SHIPPER´S NAME AND ADREESS AIR WAY BILL

SHIPPER´S NAME AND ADREESS AIR WAY BILL

CONSIGNEE´S NAME AND ADDRESS COPIES 1, 2 AND 4 OF THIS AIR WAYBILL ARE ORIGINALS AND HAVE THE SAME VALIDITY

It is agreed that the goods described herein are accepted in apparent good order and condition

(except as noted) for carriage SUBJECT TO THE CONDITIONS OF CONTRACT ON THE REVERSE

HEREOF, ALL GOODS MAY BE CARRIED BY ANY OTHER MEANS INCLUDING ROAD OR ANY

OTHER CARRIER UNLESS SPECIFIC CONTRARY INSTRUCTIONS ARE GIVEN HEREON BY THE

SHIPPER, THE SHIPPER'S ATTENTION IS DRAWN TO THE NOTICE CONCERNING CARRIER'S

LIMITATION OF LIABILITY. Shipper may increase such limitation of liability by declaring a higher

value of carriage and paying a supplemental charge if required.

ISSUING CARRIER'S AGENT NAME AND CITY ACCOUNTING INFORMATION

AGENT´S IATA CODE ACOUNT NO.

86-10009-0005

AIPORT OF DEPARTURE (ADDR. OF FIRST CARRIER) AND REQUESTED ROUTING

TO BY FIRST CARRIER TO BY TO BY CURRENCY CHGS CODE WT/VAL OTHER DECLARATED VALUE FOR CARRIAGE DECLARATED VALUE FOR CUSTOMS

USD PP PPD COLL PPD COLL NVD NVD

AIPORT OFDESTINATION FLIGHT/DATE FLIGHT/DATE AMOUNT OF INSURANCE INSURANCE - If Carrier offers insurance and such insurance is

requested in accordance with the conditions thereof, indicate

amount to be insured in box marked "Amount of Insurance"

HANDLING INFORMATION

NO. OF GROSS RC COMMODITY CHARGEABLE RATE / CHARGE TOTAL NATURE AND QUANTITY OF GOODS

PIECES RCP WEIGHT ITEM NO. WEIGHT (INCL. DIMENSIONS OR VOLUME)

$ S.T.C. Stainless Steel Mold

$

PREPAID WEIGHT CHARGE COLLECT OTHER CHARGES

$ FSC = $150

VALUATION CHARGE SSC = $150

OTHER Shipper certifies that the particulars on the face hereof are correct and that insofar as any part of the

consignment contains dangerous goods, such part is properly described by name and is in proper

TOTAL OTHER CHARGES DUE AGENT condition for carriage by

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