You are on page 1of 1

117 SEA 19579851 117 19579851

Shipper Name and Address Shipper's Account Number Not Negotiable

Air Waybill
Issued By

Copies 1, 2 and 3 of this Air W aybill are originals and have the same validity.

Consignee Name and Address Consignee's Account Number It is agreed that the goods described herein are accepted in apparent good order and condition
(e xce pt as no ted ) fo r ca rria ge S UB JE CT TO T H E CO NDIT ION S O F CO NT RA CT O N T HE
REVERSE HEREOF, ALL GOODS MAY BE CARRIED BY ANY OTHER MEANS INCLUDING ROAD
OR ANY OTHER CARRIER UNLE SS S PECIFIC CONTRARY INS TRUCT IONS A RE GIV EN
HEREON BY THE SHIPPER, AND SHIPPER AGREES THAT THE SHIPMENT MAY BE CARRIED
VIA INTERMEDIATE STOPPING PLACES W HICH THE CARRIER DEEMS APPROPRIATE THE
SHIPPER'S ATTENTION IS DRAW N TO 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.

Issuing Carrier's Agent Name and City Accounting Information

Agent's AITA Code Account No.

Airport of Departure (Addr. of First Carrier) and Requested Routing Reference Number Optional Shipping Information

To By First Carrier to by to by Currency CHGS WT/VAL Other Declared Value for Carriage Declared Value for Customs
Code PPD COLL PPD COLL

Airport of Destination Flight Date For Carrier Use Only Flight Date Amount of Insurance INSURANCE - If carrier offers insurance, and such insurance is requested
in accordance with the consitions thereof, indicate amount to be insured in
Vilnius -Jul/22/09 figures in box marked"Amount of Insurance".
Handling Information

SCI
These commodities, technology or software were exported from the United States in Div ersion contrary to
accordance with the Export Administration Regulations. Ultimate destination U.S. law prohibited.
No. of Rate Class Rate
Gross kg Chargeable Nature and Quantity of Goods
Pieces Commodity Total
W eight lb W eight Charge (Inc. Dimensions or Volume)
RCP Item No.

Prepaid W eight Charge Collect Other Charges

Valuation Charge

Tax

Total Other Charges Due Agent 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 property decribed by name and is in proper condition for carriage by air
according to the applicable Dangerous Goods Regulations.
Total Other Charges Due Carrier

Signature of Shipper or his Agent


Total Prepaid Total Collect

Currency Convertion Rates CC Charges in Dest. Currency

Executed on (date) at (place) Signature of Issuing Carrier or its Agent


Charges at Destination Total Collect Charges
For Carriers Use only
at Destination 117 19579851
Magaya Cargo System. www.magaya.com

PDF created with pdfFactory trial version www.pdffactory.com

You might also like