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 sam e validity.

It is agreed that the goods described herein are accepted in apparent good order and condition(except as noted) for carr iage SUBJECT TO THE CONDITIONS O F CONTRACT ON THE

REVERSE HEREOF, ALL GOODS MAY BE CARRIED BY ANY OTHER MEANS INCLUDING ROADOR ANY OTHER CARRIER UNLESS SPECIFIC CONTRARY INSTRUCTIONS 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 InformationIssuing Carrier's Agent Name and City

 Agent's AITA Code Account No.

 Airport of Departure (Addr. of First Carrier) and Requested Routing

To By First Carrier to toby by Currency CHGSCode

W T/ VA L O th er  

PPD PPDCOLL COLLDeclared Value for Carriage Declared Value for Customs

 Airport of Destination Flight Date Flight DateFor Carrier Use Only  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

GrossWeight

kglb

Rate Class

Commodity

Item No.

ChargeableWeight

Rate

ChargeTotal

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

Cur rency Conver ti on Ra tes CC Charges in Des t. 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 United States in

accordance with the Export Administration Regulations. Ultimate destination

Diversion contrary toU.S. law prohibited.

117 SEA 19579851 117 19579851

Vilnius -Jul/22/09

117 19579851

 

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