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Consigner Name:
consignee Name:
Consigner Address:
Consignee Address:
Receipt No:
Place of Origin:
vahicle No:
Date:
Place of Destination:
Value of Goods:
Serial No:
Description of Goods:
No of Packages:
Weight in KG(Gross):
Weight in KG(Chargable):
Freight(Paid):
Freight(To pay):
Receive above shipment in order and in good condition/we agree to pay all charges octroi and taxes
Consignee Stamp:
Receivers:
Signature:
Date:
Name:
Note*: LR Charges 50/rs
I hereby declare that content on this LR are truee and correct.
Name:
Signature: