RCA Logisztikai Kft.

1Copy for sender

1. Sender (name, address, country)

INTERNATIONAL CONSIGNMENT

CMR no.

This carriage is subject notwithstanding any clause to the contrary, to the Convention on the Contract for the International Carriage of goods by road

2. Consignee (name, address, country)

16. Carrier (name, address, country)

Vehicle Reg. no.

3. Place of delivery of the goods (place, country)

17. Successive carriers (name, address, country)

4. Place and date taking over the goods (place, country, date)

18. Carriers reservations and observations

5. Documents attached

6.
Jelek, és számok

7.
Csomag darabszám

8.
Csomagolás fajtája

9.
Árumegnevezés

10.
Vámtarifaszám

11.
Bruttó súly [kg]

12.
Térfogat [m3]

Class

Number

Letter

(ADR*)

13. Sender's instructions

19. Special agreements

14. Instruction as to payment for carriage

Carriage paid:

Carriage forward:

20. To be paid by

21. Established in:

15. Cash on delivery

22. Signature and stamp of the sender

23. Signature and stamp of the carrier

24. Signature and stamp of the consignee

A program négy példányt fog generálni (feladó, fuvarozó, címzett, plusz 1 példányt).