Golden rule dispatch Short form BOL

Shipper info

• Company name

• Address
  Address

• Phone number

• Point of contact

Delivery info

• Name

• Address
  Address

• Phone number

• Point of contact

Description of cargo

• How many pieces

• Vin or serial number if applicable

• Description

• Pictures of load

  Media

Shipper signature

• Authorized signature

  Sign

• Date

  Date

Carrier signature

• Received in satisfactory condition

  Sign

• Date

  Date

Receiver signature

• Received in satisfactory condition

  Sign

• On this date.

  Date