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CONTRACTOR OR CARRIER: OWNER: ORIGIN LOADING ADDRESS: DESTINATION: MAKE/MODEL YEAR BODY STYLE COLOUR

REFERENCE #

NUMBER PLATES

IT IS THE SHIPPERS RESPONSIBILITY TO MAKE SURE THAT THE COOLING SYSTEM IS PROTECTED FROM FREEZING OVER

DESCRIPTION SYMBOLS
1. SCRATCHED 2. DENTED 3. BENT 4. CAVED 5. CRUSHED 6. BROKEN 7. LOOSE 8. CRACKED 9. FADED 10. MARRED

MARK OBSERVATIONS WITH PEN

INSURED VALUE IN EUROS () REMARKS / EXCEPTIONS

WE HAVE CHECKED THE ITEM(S) LISTED AND AKNOWLEDGE THAT THIS IS A TRUE AND COMPLETE STATE OF THE GOODS
CONTRACTOR / CARRIER OR REPRESENTATIVE

AT ORIGIN

DATE: TIME: DATE: TIME: DATE: TIME: DATE: TIME:

OWNER OR AUTHORIZED AGENT CONTRACTOR / CARRIER OR REPRESENTATIVE

AT DESTINATION

OWNER OR AUTHORIZED AGENT

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