Domestic Consignment Note

Domestic Consignment Note Sender (Name, address) Sender customer number Senders reference

Receiver (Name, address) Receivers customer number Receivers reference

Customer according to agreement (Name, address) Customer number Customer reference

Agreement no. Green Cargo order number

Delivery instructions/ notifications

Information to Payment instructions Customer (agreement) pays receiver about handling/unloading Carriage charges paid Receiver pays (4) the goods etc. (Franko)

Part to call-off on Customer number agreement pays (9) Call-off part

Departure terminal No. of approved Receiver pallet- EUR-pallets reg.no. Destination terminal Sender pallet- reg.no. Documents attached to consignment note

Hazardous goods Hazardous (RID) goods notes Yes No

Special instructions (HG)

Special transport - no

Wagon number Number and type Type of goods Sealing no. Gross Net weight NHM - no of packages/Ctr - weight kg kg number incl tara (ctr)

Green Cargo Customer service notes Time of departure Train no. Date Time Other:

X 31-01 (utgåva 4) MAK Utskriven 2018-04-03 21:10