SHIPPER FREIGHT CHARGES ARE PREPAID ON CARRIER THIS …

1 SHIPPER PLEASE NOTE ` FREIGHT CHARGES ARE PREPAID ON THIS BILL OF LADING UNLESS MARKED COLLECT CARRIER PLEASE NOTE ` STRAIGHT BILL OF LADING PLACE PRO LABEL HERE DATE NO. SHIPPER NO. CONSIGNEE (TO) SHIPPER (FROM) STREET STREET CITY, STATE, ZIP CITY, STATE, ZIP PHONE NO. ROUTE VEHICLE NO. QTY HM KIND OF PACKAGING, DESCRIPTION OF ARTICLES, SPECIAL MARKS & EXCEPTIONS NMFC No. CLASS WEIGHT (LBS)* e TOTAL * Subject to Correction TOTAL f EMERGENCY CONTACT: THIS IS TO CERTIFY THAT THE ABOVE NAMED MATERIALS ARE PROPERLY CLASSIFIED, DESCRIBED, PACKAGED, MARKED AND LABELED AND ARE IN PROPER CONDITION FOR TRANSPORT ACCORDING TO THE APPLICABLE REGULATIONS OF THE DEPARTMENT OF TRANSPORTATION.

2 SHIPPER CARRIER AUTHORIZED SIGNATURE AUTHORIZED SIGNATURE DATE NUMBER OF PIECES RECEIVED S Use the term "OVERPACK USED" when packages are overpacked. ShipMate, Inc., +1-310-370-3600, SHIPPER 'S declaration FOR dangerous GOODS Air Waybill No. SHIPPER Page ___ of ___ Pages Consignee SHIPPER 's Reference No. Two completed and signed copies of the declaration must be handed to the operator. TRANSPORT DETAILS This shipment is within the limitations prescribed for: (delete non-applicable) Airport of Departure: WARNING!

3 Failure to comply with the applicable dangerous Goods Regulations may be in breach of the applicable law, subject to legal penalties. Shipment type: (delete non-applicable) PASSENGER AND CARGO AIRCRAFT CARGO AIRCRAFT ONLY Airport of Destination: NON-RADIOACTIVE RADIOACTIVE NATURE AND QUANTITY OF dangerous GOODS dangerous Goods Identification UN or ID No. Proper Shipping Name Class or Division (Subsidiary Risk) Pack-ing GroupQuantity and Type of Packing Packing Instr.

4 Authorization Additional Handling Information: 24 HR Emergency Contact Telephone: I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name, and are classified, packaged, marked and labelled/placarded, and are in all respects in proper condition for transport according to the international and national governmental regulations. I declare that all of the applicable air transport requirements have been met.

5 Name/Title of Signatory Place and Date Signature (See warning above) ShipMate, Inc., 1-310-370-3600, Commodity RateNature and Quantity of Goods (incl. Dimensions or Volume)Gross WeightNo. of Pieces RCPC hargeable WeightShipper's Name and Address SHIPPER 's Account NumberConsignee's Name and AddressAir WaybillNot negotiableCopies 1, 2 and 3 of this Air Waybill are originals and have the same validityConsignee's Account NumberIssued byAirport of Departure (Addr. of First CARRIER ) and Requested RoutingAirport of DestinationBy first CARRIER Routing and DestinationtoCurrencyCHGSWT/VALD eclared Value for CarriagePPD COLLO therPPD COLLD eclared Value for CustomsFlight/DateFor CARRIER Use onlyFlight/DateINSURANCE.

6 If CARRIER offers insurance and such insurance is requested in accordance with conditions thereof, indicate amount to be insured in figures in box marked "amount of Amount of InsuranceHandling InformationChargeTotalkg lbRate ClassItem ChargesWeight Charge Total PrepaidTotal CollectCurrency Conversion RatesCC CHARGES in Dest. CurrencyShipper 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 applicable dangerous Goods of SHIPPER or his AgentExecuted on (Date) at (Place)

7 Signature of Issuing CARRIER or its CARRIER 's Agent Name and CityAgent's IATA CodeAccount InformationtobytobyThese commodities licensed by the for ultimate destinationDiversion contrary to at DestinationTotal Collect ChargesFor Carriers Use onlyat Destination PrepaidCollectIt is agreed that the goods described herein are accepted in apparent good order and condition (except as noted) for 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 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.

8 THE SHIPPER 'S ATTENTION IS DRAWN TO THE NOTICE CONCERNING CARRIERS' LIMITATION OF LIABILITY. SHIPPER may increase such limitation of liability by declaring a higher value for carriage and paying a supplemental charge if required. 2 Transport Document Number 1 SHIPPER / Consignor / Sender 3 Page X of Y Pages 4 SHIPPER s Reference 5 FREIGHT Forwarder s Reference 6 Consignee 7 CARRIER (to be declared by the CARRIER ) SHIPPER S declaration I hereby declare that the contents of this consignment are fully and accurately described below by the Proper Shipping Name, and are classified, packaged, marked and labelled/placarded and are in all respects in proper condition for transport according to the applicable international and national governmental regulations.

9 8 This shipment is within the limitations prescribed for: (delete non-applicable) XXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 10 Vessel / Flight & Date 11 Port / Place handling 12 Port / Place discharge 13 Destination 9 Additional handling information 14 Shipping Marks * Number & Kind of Packages; Description of Goods GW (kg) NW (kg) VOL (m3) 15 Container ID Vehicle Reg. No. 16 Seal Numbers 16 Container / Vehicle Size / Type 18 Tare Mass (kg) 19 Total Gross Mass (including Tare) (kg) CONTAINER PACKING CERTIFICATE I hereby declare that the goods described above have been packed/loaded into the container identified above in accordance with the applicable provisions of section of the IMDG Code.

10 21 Receiving Organization Receipt Received the above number of packages/containers/trailers in apparent good order and condition, unless stated hereon: RECEIVING ORGANIZATION REMARKS: 20 Name of Company Hauler s Name 22 Name of Company Preparing Note Name/status of Declarant Vehicle Registration No. Name / Status of Declarant Place / Date Place / Date Place / Date Signature of Declarant Driver s Signature Signature of Declarant * Use the term "OVERPACK USED" when packages are overpacked.