Date:
P.O. Number:
Shipper From:
Consignee TO:
Street:
CT-Street:
City:
CT-City:
State:
CT-State:
ZipCode:
CT-Zip Code:
Who do we Notify if Problem enroute or at delivery:
Name:
Telephone:
Fax:
Handling Units:
# Packages:
HM
Kind of Packaging, Description of Articles, Special Marks and Exceptions,NMFC & Class (Subject to Correction)
Weight(Subject to Correction)
