Приказ МПС РФ от 17 января 2001 г. N 1 ЦЗ "Об утверждении Правил приема заявок на перевозки грузов на железнодорожном транспорте" стр. 3

  1. Документы
  2. Приказы РФ
________________________ (полное наименование)
_______________________________________________
(почтовый адрес и банковские реквизиты)
Экспедитор _______________________________________________
(полное наименование)
Заявка на перевозку грузов на период с ______.... г. по _____.... г.
N договора ____________ Подача вагонов, контейнеров _____________
+---------------------------------------------------+-----------------------------------------------------+
| | |
+---------------------------------------------------+-----------------------------------------------------+
| (наименование станции Код | (наименование номенклатурной группы груза) |
| отправления) | |
+----------------+--------+-------+ | +---------+-------------+ |
| Вид сообщения | N | N | | Код | Код | Код | |
| | |отделе-| | |грузоотп-| плательщика | |
| | | ния | | |равителя | | |
| | | | | +---------+-------+-----+ |
| | | | | | ОКПО | Ж.Д. |ОКПО | |
+----------------+--------+-------+-----------------+---------+---------+-------+-----+ |
| | | | | | | | | |
+-----+----------++------++------++-----------------+---------+---------+------++-----+-------------------+
|Дата | Код и |Прина-|Собст- | Назначение |Коли- | Род |
|пода-| точное |длеж- |венник +--------------------+------------------------+чество|вагонов/контейнеров|
| чи |наименова- |ность |вагона,|Наименования дороги | Коды | тонн | |
|ваго-| ние груза |вагона|контей-| и станции; страны; | | | |
| на, | |конт-р| нера | пункта перевалки и +---------+------+-------+ +------+------+-----+
|кон- | |а КОД | КОД | пункта назначения; |дороги и |страны|грузо- | | Код |Наиме-|кол-в|
|тей- | | | ОКПО |организации, имеющей|станции, |назна-|получа-| | |нова- | о |
|нера | | | | договор на |погранич-|чения | теля | | | ние | |
| | | | | перевалку; | ной | | | | | | |
| | | | | грузополучателя. |станции, | | | | | | |
| | | | | | пункта | | | | | | |
| | | | | |перевалки| | | | | | |
| | | | | |и пункта | | | | | | |
| | | | | |назначе- | | | | | | |
| | | | | | ния | | | | | | |
+-----+-----------+------+-------+--------------------+---------+------+-------+------+------+------+-----+
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 |
+-----+-----------+------+-------+--------------------+---------+------+-------+------+------+------+-----+
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+-----+-----------+------+-------+--------------------+---------+------+-------+------+------+------+-----+
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+-----+-----------+------+-------+--------------------+---------+------+-------+------+------+------+-----+
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+-----+-----------+------+-------+--------------------+---------+------+-------+------+------+------+-----+
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+-----+-----------+------+-------+--------------------+---------+------+-------+------+------+------+-----+
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+-----+-----------+------+-------+--------------------+---------+------+-------+------+------+------+-----+
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+-----+-----------+------+-------+--------------------+---------+------+-------+------+------+------+-----+
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+-----+-----------+------+-------+--------------------+---------+------+-------+------+------+------+-----+
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+-----+-----------+------+-------+--------------------+---------+------+-------+------+------+------+-----+
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+-----+-----------+------+-------+--------------------+---------+------+-------+------+------+------+-----+
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+-----+-----------+------+-------+--------------------+---------+------+-------+------+------+------+-----+
| | | | | | | | | | | | |
+-----+-----------+------+-------+--------------------+---------+------+-------+------+------+------+-----+
| | | | | | | | | | | | |
+-----+-----------+------+-------+--------------------+---------+------+-------+------+------+------+-----+
| | | | | | | | | | | | |
+-----+-----------+------+-------+--------------------+---------+------+-------+------+------+------+-----+
| | | | | | | | | | | | |
+-----+-----------+------+-------+--------------------+---------+------+-------+------+------+------+-----+
| | | | | | | | | | | | |
+-----+-----------+------+-------+--------------------+---------+------+-------+------+------+------+-----+
| | | | | | | | | | | | |
+-----+-----------+------+-------+--------------------+---------+------+-------+------+------+------+-----+
+-----+-----------+------+-------+---------------------------------------------+------+-------------------+
|Дата | Код и |Прина-|Собст- | Назначение |Коли- | Род |
|пода-| точное |длеж- |венник +--------------------+------------------------+чество|вагонов/контейнеров|
| чи |наименова- |ность |вагона,|наименования дороги | Коды | тонн | |
|ваго-| ние груза |вагона|контей-| и станции; страны; | | | |
| на, | |конт-р| нера | пункта перевалки и +---------+------+-------+ +------+------+-----+
