KC-366 Shipment Information Log

See re"e,'se .for Privacy Act, Public Burden, and Nondiscrimination

: KC-366

USDA-FSAlcONTRACT

I CONTRACTOR

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Form Approved - OMB No. 0560-0177
COMMODITY

NO.

(2-15-02)

SHIPMENT INFORMATION

Statements

INVITATION

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LOG

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MILL POINT

NID NO.

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U. S. PORT

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NID UNITS

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CONSIGNEE

(PVO)

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If split car, please indicate ->

If yes, show number of voluntary agencies involved:

Other (1l/dicGle below):

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UNITS
DATE
Total =
Units
OBL(s)
Gross
Weight
Weight
Ocean Bill(s)
of(A)
Lading
REQUEST
-- Railcar
PART
1 - TO BOOKING
BE COMPLETED
GROSS
WEIGHTSHIPPED
SHIPPED
UNLOAD
DATE
0SIGNATURE
0 Net
D
(C)
(LBS.)
(E)
(F)
0 NO. 0
0(B)
0=NO.
(Unloader)
(0)
0S
EX
•••
ROUTE
WEIGHT
(B)
=o NET
-+/Over/Short/Damaged
port
good incondition).
on
allin Vessel
Loading
(Lbs.)
at the
port
RKS
Total
Units
damaged/short
(after
Other
Units identified

0

BY SHIPPER
NET(LBS.)
II DATE

DATE

PART (Utilizing
2 - TO Dock
BE COMPLETED
and Consignee

FormPage6

NO.

BY RECEIVER
Receipts)

I

0

I

-.''>-KC-3ti6 (flEVEflSE)

INSTRUCTIONS

FOR COMPLETING

FORM KC-366

.;'-

Put I

Part 2

(A) Number on railcar or container.

(A) Total Units = Total units shipped per Notice to
Deliver.

1,000

(8) Net O/S/D = Total units over, minus units short and

- 100

Example

(8) Date shipped from plant or warehouse.
(C) Route = List all railroads participating in this movement between origin and
destination.

(E) Net weight of the units.
(F) Gross weight of tile units.
tile following subjects, please call tile

Shiplili:!g and Delivery Questions - Export Operations Division (816) 926-6707.
Vendor Payments - Commodity Financial Operations Division, Settlement
Branch, (81 G) 926-6205.
ComQletion of KC-366 - Commodity Financial Operations Division, Settlement
Branch, (816) 926-6172.
Car Tracinq - Traffic Management Division, Traffic Operations Branch,
(816) 926-6301\.

Claims - Traffic Management Division, Freight Settlement Branch,
(816) 926-6547.
Payment of Claims - Debt Management Division, Commodity Programs Debt
Branch, (816) 926-6734.
PRIVACY

= 900

(C) Quantity received at the port in Good Condition. =
Total Units (A) minus Net O/S/D (B).

(D) Number of units per railcar, trailer, or container.

If you /Jave questions concerning
number listed.

damaged.

ACT, PUBLIC

BURDEN,

(D) Total units identified as being removed or not
loaded on all Vessel Loading Observation (VLO)
certificates. Copies of the VLO certificates are
provided to the steamship companies by USDA,
Federal Grain Inspection Service (FGIS) and must
accompany the completed form IFile Typeapplication/pdfFile Modified2008-06-17File Created2008-06-17