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YYYY) (MMDDYYYY) 8. MODE OF TRANSPORT 9. BATCH/CARGO NUMBER (MMM DD YYYY) 10. UPLOAD START DATE (MMDDYYYY) 11. UPLOAD END DATE (MMM DD YYYY) (MMDDYYYY) SHIPPING AND RECEIVING ACTIVITY INFORMATION a. SHIPPING ACTIVITY b. RECEIVING ACTIVITY 12. DFSP NAME: 13. DODAAC: 14. DFSP ADDRESS (Line 1): (Line 2): (Line 3): (Line 4): 15. POINT OF CONTACT NAME: 16. POINT OF CONTACT PHONE: 17.b. DATE (MMM DD YYYY) (MMDDYYYY) 17.a. SHIPPING DFSP AUTHORIZED REPRESENTATIVE SIGNATURE MATERIAL RECEIPT 18.

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