Capitan

LP NOTOC
SPECIAL LOAD - NOTIFICATION TO CAPITAN Page 1
Flight Dispatcher

Cargo Files

Of 1
Station of
Flight Number Date Aircraft Registration Prepared by (Name and Signature) Loaded as shown: (Palletization Supervisor's Signature) (*)
Loading
LIM LP2765 18-05-2013 CC-BAK ERICK VELASQUEZ ERICK VELASQUEZ
Class or Division Loaded
Packing Group Net quantity or
Station of Air Waybill UN or ID For Class 1 Number of Packing
Proper Shipping Name compat. grp. (Sub
or Radioactive Transp. Index per CAO (X) Drill Code ULD ID Number Position
Unloading Number Number Mat. Category Packages Instr.
Risk) package

GRU 045- UN1230 METHANOL 3(6.1) II 1 0.306L Y341 3L DQF1200 31

89555771

SPECIAL CARGO Loaded

Station of Air Waybill Number of IMP
Quantity Suplementary Information Drill Code
Unloading Number Contents and Description Packages Code ULD ID Number Position

045-
GRU DOG PUPPY 1 35KG NAME : KILLER AVI BULK
89555771

Loading Ramp Supervisor's Signature (**) Capitan's Signature (***) Capitan's Signature (***) Phone Number for NOTOC Copy
56-98960990 // 511-4118346 // 511-96511870
ABEL VICENTE
(*) By signing, the Palletization Supervisor certifies that there is NO evidence that any damage or leaking packages containing dangerous good have been loaded on the ULD's or Pallet
and if applicable, the coffin under this AWB complies with the national and international sanitary and legal reqirements
(**) By signing, the Ramp Supervisor certifies that there is NO evidence that any damage or leaking packages containing dangerous good have been loaded on the airplane
(***) By signing, the Captain confirms that he has received the NOTOC.