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3 4 Shipper’s Reference PAGE of - Mohawk Global …

IMO dangerous GOODS DECLARATION1 Shipper2 Transportation Document Number3 PAGE of4 shipper s Reference6 Consignee5 Freight Forwarder s Reference7 Carrier (to be declared by the Carrier)8 shipper S DECLARATIONI hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name(s), and are classified, packaged, marked and labeled/placarded, and are in all respects in proper condition for transport according to applicable international and national governmental Vessel/Flight and Date11 Port/Place of Loading9 Additional Handling Information12 Port/Place of Discharge13 Destination14 Shipping MarksNumber and Kind of Packages, Description of GoodsGW (kg)Net Mass (kg)Cube (m3)15 CTU ID Seal Numbers17 CTU Size and Type18 Tare Mass (kg)19 Total Gross Mass (kg)CONTAINER/VEHICLE PACKING CERTIFICATEI hereby declare that the goods described above have been packed/loaded into the container/vehicle identified above in accordance with the applicable provisions of IMDG code Must bE coMPlEtED AnD sIGnED for All contAInEr/vEhIclE loADs by PErson rEsPonsIblE for Receiving Organization ReceiptReceived the above number of packages/containers/trailers in apparent good order and condition, unless stated hereon; RECEIVING ORGANIZATION REMARKS:20 Name of CompanyHauler s Name22 Name of Company

IMO DANGEROUS GOODS DECLARATION 1 Shipper 2 Transportation Document Number 3 PAGE of 4 Shipper’s Reference 6 Consignee 5 Freight Forwarder’s Reference

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  Good, Reference, Declaration, Dangerous, Shipper, 4 shipper s reference, Dangerous goods declaration

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Transcription of 3 4 Shipper’s Reference PAGE of - Mohawk Global …

1 IMO dangerous GOODS DECLARATION1 Shipper2 Transportation Document Number3 PAGE of4 shipper s Reference6 Consignee5 Freight Forwarder s Reference7 Carrier (to be declared by the Carrier)8 shipper S DECLARATIONI hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name(s), and are classified, packaged, marked and labeled/placarded, and are in all respects in proper condition for transport according to applicable international and national governmental Vessel/Flight and Date11 Port/Place of Loading9 Additional Handling Information12 Port/Place of Discharge13 Destination14 Shipping MarksNumber and Kind of Packages, Description of GoodsGW (kg)Net Mass (kg)Cube (m3)15 CTU ID Seal Numbers17 CTU Size and Type18 Tare Mass (kg)19 Total Gross Mass (kg)CONTAINER/VEHICLE PACKING CERTIFICATEI hereby declare that the goods described above have been packed/loaded into the container/vehicle identified above in accordance with the applicable provisions of IMDG code Must bE coMPlEtED AnD sIGnED for All contAInEr/vEhIclE loADs by PErson rEsPonsIblE for Receiving Organization ReceiptReceived the above number of packages/containers/trailers in apparent good order and condition, unless stated hereon; RECEIVING ORGANIZATION REMARKS:20 Name of CompanyHauler s Name22 Name of Company Preparing NoteName/Status of DeclarantVehicle Registration of DeclarantPlace and DateDriver Name and DatePlace and DateSignature of DeclarantDriver s SignatureSignature of Declarant


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