EVT0010957_-_Exhibit_B_-_Example_of_Report_of_Shipment_Order.pdf
PDF 89 KB Posted
- Solicitation number
- EVT0010957
- Issued by
- Sedgwick County, Kansas
About this file
This document is a Forwarding Notice and Report of Shipment Order form issued by the U.S. Department of Agriculture, Kansas City FSA Commodity Office. The exhibit demonstrates the standard format and procedures for commodity distribution under a state and local contract involving food product shipments. The commodity in question is canned applesauce in 24/#300 can units, with two warehouse lots (Lot No. 0152138 and 0152353) containing a combined total of 1,620 units. The shipment originates from Mike Commodity Co. located in Anytown, Kansas, with a shipping date of September 1, 1999, and a latest shipping date of September 15, 1999. The final consignee is EES Food Distribution located in Topeka, Kansas, with an alternate delivery location at Bemy Food Sales Inc. in Somewhere, Kansas. The document specifies that the vendor or trucker must contact the consignee at least 24 hours prior to delivery to schedule an unloading appointment.
The shipment includes a net weight of 36,450 pounds and gross weight of 43,740 pounds. The commodity is designated as a dry load and transportation will be handled by truck. Contact information is provided for Mike Commodity Co. for equipment ordering and Ms. Knowitall for transportation information. The form includes sections for warehouse lot identification, consignee receipts for non-common carrier moves, and certification of receipt, ensuring proper documentation and accountability throughout the distribution process. This example form establishes the documentation requirements and procedures for commodity shipments under the USDA contract framework.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| EVT0010957_-_Attachment_A_-_Data_Security_Agreement_.pdf | ||
| Soup_Kitchen_Food_Bank_Storage___Delivery_Services.pdf | ||
| EVT0010957_-_Vendor_Questions_Template.xlsx | XLSX spreadsheet | |
| EVT0010957_-_Exhibit_A_-_Sample_Delivery_Receipt.pdf | ||
| EVT0010957_-_Bid_Documents.pdf | ||
| EVT0010957_-_EXHBIT_C_.xlsx | XLSX spreadsheet |
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Text version
FORWARDING NOTICE PAGE 1 OF 1 DATE
08/06/99
CONTRACT No. OR WHSE CODE
N / D No.
WD00123456
HAS BEEN INSTRUCTED TO DELIVER THE FOLLOWING COMMODITY
DOCKET
ANNOUNCEMENT INVITATION
COMMODITY DESCRIPTION
APPLESAUCE, CANNED
SERVING CARRIER PC
PY
COMM. CODE
CERTIFICATE No. GRADE FOB OR FAS
ORIGIN
MAILING ADDRESS OF SHIPPER
MIKE COMMODITY CO.
1234 FOODDIST RD
PO BOX 0123
ANYTOWN KS 10203
LOCATION OF SHIPPER
MIKE COMMODITY CO.
1234 FOODDIST RD
PO BOX 0123
ANYTOWN KS 10203
PHONE 999-123-4567
*NOTE: Explain all differences between billed and received weight on reverse
WAREHOUSE LOT IDENTIFICATION
LOT No.
0152138 0152353
PC
PY
COMM. CODE
3011 NG
3011 NG
SIZE - TYPE - UNITS
24 / #300 CAN
24 / #300 CAN
No. OF UNITS
NET WEIGHT
36,293
GROSS WEIGHT
43,551
CERTIFICATE No. EX N/D No.
WD020225810
WD020225836
FINAL CONSIGNEE AND DESTINATION I 441132
TC
DESTINATION CITY & STATE
SEE BELOW
DISPOSITION NUMBER
A351420A003
SIZE - TYPE - UNITS
24 / # 300 CAN
UNITS
NET WEIGHT
36,450
GROSS WEIGHT
43,740
DELY CARR.
C/O TRUCK DELY LOC
BEMY FOOD SALES INC
12344 BUYERS STREET
SOMEWHERE KS 16601
CONTACT MR BOSSMAN
PHONE 785-123-4567
FAX 785-123-8910
C/O RAIL DELY LOC
CONSIGN TO
EES FOOD DISTRIBUTION UNIT
915 SW HARRISON, 681-W
TOPEKA KS 66612
CONTACT COMMODITY MGR
PHONE 785-368-8126
FAX 785-296-6960
CONSIGNEE RECEIPT FOR
NON-COMMON CARRIER MOVES
UNITS RECEIVED DATE RECEIVED RECEIVED BY (SIGNATURE & TITLE)
WAREHOUSE LOT IDENTIFICATION --
LOT No. PC
PY
COMM. CODE
No. OF UNITS
CERTIFICATE No. EX N/D No.
CONSIGNEE AND DESTINATION II
TC
DESTINATION CITY & STATE
DISPOSITION NUMBER
UNITS
DELY CARR.
CONSIGNEE RECEIPT FOR
NON-COMMON CARRIER MOVES
UNITS RECEIVED DATE RECEIVED RECEIVED BY (SIGNATURE & TITLE)
ROUTING - To Order Equipment, Phone
MIKE OMMODITY CO. (999) 123-4567
RATE ID TRANS MODE
TRUCK
MILES
FOR MORE INFO. PHONE
MS KNOWITALL (999) 123-4568
UNITS
1,620
NET WEIGHT
36,450
GROSS WEIGHT
43,740
FOR TRANSPORTATION INFO. PHONE
MS KNOWITALL (999) 123-4568
SHIP NET
09/01/99
SHIP NLT
09/15/99
SHOW ON B/L: VENDOR / TRUCKER MUST CONTACT CONSIGNEE AT LEAST 24 HOURS BEFORE DELIVERY FOR APPOINTMENT TO UNLOAD.
DRY LOAD
KC-269-A (6-14-99) U.S. DEPARTMENT OF AGRICULTURE
Kansas City FSA Commodity Office
FORM APPROVED - OMB No. 056 0-0052
EXHIBIT B
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