrier Port of Loading Loading/Pier Terminal
Port of Discharge Place of Receipt on Carrier Type of Move
Marks and Numbers No. of Pkgs HM Description Weight (lbs.) Measurements
Delivered By:
Received the above described goods or pkgs subject to all the terms of the undersigned's regular form of
dock receipt and bill of lading which shall constitute the contract under which the goods are received, copies
Truck of which are available from the carrier on request and may be inspected at any of its offices.
Arrived Date Time
Unloaded Date Time For the Master:
Checked by By
Placed in ship on Date
dock location
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