COMBINATION PICKUP ORDER/DELIVERY PERMIT/DOCK RECEIPT

TO: PICKUP FROM:

MK LOGISTICS NEAL BROTHERS CHARLESTON, INC.
2701 AZALEA DRIVE
NORTH CHARLESTON, SC 29405
TEL# 843-377-2011
PICK UP BY APPOINTMENT ONLY

SHIPPER/EXPORTER BOOKING NO. BL NUMBER

78090526 HLCUHAM211115561
EXPORT REFERENCES CONSOLIDATION NO.
REF: 1021121074 DUICHS2021049
SHIPPER REF: 06RG2103247,06RG2103248,
CONSIGNEE REF:

SUPPLIER CHARGES FOR THE ACCOUNT OF FMC 4112F

PETER WITTWER NORTH AMERICA, INC.
FMC 4112F / CHB
5900 CORE ROAD
SUITE 204
NORTH CHARLESTON, SC 29406

PLACE OF DELIVERY / CONSIGNEE UNLOADING/LOADING MODE

CONMED DISTRIBUTION CENTER ATLANTA
1250 TERMINUS DRIVE #11
LITHIA SPRINGS, GA, 30122,USA DELIVERING CARRIER
ATTN: FELECIAPHARR-BANKS@CONMED.COM
VIOLETLITTLETON@CONMED.COM CAR/TRUCK NUMBER REFERENCE
TRUCK
CUT OFF DATE SAILING DATE ETA FOR PROMPT PICKUP/DELIVERY PLEASE CALL IN ADVANCE
12/1/2021 12/11/21

ONWARD INLAND ROUTING

EXPORTING CARRIER PORT OF LOADING
COLORADO EXPRESS 021W ANTWERP

AIR/SEA PORT OF DISCHARGE VOYAGE NUMBER

CHARLESTON 021W

PARTICULARS FURNISHED BY SHIPPER

MARKS AND NUMBERS NO. OF PKGS. DESCRIPTION OF PACKAGES AND GOODS GROSS WEIGHT MEASUREMENT

31 TOTAL PALLETS MEDICAL EQUIPMENT 13558 LBS

6150 KGS
FANU140083-6 6 PACKAGES MEDICAL EQUIPMENT
DPA075676 HTS CODE: 901832,901890
HLXU841042-5 5 PACKAGES MEDICAL EQUIPMENT
DPA074305 HTS CODE: 901832,901890
20 PACKAGES MEDICAL EQUIPMENT
HTS-CODE: 901890

BY: ELLIOTT BURKE

DATE: 1/17/2022
NOTES: *PLEASE NOTE YOU MUST HAVE APPOINTMENT PRIOR TO DELIVERY*
FRIDAY 01/21 @ 7:30 AM

P/U# CC, DD & GG

ABOVE ITEMS RECEIVED IN APPARENT GOOD ORDER AND CONDITION (EXCEPT AS MAY BE NOTED). THIS PICKUP/DELIVERY ORDER IS
SUBJECT TO THE TERMS AND CONDITIONS OF THE RECEIVING CARRIER'S BILL OF LADING, COPIES OF WHICH ARE AVAILABLE UPON
REQUEST.
ARRIVED__________AM__________PM BY RECVNG CLERK___________________

STARTED__________AM__________PM DATE___________________

FINISHED__________AM__________PM PLACED ON LOCATION___________________

Peter Wittwer North America, Inc. FMC 4112F / CHB 21685 2401 West Bay Dr Suite 123 Largo, FL 33770 PH 727.588.2366 FX 727.588.2466
Peter Wittwer North America, Inc. FMC 4112F / CHB 21685 2401 West Bay Dr Suite 123 Largo, FL 33770 PH 727.588.2366 FX 727.588.2466