┏━━━━━━━━━━━━━━━┳━━━━━━━━━┳━━━━━┳━━━━━┓
┃12.运送特殊条件Special ┃14.应付运费Fr ┃币别 ┃收货人 ┃
┃ Requirement ┃eight To be Paid ┃Currency ┃Consignee ┃
┃ ┃发货人Consignor ┃ ┃ ┃
┣━━━━━━━━━━━━━━━╋━━━━━━━━━╋━━━━━╋━━━━━┫
┃13.承运人竟见Carrier’s Note ┃运费Freight ┃ ┃ ┃
┣━━━━━━━━━━━━━━━╋━━━━━━━━━╋━━━━━╋━━━━━┫
┃15.承运人Carrier ┃ ┃ ┃ ┃
┃ ┣━━━━━━━━━╋━━━━━╋━━━━━┫
┃ ┃ ┃ ┃ ┃
┃ ┣━━━━━━━━━╋━━━━━╋━━━━━┫
┃ ┃ ┃ ┃ ┃
┃ ┣━━━━━━━━━╋━━━━━╋━━━━━┫
┃ ┃共计Total: ┃ ┃ ┃
┣━━━━━━━━━━━━━━━╋━━━━━━━━━┻━━━━━┻━━━━━┫
┃编制日期Date of Fill ┃17.收到本运单货物日期Date of Delive ┃
┃16.到达装货Loading ┃ring This Note ┃
┃ 时Hour 分Minute ┃18.到达卸货Unloading ┃
┃离去Leaving ┃ 时Hour分Minute ┃
┃ 时Hour 分Minute ┃离去Leaving ┃
┃发货人签字盖章 ┃ 时Hour分Minute ┃
┃Consignor’s Signature ┃发货人签字盖章Consignor’s Signature ┃
┃承运人签字盖章 ┃ ┃
┃Carrier’s Signature ┃ ┃
┣━━━━━━━┳━━━━━━━╋━━━━━━━━━━━━━━━━━━━━━┫
┃19.海关机构 ┃20.收货人可 ┃ 21.汽车号Vehicle’s Plate No. ┃
┃记载 ┃能提出竟见 ┃拖挂车号Trailor’s Plate No. ┃
┃Custom’s ┃Consignee’s ┃司机姓名Driver’s Name ┃
┃ record ┃Note ┃路单号Waybill ┃
┃ ┃ ┃ 22.运输里程Transport Mileage ┃
┃ ┃ ┃过境里程Transit Mileage ┃
┃ ┃ ┃收货人境内里程Mileage in Consignor’s ┃
┃ ┃ ┃ Country ┃
┃ ┃ ┃共计Total: ┃
┗━━━━━━━┻━━━━━━━┻━━━━━━━━━━━━━━━━━━━━━┛