Air Way Bill Sample

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Shipper Name and Address Shipper's Account Number

Consignee Name and Address Consignee's Account Number


Not Negotiable
Air Waybill
Issued By
Copies 1, 2 and 3 of this Air Waybill are originals and have the same validity.
It is agreed that the goods described herein are accepted in apparent good order and condition
(except as not ed) f or carri age SUBJECT TO THE CONDI TI ONS OF CONTRACT ON THE
REVERSE HEREOF, ALL GOODS MAY BE CARRIED BY ANY OTHER MEANS INCLUDING ROAD
OR ANY OTHER CARRIER UNLESS SPECI FI C CONTRARY I NSTRUCTIONS ARE GIVEN
HEREON BY THE SHIPPER, AND SHIPPER AGREES THAT THE SHIPMENT MAY BE CARRIED
VIA INTERMEDIATE STOPPING PLACES WHICH THE CARRIER DEEMS APPROPRIATE THE
SHIPPER'S ATTENTION IS DRAWN 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.
Accounting Information Issuing Carrier's Agent Name and City
Agent's AITACode Account No.
Airport of Departure (Addr. of First Carrier) and RequestedRouting
To By First Carrier to to by by Currency
CHGS
Code
WT/VAL Other
PPD PPD COLL COLL
Declared Value for Carriage Declared Value for Customs
Airport of Destination Flight Date Flight Date
For Carrier UseOnly
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
figures in box marked"Amount of Insurance".
SCI
Handling Information
No. of
Pieces
RCP
Gross
Weight
kg
lb
Rate Class
Commodity
Item No.
Chargeable
Weight
Rate
Charge
Total
Nature and Quantity of Goods
(Inc. Dimensions or Volume)
Prepaid Weight Charge Collect Other Charges
Valuation Charge
Tax
Total Other Charges Due Agent
Total Other Charges Due Carrier
Total Prepaid Total Collect
Currency Convertion Rates CC Charges in Dest. Currency
For Carriers Use only
at Destination
Charges at Destination Total Collect Charges
Executed on (date) at (place) Signature of Issuing Carrier or its Agent
Signature of Shipper or his 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.
Reference Number Optional Shipping Information
Magaya Cargo System. www.magaya.com
These commodities, technology or software were exported from the Uni ted States in
accordance with the Export Administration Regulations. Ultimate destination
Di versi on contrary to
U.S. law prohibited.
117
SEA
19579851
117 19579851
Vilnius -Jul/22/09
117 19579851
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