|кон- | |а КОД | КОД | пункта назначения; |дороги и |страны|грузо- | | Код |Наиме-|кол-в|
|тей- | | | ОКПО |организации, имеющей|станции, |назна-|получа-| | |нова- | о |
|нера | | | | договор на |погранич-|чения | теля | | | ние | |
| | | | | перевалку; | ной | | | | | | |
| | | | | грузополучателя. |станции, | | | | | | |
| | | | | | пункта | | | | | | |
| | | | | |перевалки| | | | | | |
| | | | | |и пункта | | | | | | |
| | | | | |назначе- | | | | | | |
| | | | | | ния | | | | | | |
+-----+-----------+------+-------+--------------------+---------+------+-------+------+------+------+-----+
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 |
+-----+-----------+------+-------+--------------------+---------+------+-------+------+------+------+-----+
| | | | | | | | | | | | |
+-----+-----------+------+-------+--------------------+---------+------+-------+------+------+------+-----+
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+-----+-----------+------+-------+--------------------+---------+------+-------+------+------+------+-----+
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+-----+-----------+------+-------+--------------------+---------+------+-------+------+------+------+-----+
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+-----+-----------+------+-------+--------------------+---------+------+-------+------+------+------+-----+
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+-----+-----------+------+-------+--------------------+---------+------+-------+------+------+------+-----+
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+-----+-----------+------+-------+--------------------+---------+------+-------+------+------+------+-----+
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+-----+-----------+------+-------+--------------------+---------+------+-------+------+------+------+-----+
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+-----+-----------+------+-------+--------------------+---------+------+-------+------+------+------+-----+
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+-----+-----------+------+-------+--------------------+---------+------+-------+------+------+------+-----+
| | | | | | | | | | | | |
+-----+-----------+------+-------+--------------------+---------+------+-------+------+------+------+-----+
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+-----+-----------+------+-------+--------------------+---------+------+-------+------+------+------+-----+
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+-----+-----------+------+-------+--------------------+---------+------+-------+------+------+------+-----+
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+-----+-----------+------+-------+--------------------+---------+------+-------+------+------+------+-----+
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+-----+-----------+------+-------+--------------------+---------+------+-------+------+------+------+-----+
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+-----+-----------+------+-------+--------------------+---------+------+-------+------+------+------+-----+
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+-----+-----------+------+-------+--------------------+---------+------+-------+------+------+------+-----+
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+-----+-----------+------+-------+--------------------+---------+------+-------+------+------+------+-----+
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+-----+-----------+------+-------+--------------------+---------+------+-------+------+------+------+-----+
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+-----+-----------+------+-------+--------------------+---------+------+-------+------+------+------+-----+
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+-----+-----------+------+-------+--------------------+---------+------+-------+------+------+------+-----+
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+-----+-----------+------+-------+--------------------+---------+------+-------+------+------+------+-----+
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+-----+-----------+------+-------+--------------------+---------+------+-------+------+------+------+-----+
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+-----+-----------+------+-------+--------------------+---------+------+-------+------+------+------+-----+
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+-----+-----------+------+-------+--------------------+---------+------+-------+------+------+------+-----+
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+-----+-----------+------+-------+--------------------+---------+------+-------+------+------+------+-----+
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+-----+-----------+------+-------+--------------------+---------+------+-------+------+------+------+-----+
|Итого: | | | | |
+------------------------------------------------------------------------------+------+------+------+-----+
+-------+
| | Примечание: __________________________________________
| Место | ______________________________________________________
| для | Подпись грузоотправителя или уполномоченного на это
|печати | представителя грузоотправителя _______________________
| | Ф., И., О.
| | Дата ________________.... г.
+-------+