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Delivery Receipt By Carrier To Seller



DELIVERY RECEIPT BY CARRIER TO SELLER

Station [Station]

Freight Bill Number [Bill Number]

Consignee [Consignee]

Destination [Destination]

Route [point of origin to destination]

Received of [name of shipper] the following described articles in good order: [Description of articles]

Way-billed from [Way-billed from]

Way-bill Date and Number [Way-bill Date and Number]

Full Name of Shipper [Full Name of Shipper]

Car Initial and Number [Car Initial and Number]

Point and Date of Shipment [Point and Date of Shipment]

Connecting Line Reference [Connecting Line Reference]

Previous Way-bill Reference [Previous Way-bill Reference]

Original Car Initial and Number [Original Car Initial and Number]

Number of Packages, Articles and Marks [Number of Packages]

Weight [Weight]

Rate [Rate]

Freight [Freight]

Advances [Advances]

Total [Total]

Total Prepaid: $ [Total Prepaid:] Dollars

Notice Mailed [Date Notice Mailed]

Date of Delivery [Date of Delivery]

Total [Total]

Receipt of Property Acknowledged by [Consignee], Consignee.

This receipt to be retained for station record when dated and signed by consignee.

Dated: [Dated]



signature


This is a UCC Buying & Selling of Goods provision. It is designed to supplement UCC "Buy & Sell" forms found in this category.