Shipper (发 货 人)D/R No. (编号) （实际托运人章）Consignee (收 货 人)场站收据副本大副联COPY OF DOCK RECEIPT(FOR CHIEF OFFICER)第六联Notify Party (通 知 人)Received by the Carrier the Total number of containers or otherpackages or units stated below to be transported subject to the termsand conditions of the Carriers regular form of Bill of Loading (forcombined Transport or Port to Port Shipment) Which shall be deemedto be incorporated herein.Date (日期)：Pre-carriage by (前程运输)Place of Receipt (收货地点)Ocean Vessel (船名) Voy. No. (航次)Port of Loading (装货港)场站章Port of Discharge (卸货港)Place of Delivery (交货地点)Final Destination for the Merchants Reference(目的的)Container No.(集装箱号)Seal No. (封志号)Marks & Nos.(标记与号码)No of contai-ners or pkgs.(箱数或件数)King of Package: Description of Goods (包装种类与货名)Gross Weight毛重(公斤)Measurement尺码(立方米)TOTAL NUMBER OF CONTAINERSOR PACKAGES (IN WORDS)集装箱数或件数合计(大写)Container No. (箱号)Seal No. (封志号)Pkgs. (件数)Container No. (箱号)Seal No. (封志号)Pkgs. (件数)Received (实收)By Terminal clerk (场站员签字)FREIGHT&CHARGESPrepaid at (预付地点)Payable at (到付地点)Place of Issue (签发地点)Total Prepaid (预付总额)No. of Original B(s) /L (正本提单份数)BOOKING (订舱确认)APPROVED BYService Type on ReceivingService Type on DeliveryReefer Temperature Required (冷藏温度)CYCFSDOORCYCFSDOOR TYPEOFGOODS(种类)Ordinary.(普通)Reefer.(冷藏)Dangerous.(危险)Auto.(裸装车辆)危险品Class:Property:IMDG Code Page:UN No.Liquid.(液体)Live Animal.(活动物)Bulk.(散货)