BILL OF LADING RECEIPT
I, ___________________________ (name), the undersigned, hereby acknowledge that on __________ (date), I received from __________ (issuing carrier) an original bill of lading dated __________ (date), and numbered __________, covering consignment of __________ (goods) from ___________________ (consignor) to ________________ (consignee) in __________ (destination).
_____________________________________________ Signature
____________________ Date