Shipper (发 货 人)

D/R No. (编号)

（实际托运人章）

Consignee (收 货 人)

装  货  单

场站收据副本

第

五

联

Notify Party (通 知 人)

Received by the Carrier the Total number of containers or other

packages or units stated below to be transported subject to the terms

and conditions of the Carrier's regular form of Bill of Loading (for

combined Transport or Port to Port Shipment) Which shall be deemed

to be incorporated herein.

Date  (日期)：

Pre-carriage by (前程运输)

Place of Receipt (收货地点)

Ocean Vessel (船名) Voy. No. (航次)

Port of Loading (装货港)

场站章

Port of Discharge (卸货港)

Place of Delivery (交货地点)

Final Destination for the Merchant's Reference

(目的地)

Container No.

(集装箱号)

Seal No. (封志号)

Marks & Nos.

(标记与号码)

No of contai-

ners or p'kgs.

(箱数或件数)

King of Package: Description of Goods (包装种类与货名)

Gross Weight

毛重(公斤)

Measurement

尺码(立方米)

TOTAL NUMBER OF CONTAINERS

OR PACKAGES (IN WORDS)

集装箱数或件数合计(大写)

Container No.  (箱号)

Seal No.  (封志号)

Pkgs.  (件数)

Container No.  (箱号)

Seal No.  (封志号)

Pkgs.  (件数)

Received (实收)

By Terminal clerk (场站员签字)

FREIGHT

&

CHARGES

Prepaid at  (预付地点)

Payable at  (到付地点)

Place of Issue  (签发地点)

Total Prepaid  (预付总额)

No. of Original B(s) /L  (正本提单份数)

BOOKING (订舱确认)

APPROVED BY

Service Type on Receiving

Service Type on Delivery

Reefer Temperature Required (冷藏温度)

－CY

－CFS

－DOOR

－CY

－CFS

－DOOR

 ℉

 ℃

TYPE

OF

GOODS

(种类)

Ordinary.

(普通)

Reefer.

(冷藏)

Dangerous.

(危险)

Auto.

(裸装车辆)

危

险

品

Class:

Property:

IMDG Code Page:

UN No.

Liquid.

(液体)

Live Animal.

(活动物)

Bulk.

(散货)

备注：(REMARKS)

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