SHIPPER'S DECLARATION FOR DANGEROUS GOODS

Shipper Air Waybill No. 343-40000000

Quimico Alfa 1 of 1

Calle 10 # 20-30 Cali-Colombia Shipper's Reference Number

(optional)
Consignee

Productos PLC
AVIANCA
1801 Palmstreet 33153 Miami, Florida,USA

Two completed and signed copies of this Declaration must be handed to the operator. Dos
ejemplares cumplimentados y firmados de esta Declaracion han de entregarse al exportador.
WARNING
TRANSPORT DETAILS
Failure to comply in all respects with the applicable Dangerous Goods Regulations may be in
Airport of Departure breach of the applicable law, subject to legal penalties.
This shipment within the limitations
prescribed for: (delte non-applicable)
Este embarque esta dentro de las
limitacuones prescritas para (tachese
ALFONSO BONILLA AVISO
lo que no procede) ARAGON
La falta de cump;imeiento de cualquiera de las normas contenidas en la reglamentacion sobre
PASSENGER XXXXXX ARAGON Mercacias Peligrosas Aplicables puede constituir una infraccion de la ley correspondiente,
AND CARGO XXXXXX sujeta a la responsabilidad legal.
AIRCRAFT XXXXXX
Shipment Type: (delete non-applicable)
Airport of Destination: MIAMI
NON-RADIOACTIVE XXXXXXXXXXXXXX

NATURE AND QUANTITY OF DANGEROUS GOODS

Dangerous Goods Identification

Class Or Packing
Pack- Quantity and Type of packing Authorization
Division Inst.
UN or ID No. PROPER SHIPPING NAME (Subsi- diary
ing
Risk) Group
UN 2054 MORPHOLINE 8(3) | ONE BOX 0,5L 850 N/A
MORFOLINA UNA CAJA DE CARTON X 0,5L

Additional Handling Information

57-31223359999
24 hr. Emergency Contact Tel. No.

Name/Title of Signatury
I hereby declare that the contents of this consignment are fully and accurately described above by the proper David Stiven Torres manger
shipping name and are classified, packaged, marked and labelled/placared, and are in all respects in proper
consition for transport according to applicable inernational and national governmental regulations. I declare that Place and Date
all of the applicable air transport requirements have been met.
COLOMBIA Enero 21 2020
Por la presente declaro que el (los) contenido(s) de este embarque esta(n) total y acuciosamente descritos(s) mas Signature
arriba por su(s) nombre(s) apropiado(s) de expedicion, y esta(n) clasificado(s), embalado(s) marcado(s) y
etiquetado(s)/rotulado(s) y que, entodos los aspectos esta(n) en condiciones apropiadas para el transporte de DAVid Stiven Torres
acuerdo a las regulaciones gubernamentales nacionales e internacionales aplicables. Yo declaro que todos los
requisitos aplicables al transporte aéreo han sido cumplidos.