Consignor/Shipper	Consignee (If 'To Order' so indicate)
Notify Party (No responsibility shall attach to MTO or his agent for failure to notify)
Amount of Receipt	Freight payable at
Port of Discharge	Place of Delivery
Marks & Number / Container Nos  |  Number & kind of packages / Description of Goods  |  Gross Weight  |  Measurement
Total No. of Containers / Packages	Other particulars (if any)