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  • COPY FOR SENDER / EXEMPLAIRE DE LEXPEDITEUR

    1 Sender / Expditeur INTERNATIONAL CONSIGNMENT NOTE LETTRE DE VOITURE INTERNATIONALE This carriage is subject notwithstanding any clause to the contrary to de Convention on the Contract for the International Carriage of Goods by Road (CMR) Ce transport est soumis, nonobstant toute clause contraire la Convention au Contrat de Transport International de Marchandises par Route (CMR)

    2 Consignee / Destinataire 16. Carrier / Transporteur

    3 Place of delivery of the goods / Lieu pour la livraison de la marchandise 17. Successive Carriers / Transporteurs succesifs

    4 Loading place of the goods / Lieu de la prise en charge de la marchandise 18. Carriers reservations and observations / Rserves et observations du transporteur

    5 Documents attached / Documents annexs

    6. Marks and numbers Marques et numros

    7 Number of packages Nombre de colis

    8 Method of packing Mode demballage

    9 Nature of the goods Nature de la marchandise

    10. Statist. No No Statist.

    11. Gross weight, kg Poids brut, kg

    12 Volume m3 Cubage m3

    13 Senders Instructions / Instructions d lexpditeur 19. Special agreements / Conventions Particulires

    20 To be paid by A payer par

    Sender / Expditeur Consignee / Destinataire

    Carriage charges Prix du transport

    Reductions Rductions

    Balance Solde

    Supplem. charges Supplments

    14 Instruction as to payment for carriage / Instructions de paiment pour le transport

    Other charges Frais accesoires

    Seguro Assurance

    TOTAL

    21 Established in ..... on .... / Etablie ...... le........ 15 Cash on delivery /Remboursement

    22 Signature and stamp of the sender Signature et timbre de lexpditeur

    23 Signature and stamp of the carrier Signature et timbre du transporteur

    24 Goods received / Merchandises reues Place on Lieu Signature and stamp of the consignee Signature et timbre du destinataire

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