$ (SEE REVERSE FORDETAILS)

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PRINCIPAL PARTY IN INTEREST (USPPI)(Complete name and address) EIN (IRS) OR ID TO TRANSACTIONRelatedNon-Related2 CONSIGNEE(Complete name and address)3 AGENT(Complete name and address) OF TRANSPORTATION(Specify) AIRPORT OF REFERENCE L DESTINATION CONSIGNEE(Complete name and address) S EIN (IRS) INTERNATIONAL FORWARDING B DESCRIPTION OF COMMODITIES(Use columns 20-22)D/For M(19)PLEASE INDICATE SCHEDULE B NUMBERAND COMMODITY DESCRIPTION(20)QUANTITY -SCHEDULE B UNIT(S)(21)SHIPPING WEIGHT(Kilograms)(22)SHIPPER S LETTER OF INSTRUCTIONWRITTEN AUTHORIZATIONZIP OF EXPORTATIONSHIPPER S REFERENCE VALUE FOR CARRIAGE$_______________(SEE REVERSE FOR DETAILS)(If neither is checked, shipment is NOT insured)NOYESAMOUNT $ (STATE) OF ORIGIN OR FTZ OF ULTIMATE IDENTIFICATION REFERENCE BOND EXPORT TRANSACTIONPREPAIDCOLLECTVIA (CARRIER)B/L (SUPPLIER)ABANDONRETURN TO SHIPPERDELIVER TO:VEHICLE INFORMATIONVIN NUMBER / TITLE NUMBER / VEHICLE TYPE(23)DOCUMENTS ACCOMPANYING SHIPMENT(Please Indicate)ATTACHEDPREPARECERTIFICATE OF ORIGINCOMMERCIAL INVOICECONSULAR INVOICEEXPORT INVOICEHAZMAT DECLARATIONLETTER OF CREDITMSDS

EXPLANATION OF “DECLARED VALUE FOR CARRIAGE” Shippersmust declare a value for carriage on the air waybill. This declaration may be in any amount or NVD (no value

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