Waybill

Waybill No: ÌMMSÇ3QLÎ

Page 1 of 1 MMS1949
Consignment Date: 09/Apr/2024
Company Information Print Date: 09/Apr/2024
Kushesh
Revision No: 1
Reg No: 2015 / 257524/ 07 Address: 3 GOLF AIR PARK
Phone No: 021 001 4025 BAHRAIN DRIVE Bill Account:
Email: info@kushesh.co.za Airport Industria, Cape Town
7495

Medequip (CASH) MULTICARE MEDICAL SUPPLIES (MMS0021)

From: To:
14 Boeing Rd E 99a KYALAMI DRIVE
Dunvegan KILLARNEY GARDENS
CAPE TOWN
EDENVALE (JNB) KILLARNEY GARDENS (CPT)

Contact: WINNIE Contact: CHANTELLE

Email: reception@medequip.co.za Email: chantelle@multicaresupplies.co.za
Telephone: (011) 454-2610 Telephone: 0829236599

Service Code:
Insurance: Yes
Weight: 2.00

Vol Weight: 0.99 No

Pieces: 1
Ref No:

Comments: Invoice Value:

Invoice No:

Dimension Summary Dimension Summary

Items Desc Length Width Height Weight Pcl No Items Desc Length Width Height Weight Pcl No
1 BOX 22.00 15.00 15.00 2.00 MMS1949/0
001

DESCRIPTION OF GOODS___________________________________________________________
I AGREE TO BE BOUND BY CONSIGNOR / SENDER
THE STANDARD CONDITIONS PRINT NAME:_____________________________
OF CARRIAGE
SIGNATURE:______________________________
DATE:_____________________ TIME:_______________________

RECEIVED IN GOOD ORDER BY CONSIGNEE:

RECEIVED BY Kushesh
RECEIVED CUSTOMS DOCUMENTATION:

PRINT NAME:_________________________________ PRINT NAME:_________________________________

ID NO:_______________________________________ ID NO:_______________________________________

SIGNATURE:__________________________________ SIGNATURE:__________________________________

DATE:______________ TIME:__________________ DATE:______________ TIME:__________________

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