SHIPMENT DELIVERY RECORD

NOTE : Shipment Received Complete and in Good Condition

COURIER'S NAME

REFERENCE No.:

COURIER ROUTE

DELIVERY DATE

TOTAL SHIPMENTS:

STATION

NUMBER OF DROPS:

TOTAL PIECES:

CONSIGNEE NAME

AIRBILL
NUMBER

Seal No ORIG PCS. WT.

Pick-up
PROD. TIME
Date

CODE

PRINTED NAME

RELATIONSHIP

SIGNATURE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20

SHIPMENT RECEIVED COMPLETE AND IN GOOD CONDITION:

(For UNDELIVERED shipments)
Total number of undelivered shipment/s received :___________
BRC - SDR
Rev No. 01 / Effective Date: November 15, 2016

(Signature Over Printed Name / Date)