WAYBILL Date Issued:

15-Oct-2020 02:16

(This serves as DELIVERY RECEIPT upon acknowledgement by Consignee)

Delivery Authorized by Consignee Vessel:

Document Barge:
No. PB0009616 Contract Ref: ATW # 141270
Others ATL No:
Consignee & Address Loading at Delivery and Unloading at
M1 S2

Data of Trucking Contractor Truck Scale Reports Description of Cargo Loaded

Hauler's Name WELLIKS TRUCKING
SVCS
Trailer Plate Data Origin Destination As Loaded Quantity & Weight
No.
Truck Plate No. 1801-017310 Gross Weight 45.47
Name of Driver LOZADA, FRANCISCO M Tare Weight 19.33 No. of Bags Net Weight, MT
THE HAULER IS RESPONSIBLE FOR THE Net Weight 26.14
SAFTEY, SECURITY AND CARE FOR THE 26.14
WS Ticket No.
LOADED CARGOES WHILE ABOARD THIS
TRUCK TRAILER Remarks Issued by :

Driver's Signature over Printed Name

PDL No. Dispatcher on Duty

Data Loading Unload

Received the above cargoes in good order and
Date condition with exceptions and remarks if any :
Start
End By:
Security & Escourt Data NO CLAIMS FOR SHORTAGES AND Authorized by Consignee
Signature DAMAGES TO CARGOES COVERED BY
THIS WAYBILL WILL BE ENTERTAINED
Printed Name UNLESS DOCUMENTED AND REPORTED
Agency WITHIN 24 HOURS AFTER RECEIPT TO Printed Name / Date
ANY AUTHORIZED REPRESENTATIVE OF
No. of Seals BRIGHT
Sealed by Position