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LIR 16 6091-xxxx
Shipper's Name and Address Shipper's Account Number Not Negotiable
Air Waybill
xxxxxx S.A. issued by BLUE AIRLINES
2.5 KM Oeste del cementerio e anas,
Guanacaste, Costa Rica. Apartado
(506)2668-0101 Fax:
Tel: 785700 016-6091-xxxx
(506)2669-3101 Copies 1, 2 and 3 of this Air Waybill are origirpls and have the same
validity.
Consignee's Name and Address It is agreed that the goods declared herein are accepted in apparent good
order and condition (except as noted) for carriage SUBJECT TO THE
RFA INC./EMO LOGIST CS Consignee's Account
CONDITIONS OF CONTRACT ON THE REVERSE HEREOF. ALL GOODS MAY BE
Number
CARRIED ay ANY OTHER MEANS INCLUDING ROAD OR ANY OTHER CARRIER
850 South Alameda Unit #1 Los UNLESS SPECIFIC CONTRARY INSTRUCTIONS ARE GIVEN HEREON BY THE
SHIPPER, AND SHIPPER AGREES THAT THE SHIPMENT MAY
Street BE CARRIED-VIA INTERMEDIATE STOPPING PLACES WHICH THE CARRIER DEEMS
Angeles, 388-0434 323-484-2000 APPROPRIATE. THE SHIPPER'S ATTENTION ts DRAWN TO THE NOTICE CONCERNING
CARRIER'S LIMITATION OF LIABILITY. Shipper may increase such limitation of liability by
CA 90021 Fax: (310) declaring a higher value for carriage and paying a supplemental charge if required.
Issuing Carrier's Agent Name and City Accouning Informaåon
GCR
LOGITSA CARGO SERVICE ALPHA BROKERS CORP.
ALAJUELA, COSTA RICA 506-24413700 2000 NW 84 Avenue
Agent's IATA Code Account No. Miami, FL 33122
Ph: (305) 594-0101xt 7004
77-1003800XX
Airport of Departure (Addr. of First Carrier) and Requested Routing Reference Number Optional S ppng n omation
$ 164.00
Valuation Ch
TFEE $ 15.00 DGAC $ 1.28
Tax
oa er arges amer
I hereby cerüfy that the pariculars on the face hereof are correct and that insofar as any part of
$ 16.28 the consignment contains dangerous goods. I hereby certify that the contents of this
consignment are fully and accurately described above by proper shipping name and are
classified, packaged, marked and labeled, and in proper condition for carriage by air according to
applicable national governmental regulations.
Total Pre id Total Collect
$ 180.28
Currenc Conversion Rates CC Charges jn unency