| 货代负责的单证之出口十联单--第五联副页
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
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PRE-CARRIAGE BY PLACE OF RECEIPT |
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OCEAN VESSEL VOY.NO. PORT OF LOADING |
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PORT OF DISCHARGE PLACE OF DELIVERY | FINAL DESTINATION FOR THE MERCHANTS RETER-ENCE
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| 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 | ||||||||||
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