Sommer GmbH & Co. KG Venhäuser Weg 11 48477 Hörstel-Dreierwalde

+49 (0) 5978 9995- 0 Telefon: Telefax: +49 (0) 5978 9995- 15

Order Single permit permanent permit

Company´s name:

Address:

Phone:

Transport manager:

number of transports convoy number of vehicles From:

until:

Place of departure: (exact address)

Place of arrival: (exact address)

Kind of Load:

Licence number Truck: Trailer:

Total: -length -width -height

Unloaded

Loaded

Height of transport -low able down to-

Overhang front: overhang rear:

Axle arrangem. 1.axle 2. axle 3. axle 4.axle 5. axle 6. axle 7. axle 8. axle to…

Load/ axle (to.)

Distance betw. axles

Wheels per axle

Important: You have to take care that even the axle difference between the last axle of the truck and the first axle of the trailer is stated correctly. In case of police checking it has to be correct. Otherwise your transport might get shut down.

............................................Date, Place

............................................company´s stamp , signature

-weight (exactly) Truck

Trailer

Yes No

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......................................... Fax: ...................................................

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