ar-net.ru |заявки |вагонов (конт.)/тонн | |грузоотправителя - |
| | | | |
| | | | | (подпись) Ф.И.О.
| +-----------------------+--------------------+ |
| |Сумма сбора (руб.) | - | |
+----------+-----------------------+--------------------+-------------------------------+
Приложение N 3
к Правилам составления учетной карточки
выполнения заявки на перевозку грузов
железнодорожным транспортом
(Форма ГУ-1)
Учетная карточка N
Выполнения принятой заявки ___________________________ на перевозку груза
(с по месяц, год)
статическая нагрузка 30 т/ваг
____________
Станция и инфраструктура отправления ____________________________________
Наименование номенклатурной группы ______________________________________
Перевозчик ______________________________________________________________
Грузоотправитель ________________________________________________________
(полное наименование, фактический адрес и банковские реквизиты)
_________________________________________________________________________
Часть I
+--------+----------------+--------+-----------------+------------------------------------------------------------------------------------+-------------------------------------+---------------+
| Дата | Заявка | Подано | Погружено | в т.ч. вагонов (контейнеров) по железнодорожным станциям назначения | Причины невыполнения заявки | Подписи |
|погрузки+-------+--------+вагонов +----------+------+-----+---------+-------+------+----+-----+------+-----+-----+-----+-----+-----+-----+ | ответственных |
| |Вагоны | Тонны |(конт.) | Вагонов | Тонн |Рига | Одесса |Талинн | | | | | | | | | | | | работников |
| |(конт.)| | | (конт.) | | | | | | | | | | | | | | | | |
| | | | | | | | | | | | | | | | | | | +----------------------+--------------+-------+-------+
| | | | | | | | | | | | | | | | | | | |Общий недогруз в т.ч | Причина |Перево-|Грузоо-|
| | | | | | | | | | | | | | | | | | | | | освобождения | зчик |тправи-|
| | | | | | | | | | | | | | | | | | | | | | | тель |
| | | | | | | | | | | | | | | | | | | +-----+-------+--------+------+-------+ | |
| | | | | | | | | | | | | | | | | | | | ваг |перево-|Грузоот-|Пере- |Грузоо-| | |
| | | | | | | | | | | | | | | | | | | | | зчик | прави- |возчик|тправи-| | |
| | | | | | | | | | | | | | | | | | | | | | тель | | тель | | |
+--------+-------+--------+--------+----------+------+-----+---------+-------+------+----+-----+------+-----+-----+-----+-----+-----+-----+-----+-------+--------+------+-------+-------+-------+
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 | 19 | 20 | 21 | 22 | 23 | 24 | 25 |
+--------+-------+--------+--------+----------+------+-----+---------+-------+------+----+-----+------+-----+-----+-----+-----+-----+-----+-----+-------+--------+--------------+-------+-------+
| | 95 | 2850 | | | | 30 | 35 | 30 | | | | | | | | | | | | | | | | |
+--------+-------+--------+--------+----------+------+-----+---------+-------+------+----+-----+------+-----+-----+-----+-----+-----+-----+-----+-------+--------+--------------+-------+-------+
| Изменение заявки: увеличение +, уменьшение - |
+--------+-------+--------+--------+----------+------+-----+--------+--------+-----+-----+-----+-----+------+----+-----+------+-----+-----+-----+-------+-------+-------+-------+------+--------+
| | | | | | | | | | | | | | | | | | | | | | | | | | |
+--------+-------+--------+--------+----------+------+-----+--------+--------+-----+-----+-----+-----+------+----+-----+------+-----+-----+-----+-------+-------+-------+-------+------+--------+
| 1 | | | | | | | | | | | | | | | | | | | | | | | | | |
+--------+-------+--------+--------+----------+------+-----+--------+--------+-----+-----+-----+-----+------+----+-----+------+-----+-----+-----+-------+-------+-------+-------+------+--------+
