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Rail Billing Form

DOMESTIC CONTAINER TRANS. INC.
650 N. ROSE DRIVE, # 611
PLACENTIA, CA. 92870
FAX: (714)630-8035 TELEPHONE: (714)630-8034
dave@dctrans.com

ORDERED BY: ________________________________________________________________________

CUSTOMER REF NUMBER : ______________________ ORDER DATE: _________________________

CUSTOMER : _________________________________________________________________________

ADDRESS : __________________________________________________________________________

____________________________________________________________________________________

FAX:     -     -      TELEPHONE:     -     -       

|QUOTE NO       | PATRON CODE | PREPAID/COLLECT       | RAIL AUTHORITY      | B/L NO.
|
|              |              | PREPAID                |                      |
|-----------------------------------------------------------------------------------
| UNIT NUMBER | LOADED/EMPTY      | LENGTH      | INTL/DOM |TOFC/COFC| PLAN      
|
|              |                  |              |         |          | 45.00
|-----------------------------------------------------------------------------------
| COMMODITY           | STCC:      |HAZARDOUS     | WEIGHT           | PIECES     
|
|                     |          |               |                   |                                               |-----------------------------------------------------------------------------------
| ORIGIN RAMP                                                                                                                    
|
|-----------------------------------------------------------------------------------
| DESTINATION RAMP                          
|
|-----------------------------------------------------------------------------------
| NOTIFY ON ARRIVAL                |NOTIFY PARTY           |PHONE CONTACT
|
|
|-----------------------------------------------------------------------------------
| DISPATCH NOTES
|
|
| BILLING NOTES
|
|
| PICKUP NOTES
|
|
| DELIVERY NOTES
|
|
| SHIPPER                                      | CONSIGNEE
|_________________________________           |____________________________________
|
|_________________________________           |____________________________________
|
|_________________________________           |____________________________________
|JUNCTIONS:  
|
|
|ROUTING: _____ _____ _____