Sample of delivery note

Update: November 2006

Delivery Note

The delivery note has to be provided according to DIN 4991 or VDA 4912.

Delivery Note
1 Mann + Hummel GmbH No. / Date
2
Grönerstr 45 12345678 31.12.2005
71636 Ludwigsburg
Reference- No. / Date

Model Suppler
Model Street 1
Herkunftsland/country of origing/country of destination
12345 Model Town

Shipping Adress
4
Transport Details

5 Shipping Agent - Lorry Sped. Dachser

Conditions Currency
6 FCA
Marking – type of packaging /-quantity of packaging – type of goods (No) - Weight (gross/net) - Volume (m3)

7
Orderer’s Code: AO-P1 Total weight in KG
Order-No./Date: 550000111 gross: 275
Orderer’s additional Details: net: 250
Sender’s Department: Distribution
Extension 111
Sender’s Order-No.:
[Link] Orderer---Product-No of Supplier 0815
Decription of the Goods/Service
Pos.- ([Link]/Goods Type) Dimensions of packaging Quantity addressee’s
No Country of Origin---Net Weight and note quantity Notes
Units
8
9
1 2300032101
Dichtung 5.000 St.

2 CHEP KLT 10 10 ST
3443

3 Euro-Palette 1 ST

Entry Note Quantity Control Qualitiy Control/Report Addressee Invoice Controlling

Date

Name
/ No.

sample of delivery note according to DIN 4991

Sample of delivery note Page 2

The following details have to be indicated on the delivery note:

Field Name Contents

(1) addressee (obligatory receivers (customer’s) address M+H GmbH
entry) Ludwigsburg

(2) delivery note number The delivery note number must not have more 12345678
(obligatory entry) than 8 digits and must be numerical (not con-
tain any special characters). Each number can
be used only once in the same year.

shipping date (obligatory date of the actual day of shipping (not the is- 31.12.2005
entry) sue day)

(3) supplier number and The sender’s address must be the same as LN: 500001
sender’s address (obligatory stated in the order or in the delivery schedule Musterlieferant
entry) Musterstraße 1
12345 Musterstadt

(4) delivery address (obliga- address of the recipient, in case it differs from
tory entry) the orderer’s address

(5) transport details (obliga- Please enter the shipping method and if nec- shipping agent’s lorry
tory entry) essary the name and number of the shipping Spedition Dachser
agent

(6) delivery conditions please state the delivery conditions postage paid / post-
(obligatory entry) age unpaid
(7) other details (obligatory • orderer’s code AO-P1
entry) • ordering number / date 550000111
• orderer’s additional details
• total weight in KG (gross), this entry 275
refers to the weight stated in the posi-
tioning part of the described quantity
delivered of a delivery note number 250
• total weight in KG (net)

(8) product number (obliga- Delivery name / service name. The goods
tory entry) names are to be taken from the order / delivery
schedule. In case of goods with a product
number, this is the part number or the item
number
(9) quantities + units (obliga- each position can only contain one quantity
tory entries)
(10) packaging details / according to the model delivery note, details
cargo carrier details (obliga- regarding packaging and quantities of partial
tory entry) deliveries for each packaging unit have to be
entered

Sample of delivery note Page 3