| 2 | | | | | | | | | | | | | | | | | | | | | | | | | |
+--------+-------+--------+--------+----------+------+-----+--------+--------+-----+-----+-----+-----+------+----+-----+------+-----+-----+-----+-------+-------+-------+-------+------+--------+
| 3 | 5 | 150 | 4 | 1 | 40 | | 1 | | | | | | | | | | | | 4 | | 202-3 | 307-1 | | | |
+--------+-------+--------+--------+----------+------+-----+--------+--------+-----+-----+-----+-----+------+----+-----+------+-----+-----+-----+-------+-------+-------+-------+------+--------+
| 4 | 5 | 150 | 0 | 0 | 0 | | | | | | | | | | | | | | 5 | 101-5 | | | | | |
+--------+-------+--------+--------+----------+------+-----+--------+--------+-----+-----+-----+-----+------+----+-----+------+-----+-----+-----+-------+-------+-------+-------+------+--------+
| 5 | 5 | 150 | 4 | 4 | 120 | 1 | 2 | 1 | | | | | | | | | | | 1 | | 406-1 | | | | |
+--------+-------+--------+--------+----------+------+-----+--------+--------+-----+-----+-----+-----+------+----+-----+------+-----+-----+-----+-------+-------+-------+-------+------+--------+
| 6 | 5 | 150 | 5 | 5 | 170 | 4 | 1 | | | | | | | | | | | | | | | | | | |
+--------+-------+--------+--------+----------+------+-----+--------+--------+-----+-----+-----+-----+------+----+-----+------+-----+-----+-----+-------+-------+-------+-------+------+--------+
| 7 | 5 | 150 | 5 | 5 | 150 | 2 | 2 | 1 | | | | | | | | | | | | | | | | | |
+--------+-------+--------+--------+----------+------+-----+--------+--------+-----+-----+-----+-----+------+----+-----+------+-----+-----+-----+-------+-------+-------+-------+------+--------+
| 8 | | | | | | | | | | | | | | | | | | | | | | | | | |
+--------+-------+--------+--------+----------+------+-----+--------+--------+-----+-----+-----+-----+------+----+-----+------+-----+-----+-----+-------+-------+-------+-------+------+--------+
| 9 | | | | | | | | | | | | | | | | | | | | | | | | | |
+--------+-------+--------+--------+----------+------+-----+--------+--------+-----+-----+-----+-----+------+----+-----+------+-----+-----+-----+-------+-------+-------+-------+------+--------+
| 10 | 5 | 150 | 5 | 5 | 150 | 1 | 4 | | | | | | | | | | | | | | | | | | |
+--------+-------+--------+--------+----------+------+-----+--------+--------+-----+-----+-----+-----+------+----+-----+------+-----+-----+-----+-------+-------+-------+-------+------+--------+
| 11 | 5 | 150 | 4 | 4 | 120 | 4 | | | | | | | | | | | | | 1 | 101-1 | | | | | |
+--------+-------+--------+--------+----------+------+-----+--------+--------+-----+-----+-----+-----+------+----+-----+------+-----+-----+-----+-------+-------+-------+-------+------+--------+
| 12 | 5 | 150 | 0 | 0 | 0 | | | | | | | | | | | | | | 5 | 101-5 | | | | | |
+--------+-------+--------+--------+----------+------+-----+--------+--------+-----+-----+-----+-----+------+----+-----+------+-----+-----+-----+-------+-------+-------+-------+------+--------+
| 13 | 5 | 150 | 5 | 5 | 150 | 2 | 2 | 1 | | | | | | | | | | | | | | | | | |
+--------+-------+--------+--------+----------+------+-----+--------+--------+-----+-----+-----+-----+------+----+-----+------+-----+-----+-----+-------+-------+-------+-------+------+--------+
| 14 | 5 | 150 | 0 | 0 | 0 | | | | | | | | | | | | | | 5 | 101-5 | | | | | |
+--------+-------+--------+--------+----------+------+-----+--------+--------+-----+-----+-----+-----+------+----+-----+------+-----+-----+-----+-------+-------+-------+-------+------+--------+
| 15 | | | | | | | | | | | | | | | | | | | | | | | | | |
+--------+-------+--------+--------+----------+------+-----+--------+--------+-----+-----+-----+-----+------+----+-----+------+-----+-----+-----+-------+-------+-------+-------+------+--------+
