Коносамент (товарораспорядительный документ) (Bill of Lading)
Bill of Lading SHIP (VESSEL): _________________________________________ (name, home port and registration number) BILL DATE: __________________ TO FROM --------------------------------------------------------------------------- ¦Consignee ¦ ¦Shipper ¦ +---------------------------------+-----+---------------------------------+ ¦Street ¦ ¦Street ¦ +---------------------------------+-----+---------------------------------+ ¦Destination ¦ ¦Origin ¦ +---------------------------------+-----+---------------------------------+ ¦City/State/Zip ¦ ¦City/State/Zip ¦ +---------------------------------+-----+---------------------------------+ ¦Route: ¦ ¦Special Instructions: ¦ ----------------------------------+-----+---------------------------------- FOR PAYMENT, SEND BILL TO SHIPPER'S INSTRUCTIONS --------------------------------------------------------------------------- ¦Name ¦ ¦ ¦ +---------------------------------+-----+---------------------------------+ ¦Company ¦ ¦ ¦ +---------------------------------+-----+---------------------------------+ ¦Street ¦ ¦ ¦ +---------------------------------+-----+---------------------------------+ ¦City/State/Zip ¦ ¦ ¦ ----------------------------------+-----+---------------------------------- --------------------------------------------------------------------------- ¦NO. SHIPPING UNITS¦TIME¦ DESCRIPTION OF ARTICLES ¦WEIGHT¦RATE¦CHARGES¦ ¦ ¦ ¦ SPECIAL MARKS & EXCEPTIONS ¦ ¦ ¦ ¦ +------------------+----+-----------------------------+------+----+-------+ ¦ ¦ ¦ ¦ ¦ ¦ ¦ +------------------+----+-----------------------------+------+----+-------+ ¦ ¦ ¦ ¦ ¦ ¦ ¦ +------------------+----+-----------------------------+------+----+-------+ ¦ ¦ ¦ ¦ ¦ ¦ ¦ +------------------+----+-----------------------------+------+----+-------+ ¦ ¦ ¦ ¦ ¦ ¦ ¦ +------------------+----+-----------------------------+------+----+-------+ ¦ ¦ ¦ ¦ ¦ ¦ ¦ +------------------+----+-----------------------------+------+----+-------+ ¦ ¦ ¦ ¦ ¦ ¦ ¦ +------------------+----+-----------------------------+------+----+-------+ ¦ ¦ ¦ ¦ ¦ ¦ ¦ +------------------+----+-----------------------------+------+----+-------+ ¦ ¦ ¦ ¦ ¦ ¦ ¦ +------------------+----+-----------------------------+------+----+-------+ ¦ ¦ +-------------------------------------------------------------------------+ ¦REMIT C.O.D. ¦C.O.D. AMOUNT: ¦C.O.D. FEE ¦ ¦ ¦ ¦PREPAID ___________¦ ¦ ¦ ¦COLLECT ___________¦ +------------------+----------------------------------+-------------------+ ¦TO: ¦If this shipment is to be ¦TOTAL ¦ ¦ ¦delivered to the consignee without¦CHARGES $ ¦ ¦ADDRESS: ¦recourse on the consignor, the ¦ ¦ ¦ ¦consignor shall sign the following¦ ¦ ¦ ¦statement: ¦ ¦ ¦ ¦The carrier shall not make ¦ ¦ ¦ ¦delivery of this shipment without ¦ ¦ ¦ ¦payment of freight and all other ¦ ¦ ¦ ¦lawful charges. ¦ ¦ ¦ ¦__________________________________¦ ¦ ¦ ¦ (Signature of Consignor) ¦ ¦ -------------------+----------------------------------+-------------------- --------------------------------------------------------------------------- ¦NOTE: Where the rate is dependent ¦ ¦Freight Charges ¦ ¦on value, shippers are required to¦ ¦are collect unless ¦ ¦state specifically in writing the ¦ ¦market prepaid ¦ ¦agreed or declared value of the ¦ ¦ ¦ ¦property. The agreed or declared ¦ ¦CHECK BOX IF ¦ ¦value of the property is hereby ¦ ¦PREPAID ___________¦ ¦specifically stated by the shipper¦ ¦ ¦ ¦to be not exceeding $ ¦ ¦ ¦ ¦per ¦ ¦ ¦ +----------------------------------+------------------+-------------------+ ¦Shipper ¦Carrier ¦ +----------------------------------+--------------------------------------+ ¦Per ¦Per ¦Date: ¦ +----------------------------------+------------------+-------------------+ ¦Mark with "X" or "RQ" if appropriate to designate Hazardous Materials ¦ ¦Substances as defined in the Department of Transportation Regulations ¦ ¦governing the transportation of hazardous materials. The use of this ¦ ¦column is an optional method for identifying hazardous materials on Bills¦ ¦of Lading 172.201(a)(1) (iii) of Title 49. Code of Federal Regulations. ¦ ¦Also when shipping hazardous materials, the shipper's certification ¦ ¦statement prescribed in section 172.204(a) of the Federal Regulations, as¦ ¦indicated on the Bill of Lading does apply, unless a specific exception ¦ ¦from the requirement is pro vided in the Regulation for a particular ¦ ¦material. ¦ ---------------------------------------------------------------------------
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