HTML Preview Bill Lading Sample page number 1.
U.S. GOVERNMENT BILL OF LADING
INTERNATIONAL AND DOMESTIC OVERSEAS SHIPMENTS
B/L NUMBER
TRANSPORTATION COMPANY TENDERED TO SCAC DATE B/L PREPARED
SPLC (Dest.)
SPLC (Orig.)
DESTINATION NAME AND ADDRESS
CONSIGNEE (Name and full address of installation) GBLOC (Cons.)
ORIGIN NAME AND ADDRESS
SHIPPER NAME AND ADDRESS
APPROPRIATION CHARGEABLE
BILL CHARGES TO (Dept./agency, bureau/office mailing
address and ZIP code)
VIA (Route shipment when advantageous to the Government)
AGENCY LOC CODE
MARKS AND ANNOTATIONS
TARIFF/SPECIAL RATE AUTHORITY CARRIER WAY/FREIGHT BILL NO. AND DATE
STOP THIS SHIPMENT AT
FURNISH INFORMATION ON CAR/TRUCKLOAD/CONTAINER SHIPMENTS
FOR
APPLIED BY:
CARRIER'S PICKUP DATE
(Year, month, and day)
MODE ESTIMATE NO. OF
CLS/TLS
TYPE RATE PSC REASON
This U.S. Government shipment is subject to terms and
conditions of 41 CFR 102-117 and CFR 102-118.
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.
STANDARD FORM 1103 (REV. 9/2003)
Prescribed by GSA/FMR 102-118
AUTHORIZED FOR LOCAL REPRODUCTION
SEAL NUMBERS
LENGTH/CUBE MARKED CAPACITY
DATE FURNISHED
ORDERED FURNISHED ORDERED FURNISHED
CERTIFICATE OF CARRIER BILLING -- CONSIGNEE MUST NOT PAY ANY CHARGES
DELIVERED ON (Year, month, and day)
PACKAGES
NO. KIND
DESCRIPTION OF ARTICLES (Use carrier's classification or tariff description
if possible; otherwise use a clear nontechnical description.)
19. WEIGHTS*
(Pounds only)
HM
FOR USE OF BILLING CARRIER ONLY
Services Rate Charges
CLASSIFICATION ITEM NO.
TOTAL
CHARGES