| 16 | 5 | 150 | 3 | 3 | 110 | 1 | 1 | 1 | | | | | | | | | | | 2 | 101-2 | | | | | |
+--------+-------+--------+--------+----------+------+-----+--------+--------+-----+-----+-----+-----+------+----+-----+------+-----+-----+-----+-------+-------+-------+-------+------+--------+
| 17 | 5 | 150 | 2 | 2 | 70 | 1 | | 1 | | | | | | | | | | | 3 | 101-3 | | | | | |
+--------+-------+--------+--------+----------+------+-----+--------+--------+-----+-----+-----+-----+------+----+-----+------+-----+-----+-----+-------+-------+-------+-------+------+--------+
Форма ГУ-1 (оборот)
+--------+----------------+--------+-----------------+------------------------------------------------------------------------------------+-------------------------------------+---------------+
| Дата | Заявка | Подано | Погружено | в т.ч. вагонов (контейнеров) по железнодорожным станциям назначения | Причины невыполнения заявки | Подписи |
|погрузки+-------+--------+вагонов +----------+------+-----+--------+--------+-----+-----+-----+------+-----+-----+-----+-----+-----+-----+ | ответственных |
| |Вагоны | Тонны |(конт.) | Вагонов | Тонн |Рига | Одесса | Талинн | | | | | | | | | | | | работников |
| |(конт.)| | | (конт.) | | | | | | | | | | | | | | | | |
| | | | | | | | | | | | | | | | | | | +---------------------+---------------+-------+-------+
| | | | | | | | | | | | | | | | | | | |Общий недогруз в т.ч.| Причина |Перево-|Грузоо-|
| | | | | | | | | | | | | | | | | | | | | освобождения | зчик |тправи-|
| | | | | | | | | | | | | | | | | | | | | | | тель |
| | | | | | | | | | | | | | | | | | | +-----+-------+-------+-------+-------+ | |
| | | | | | | | | | | | | | | | | | | | ваг |перево-|Грузоо-|Перево-|Грузоо-| | |
| | | | | | | | | | | | | | | | | | | | | зчик |тправи-| зчик |тправ | | |
| | | | | | | | | | | | | | | | | | | | | | тель | | | | |
+--------+-------+--------+--------+----------+------+-----+--------+--------+-----+-----+-----+------+-----+-----+-----+-----+-----+-----+-----+-------+-------+-------+-------+-------+-------+
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 | 19 | 20 | 21 | 22 | 23 | 24 | 25 |
+--------+-------+--------+--------+----------+------+-----+--------+--------+-----+-----+-----+------+-----+-----+-----+-----+-----+-----+-----+-------+-------+-------+-------+-------+-------+
| 18 | | | | | | | | | | | | | | | | | | | 5 | 101-5 | | | | | |
+--------+-------+--------+--------+----------+------+-----+--------+--------+-----+-----+-----+------+-----+-----+-----+-----+-----+-----+-----+-------+-------+-------+-------+-------+-------+
| 19 | | | | | | | | | | | | | | | | | | | | | | | | | |
+--------+-------+--------+--------+----------+------+-----+--------+--------+-----+-----+-----+------+-----+-----+-----+-----+-----+-----+-----+-------+-------+-------+-------+-------+-------+
| 20 | | | | | | | | | | | | | | | | | | | | | | | | | |
+--------+-------+--------+--------+----------+------+-----+--------+--------+-----+-----+-----+------+-----+-----+-----+-----+-----+-----+-----+-------+-------+-------+-------+-------+-------+
| 21 | 5 | 150 | 4 | 4 | 120 | 2 | | 2 | | | | | | | | | | | 1 | 101-1 | | | | | |
+--------+-------+--------+--------+----------+------+-----+--------+--------+-----+-----+-----+------+-----+-----+-----+-----+-----+-----+-----+-------+-------+-------+-------+-------+-------+
| 22 | | | | | | | | | | | | | | | | | | | | | | | | | |
+--------+-------+--------+--------+----------+------+-----+--------+--------+-----+-----+-----+------+-----+-----+-----+-----+-----+-----+-----+-------+-------+-------+-------+-------+-------+
| 23 | | | | | | | | | | | | | | | | | | | | | | | 304-5 | | |
