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AIRPORT OF DEPARTURE |
NOT A VALID SHIPPING DOCUMENT |
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| SHIPPER'S NAME
AND ADDRESS |
SHIPPER'S ACCOUNT
NUMBER |
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| CONSIGNEE'S
NAME AND ADDRESS |
CONSIGNEE'S
ACCOUNT NUMBER |
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| ISSUING CARRIERS AGENT NAME AND CITY |
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| AGENTS IATA
CODE |
ACCOUNT NO. |
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| AIRPORT OF DEPARTURE (ADDR OF FIRST CARRIER)
AND REQUESTED ROUTING |
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NOT NEGOTIABLE
AIR WAYBILL
(AIR CONSIGNMENT NOTE)
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It is agreed that the goods described herein are accepted in apparent
good order and condition (except as noted) to carrier SUBJECT
TO THE CONDITIONS OF CONTRACT ON THE REVERSE HEREOF. THE SHIPPER'S
ATTENTION IS DRAWN OF THE NOTICE CONCERNING CARRIER'S LIMITATION
OF LIABILITY. Shipper may increase such limitation of liability
by declaring a higher value for carriage and paying a supplemental
charge if required.
TO EXPEDITE MOVEMENT, SHIPMENT MAY BE DIVERTED
TO MOTOR OR OTHER CARRIER AS PER TARRIF RULE UNLESS SHIPPER GIVES
OTHER INSTRUCTIONS HEREON. |
ALSO
NOTIFY NAME AND ADDRESS
(OPTIONAL ACCOUNTING INFORMATION). |
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| ROUTING AND DESTINATION |
| TO |
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BY FIRST CARRIER |
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TO |
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BY |
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TO |
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BY |
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AIRPORT
OF DESTINATION |
FOR
CARRIER USE ONLY |
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FLIGHT/DATE |
FLIGHT/DATE |
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CURRENCY |
CHGS.
CODE |
WT/VAL |
OTHER |
DECLARED
VALUE FOR CARRIAGE |
TC |
| USD |
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PPD. |
COLL. |
PPD. |
COLL. |
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Maximum
$5,000 |
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| HANDLING
INFORMATION These commodities licensed by US for ultimate destination.
Diversion contrary to US law is prohibitied. |
NOTIFICATION
(PERSON NOTIFIED) |
BY |
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DATE/DATE |
DISPOSITION |
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NO.
OF PIECES RCP |
GROSS
WEIGHT |
Kg
lb |
RATE CLASS |
CHARGEABLE
WEIGHT |
RATE
/ CHARGE |
TOTAL |
NATURE
AND QUANTITY OF GOODS
(INCL. DIMENSIONS OR VOLUMN) |
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COMMODITY
ITEM NO. |
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Pieces of this Shipment have been opened
for Security Inspection |
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Signature |
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Date |
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PREPAID |
WEIGHT
CHARGE |
COLLECT |
P-UP
ZONE |
PICKUP
CHARGES |
ORIGIN
ADV. CHGS. |
DESCRIPTION
OF ORIGIN ADVANCE |
ITEMS
PREPAID |
| A. |
B. |
K. |
VALUATION
CHARGE |
DEL. ZONE |
DELIVERY
CHARGES |
DEST
ADV. CHGS. |
DESCRIPTION OF DESTINATION ADVANCE |
ITEMS
COLLECT |
| D. |
C. |
L. |
TAX |
C.O.D. FEE |
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OTHER CHARGES AND DESCRIPTION |
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| I. |
TOTAL
OTHER CHARGES DUE AGENT |
Shipment
is made under the conditions set forth on this page and the REVERSE
HEREOF. I (Shipper) have read, understand and agree with those conditions.
I understand that in the event of loss of damage to, or delay of shipment,
liability is limited per item 11 on the REVERSE HEREOF unless I increase
such limitation by declaring a higher value and paying a supplemental
charge. IN NO EVENT WILL CARRIER BE LIABLE FOR ANY SPECIAL OR CONSEQUENTIAL
DAMAGES SUFFERED AS A RESULT OF LOSS OR DAMAGE TO OR DELAY IN DELIVERY
OF THIS SHIPMENT.
NOT A VALID SHIPPING DOCUMENT |
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TOTAL
OTHER CHARGES DUE CARRIER |
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| C.O.D. |
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TOTAL
PREPAID |
TOTAL
COLLECT |
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SIGNATURE
OF SHIPPER OR HIS AGENT |
CURRENCY
CONV.RATES |
TOTAL
COL. IN DEST CUR. |
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FOR
CARRIER USE ONLY AT DESTINATION |
CHARGES
AT DEST. |
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| EXECUTED ON |
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| (DATE) |
(TIME) |
at |
(Place) |
SIGNATURE
OF SHIPPER OR HIS AGENT |
TOTAL
COLLECT CHARGES |
NOT A VALID SHIPPING DOCUMENT |
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1. SHIPPERS RECEIPT
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