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Consignee's Name and Address Consignee's Account Number It Is Agreed that the goods described here are accepted in apparent godd order and condition
41059554 (except as noted) or 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 SPECIFIED CONTRARY INSTRUCTIONS ARE
DISTRIBUIDORA CUMMINS CENTROAMERICA HONDURAS GIVEN HEREON BY THE SHIPPER, AND SHIPPER AGREES THAT THE SHIPMENT MAY BE
CARRIED VIA INTERMEDIATE STOPPING PLACES WHICH THE CARRIER DEEMS
DESVIO COL LA PRADERA CONTIGUO A GASOLINERA UNO APPROPIATE THE LIABILITY. Shipper may increace such limitation of lability by declaring a
COMAYAGUA HONDURAS higher value for surface and paying a supplemental charge if required.
Airport of Departure (Addr. of First Carrier) and Requested Routing Reference Number Optional Shipping Information
MIAMI INT'L AIRPORT 6R4269 CAR
To By First Carrier Routing and Destination To by To by WT/VAL Other Declared Value for Carriage Declared Value for Customs
Currency CHGS
San Pedro Sula, Honduras Code PPD COLL PPD
COLL
TAMPA AIRLINE CARGO US$ X X
NVD NVD
Airport of Destination Requested Flight/Date Amount of Insurance INSURANCE - If carrier offers insurance, and such insurance is
requested in accordance with the conditions thereof, indicate amount
6R4269 01/31/2024 to be insured in figures in box marked "Amount of Insurance".
Handling Information
PARTS
These commodities, technology or software were exported from the United States
in accordance with the Export Administration Regulations. Ultimate destination
367.29
Valuation Charge
Tax
Total Other Charges Due Carrier 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 condition for carriage by air according to the
0.00 applicable Dangerous Goods Regulations.
Total Other Charges Due Agent