+--------+-------+--------+--------+----------+------+-----+--------+--------+-----+-----+-----+------+-----+-----+-----+-----+-----+-----+-----+-------+-------+-------+-------+-------+-------+
| 24 | 5 | 150 | 0 | 0 | 0 | | | | | | | | | | | | | | 5 | | | | | | |
+--------+-------+--------+--------+----------+------+-----+--------+--------+-----+-----+-----+------+-----+-----+-----+-----+-----+-----+-----+-------+-------+-------+-------+-------+-------+
| 25 | 5 | 150 | 0 | 0 | 0 | | | | | | | | | | | | | | 5 | | 405-5 | | | | |
+--------+-------+--------+--------+----------+------+-----+--------+--------+-----+-----+-----+------+-----+-----+-----+-----+-----+-----+-----+-------+-------+-------+-------+-------+-------+
| 26 | 5 | 150 | 0 | 0 | 0 | | | | | | | | | | | | | | 5 | | 405-5 | | | | |
+--------+-------+--------+--------+----------+------+-----+--------+--------+-----+-----+-----+------+-----+-----+-----+-----+-----+-----+-----+-------+-------+-------+-------+-------+-------+
| 27 | 5 | 150 | 0 | 0 | 0 | | | | | | | | | | | | | | 5 | | 408-5 | | | | |
+--------+-------+--------+--------+----------+------+-----+--------+--------+-----+-----+-----+------+-----+-----+-----+-----+-----+-----+-----+-------+-------+-------+-------+-------+-------+
| 28 | 5 | 150 | 2 | 2 | 60 | | | 2 | | | | | | | | | | | 3 | 101-3 | | | | | |
+--------+-------+--------+--------+----------+------+-----+--------+--------+-----+-----+-----+------+-----+-----+-----+-----+-----+-----+-----+-------+-------+-------+-------+-------+-------+
| 29 | | | | | | | | | | | | | | | | | | | | | | | | | |
+--------+-------+--------+--------+----------+------+-----+--------+--------+-----+-----+-----+------+-----+-----+-----+-----+-----+-----+-----+-------+-------+-------+-------+-------+-------+
| 30 | | | | | | | | | | | | | | | | | | | | | | | | | |
+--------+-------+--------+--------+----------+------+-----+--------+--------+-----+-----+-----+------+-----+-----+-----+-----+-----+-----+-----+-------+-------+-------+-------+-------+-------+
| 31 | | | | | | | | | | | | | | | | | | | | | | | | | |
+--------+-------+--------+--------+----------+------+-----+--------+--------+-----+-----+-----+------+-----+-----+-----+-----+-----+-----+-----+-------+-------+-------+-------+-------+-------+
| Итого 95 | 2850 | 43 | 40 | 1260 | 30 | 35 | 90 | | | | | | | | | | | 55 | 30 | 19 | 6 | |
| | | | | | --- | --- | --- | | | | | | | | | | | | | | | |
| | | | | | 18 | 13 | 9 | | | | | | | | | | | | | | | |
+----------------+--------+--------+----------+------+-----+--------+--------+-----+-----+-----+------+-----+-----+-----+-----+-----+-----+-----+-------+-------+---------------+---------------+
Часть II
Имущественная ответственность за невыполнение принятой заявки относится на:
грузоотправителя перевозчика
+----------+-----------------------+--------------------+----------------+----------------+
|Невыполне-|В вагонах (конт.) | 19 |В вагонах |30 |Отметка об уплате
|ние заявки| | |(конт.) | |штрафа, сбора
| | | | | |грузоотправителем
| +-----------------------+--------------------+----------------+----------------+
| |В тоннах | 510 |В тоннах |900 |
| +-----------------------+--------------------+----------------+----------------+
| |Сумма штрафа | 4600 |Сумма штрафа |9000 |
+----------+-----------------------+--------------------+----------------+----------------+
|По стан. |В вагонах (конт.) | 25/750 | |
|наз | | | |
| +-----------------------+--------------------+ |
| |Сумма сбора (руб.) | 3000 |Сальдо по штрафам (руб.) в |
| | | |пользу: |
+----------+-----------------------+--------------------+ |
|Сбор за |Количество изменений | - |перевозчика - 4400 | перевозчик
|изменение +-----------------------+ | | ____________
|заявки |вагонов (конт.)/тонн | |грузоотправителя - |
| | | | |
| | | | | (подпись) Ф.И.О.
