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36C78619Q0448 Blank BOL FY20.docx

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VA Commercial Bill of Lading (VCBL) Carrier’s Name / TSP’s Name SCAC Order Date VA CBL Reference Number

DESTINATION Name & Address ORIGIN Name & Address

Consignee’s Name & AddressShipper’s Name & Address
DEPARTMENT OF VETERAN AFFAIRS/NCA

1575 I STREET NW, ROOM 654

WASHINGTON, DC 20005

Bill-Charges-To Name & Address
U.S. Department of Veterans Affairs - NCA

Syncada from VISA P.O. Box 3001 Appropriation Chargeable TSP’s PRO NUMBER Naperville, IL 60566

MARKS / COMMENTS_____________________________________________________________________________________________________________________ In case of delivery problems, re-delivery and damage freight contact Sean Odom “Claims Specialist” (202) 501-2695. For damaged freight, fax disposition request to the NCA MPS: MPSProgSupport@va.gov NOTE: CALL THE CONSIGNEE PRIOR TO DELIVERY

DOCK: PALLETS: STACKABLE PALLETS: LIFT GATE: BLANKET WRAP: INSIDE DELIVERY: EXTRA LABOR:

QUANTITY Hz MAT ITEM DESCRIPTION WEIGHT (lbs) MASS (kg) CUBIC VOLUME (ft3)

MUST DELIVER ON FLAT BED ONLY

Estimated Shipment Value: $

RATE AUTHORITY / TENDER REFERENCE

FREIGHT ESTIMATEThis U. S. Government shipment is subject to the terms and conditions of 41 CFR 102-117 & 41 CFR 102-118 and the
VA General Freight Standard Tender of Service (No. VA-1) on the web at http://www.va.gov/oa&mm/freight/index.htm
Freight charges are PREPAID unless marked collect.VCBL Section 7
VA CBL ISSUING OFFICECheck box if charges are COLLECT.Non-Recourse

U.S. Department of Veterans Affairs

Pickup Driver’s Signature Date

TSP Representative’s Certification of Delivery Date

National Cemetery Administration Memorial Programs Service 1575 I Street, NW Room 654 Washington, DC 20005

U.S. GOVERNMENT SHIPMENT

U.S. GOVERNMENT SHIPMENT

VA Commercial Bill of Lading (VCBL)U.S. GOVERNMENT SHIPMENT

IMPORTANT: Present billing with an original SF1113 & original signature on the above Certification of Delivery VA Form 0742 MAR 2002 VA Commercial Bill of Lading (VCBL)

VA Form 0742 MAR 2002 VA Commercial Bill of Lading (VCBL) image1.png

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