| SHIPPER | D/R NO. | 抬头 |
| CONSIGNEE | 场站收据副本 COPY OF DOCK RECEIPT |
| NOTIFY PARTY | | 第 六 联 |
| PRE-CARRIAGE BY XXXX PLACE OF RECEIPT | |
| OCEAN VESSEL VOY.NO. PORT OF LOADING | |
| PORT OF DISCHARGE PLACE OF DELIVERY | FINAL DESTINATION FOR THE MERCHANT'S RETER-ENCE |
| CONTAINER NO. | SEAL NO. | NO. OF CONTAINERS OR PKGS | KIND OF PACKAGES: DESCRIPTION OF GOODS | GROSS WEIGHT | MEASUREMENT |
| TOTAL NUMBER OF CONTAINERS OR PACKAGES (IN WORDS)) | | SAY ____________________ONLY |
| CONTAINER NO. | SEAL NO. | PKGS | CONTAINER NO. SEAL NO. PKGS |
| RECEIVED CCCCCCCBY TERMINAL |
| FREIGHT & CHARGE | PREPAID AT | PAYABLE AT | PLACE OF ISSUE |
| TOTAL PREPAID | NO. OF ORIGINAL B/L THREE | |
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