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Acknowledgment Of Delivery Bill Of Lading (United States)

This form is to acknowledge receipt of goods bill of lading. The form provided here is simply a sample of what the actual form looks like.

ACKNOWLEDGMENT OF DELIVERY BILL OF LADING

______________________________ (date)

To: ____________________________________ (name of bailee)

_______________________________________ (address)


ACKNOWLEDGMENT OF RECEIPT OF GOODS

The undersigned warrants that __________ (he or she) is the person entitled to delivery of the Goods

under __________________ (bill of lading) number _____________,

issued by you and dated ______________,

and here acknowledges the delivery and receipt of the property described in that document and any supplemental list as follows: ______________________________________.

The undersigned further warrants that the goods so received on this date were in apparent good order except as otherwise noted here: __________.

The delivery and receipt of these items constitutes delivery of all goods owned by the undersigned and stored with the bailee except as follows: ______________ (Set forth numbers of other outstanding receipts or indicate nature of goods remaining in storage).

Executed: _______________________ (date)

_______________________________________________________
Signature

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