| Company’s Name | Invoice No. and Date | |||||||
| Buyer’s Order No. & Date | ||||||||
| Other Reference(s) | ||||||||
| Buyer (if other than consignee) | ||||||||
| Country of Origin of Goods | Country of final Destination | |||||||
| Pre-carriage by | Place of Receipt by Pre carrier | |||||||
| Vessel/Flight No. | Port of Loading | |||||||
| Part of discharge | Final Destination | |||||||
| Marks & No/
Container No. |
No. of Kind of Packages | Description of Goods | Quantity | Rate | Remarks | |||
|
For Company’s Name Signature & Date |
||||||||