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B/L NUMBER
U.S. GOVERNMENT BILL OF LADING INTERNATIONAL AND DOMESTIC OVERSEAS SHIPMENTS TRANSPORTATION COMPANY TENDERED TO
SCAC
DESTINATION NAME AND ADDRESS
DATE B/L PREPARED
ORIGIN NAME AND ADDRESS
SPLC (Dest.) SPLC (Orig.)
CONSIGNEE (Name and full address of installation)
SHIPPER NAME AND ADDRESS
GBLOC (Cons.)
APPROPRIATION CHARGEABLE
BILL CHARGES TO (Dept./agency, bureau/office mailing address and ZIP code)
AGENCY LOC CODE
VIA (Route shipment when advantageous to the Government)
MARKS AND ANNOTATIONS PACKAGES NO.
KIND
HM
DESCRIPTION OF ARTICLES (Use carrier's classification or tariff description if possible; otherwise use a clear nontechnical description.)
FOR USE OF BILLING CARRIER ONLY
19. WEIGHTS* (Pounds only)
Services
Rate
Charges
TOTAL CHARGES
CLASSIFICATION ITEM NO. TARIFF/SPECIAL RATE AUTHORITY
CARRIER WAY/FREIGHT BILL NO. AND DATE
STOP THIS SHIPMENT AT
FURNISH INFORMATION ON CAR/TRUCKLOAD/CONTAINER SHIPMENTS SEAL NUMBERS
FOR
LENGTH/CUBE ORDERED
MARKED CAPACITY
FURNISHED
ORDERED
FURNISHED
DATE FURNISHED
APPLIED BY: CARRIER'S PICKUP DATE (Year, month, and day) MODE
ESTIMATE
NO. OF CLS/TLS
This U.S. Government shipment is subject to terms and conditions of 41 CFR 102-117 and CFR 102-118.
TYPE RATE
PSC
REASON
CERTIFICATE OF CARRIER BILLING -- CONSIGNEE MUST NOT PAY ANY CHARGES DELIVERED ON (Year, month, and day) FOR USE OF ISSUING OFFICE
ISSUING OFFICE (Name and complete address)
GBLOC
ISSUING OFFICER
CONTRACT/PURCHASE ORDER NO. OR OTHER AUTHORITY
DATED
FOB POINT NAMED IN CONTRACT *Show also cubic measurements for shipments via air, truck or water carrier in cases where required.
AUTHORIZED FOR LOCAL REPRODUCTION
STANDARD FORM 1103 (REV. 9/2003) Prescribed by GSA/FMR 102-118
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