| +-----------------------+--------------------+ |
| |Сумма сбора (руб.) | - | |
+----------+-----------------------+--------------------+---------------------------------+
Приложение N 4
к Правилам составления учетной карточки
выполнения заявки на перевозку грузов
железнодорожным транспортом
(Форма ГУ-1)
тел N Смоленск - 9, Ярославль + 9
Учетная карточка N
Выполнения принятой заявки ___________________________ на перевозку груза
(с по месяц, год)
статическая нагрузка ____________
Станция и инфраструктура отправления ____________________________________
Наименование номенклатурной группы ______________________________________
Перевозчик ______________________________________________________________
Грузоотправитель ________________________________________________________
(полное наименование, фактический адрес и банковские реквизиты)
_________________________________________________________________________
Часть I
+--------+---------------+-------+----------------+----------------------------------------------------------------------------------------+--------------------------------------+----------------+
| Дата | Заявка |Подано | Погружено | в т.ч. вагонов (контейнеров) по железнодорожным станциям назначения | Причины невыполнения заявки | Подписи |
|погрузки+-------+-------+вагонов+---------+------+-------+--------+--------+------+-------+-----+-----+-----+-----+-----+-----+------+----+ | ответственных |
| |Вагоны | Тонны |(конт.)| Вагонов | Тонн | Смо- | Ростов |Горький |Ярос- | Псков | | | | | | | | | | работников |
| |(конт.)| | | (конт.) | | ленск |на Дону | |лавль | | | | | | | | | | | |
| | | | | | | | | | | | | | | | | | | +----------------------+---------------+-------+--------+
| | | | | | | | | | | | | | | | | | | |Общий недогруз в т.ч | Причина |Перево-|Грузоот-|
| | | | | | | | | | | | | | | | | | | | | освобождения | зчик | прави- |
| | | | | | | | | | | | | | | | | | | | | | | тель |
| | | | | | | | | | | | | | | | | | | +-----+--------+-------+-------+-------+ | |
| | | | | | | | | | | | | | | | | | | | ваг |перевоз-|Грузоо-|Перево-|Грузоо-| | |
| | | | | | | | | | | | | | | | | | | | | чик |тправи-| зчик |тправи-| | |
| | | | | | | | | | | | | | | | | | | | | | тель | | тель | | |
+--------+-------+-------+-------+---------+------+-------+--------+--------+------+-------+-----+-----+-----+-----+-----+-----+------+----+-----+--------+-------+-------+-------+-------+--------+
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 | 19 | 20 | 21 | 22 | 23 | 24 | 25 |
+--------+-------+-------+-------+---------+------+-------+--------+--------+------+-------+-----+-----+-----+-----+-----+-----+------+----+-----+--------+-------+---------------+-------+--------+
| | 300 | | | | | 60 | 60 | 60 | 60 | 60 | | | | | | | | | | | | | | |
+--------+-------+-------+-------+---------+------+-------+--------+--------+------+-------+-----+-----+-----+-----+-----+-----+------+----+-----+--------+-------+---------------+-------+--------+
| Изменение заявки: увеличение +, уменьшение - |
+--------+-------+-------+-------+---------+------+-------+-------+--------+-------+------+-----+------+-----+-----+-----+-----+-----+-----+-----+-------+-------+-------+-------+--------+-------++
| | | | | | | -9 | | | +9 | | | | | | | | | | | | | | | | |
+--------+-------+-------+-------+---------+------+-------+-------+--------+-------+------+-----+------+-----+-----+-----+-----+-----+-----+-----+-------+-------+-------+-------+--------+-------+