|
SHIPPER |
D/R NO.
|
抬头 |
|
CONSIGNEE
|
缴纳出口货物港务费申请书 |
|
NOTIFY PARTY |
|
第五联
副页
|
|
PRE-CARRIAGE BY 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
BY
TERMINAL |
| FREIGHT & CHARGE |
PREPAID AT |
PAYABLE AT |
PLACE OF ISSUE |
| TOTAL PREPAID |
NO. OF ORIGINAL B/L THREE |
|