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Shipper’s Declaration for Section II Lithium Cells / Batteries

WARNING: Lithium Batteries IDENTIFIED BY THE MANUFACTURER AS BEING DEFECTIVE FOR SAFETY REASONS, OR THAT HAVE BEEN DAMAGED, MUST NOT BE SHIPPED BY AIR. Shipment Details:FedEx Air Waybill Number:Destination: Shipper s Information:Consignee s Information:Name: Address:Battery Information - Select the applicable battery type(s) and fill in the blanks: Cell / Battery Cell > but 20Wh Battery > but 100Wh UN3481 PI966 [ELI] Lithium Ion Cells / Batteries Packed with Equipment UN3481 PI967 [ELI] Cell / Battery Lithium contentCell > but 1g Lithium contentBattery > but 2g Lithium content UN3091 PI969 [ELM] Lithium Metal Cells / Batteries Packed with Equipment UN3091 PI970 [ELM] Lithium Metal Cells / Batteries Contained in Equipment FALSE FALSEFALSE This package does not contain any recalled and/or defective Cells or batteriesFALSE This package must be handled with care and that a flammability hazard exists if the package is damaged.

warning: lithium batteries identified by the manufacturer as being defective for safety reasons, or that have been damaged, must not be shipped by air.

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  Cells, Batteries, Lithium, Lithium batteries, Lithium cells

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Transcription of Shipper’s Declaration for Section II Lithium Cells / Batteries

1 WARNING: Lithium Batteries IDENTIFIED BY THE MANUFACTURER AS BEING DEFECTIVE FOR SAFETY REASONS, OR THAT HAVE BEEN DAMAGED, MUST NOT BE SHIPPED BY AIR. Shipment Details:FedEx Air Waybill Number:Destination: Shipper s Information:Consignee s Information:Name: Address:Battery Information - Select the applicable battery type(s) and fill in the blanks: Cell / Battery Cell > but 20Wh Battery > but 100Wh UN3481 PI966 [ELI] Lithium Ion Cells / Batteries Packed with Equipment UN3481 PI967 [ELI] Cell / Battery Lithium contentCell > but 1g Lithium contentBattery > but 2g Lithium content UN3091 PI969 [ELM] Lithium Metal Cells / Batteries Packed with Equipment UN3091 PI970 [ELM] Lithium Metal Cells / Batteries Contained in Equipment FALSE FALSEFALSE This package does not contain any recalled and/or defective Cells or batteriesFALSE This package must be handled with care and that a flammability hazard exists if the package is damaged.

2 FALSE Special procedures must be followed in the event the package is damaged, to include inspection and repackingFALSEif Telephone Number for Additional InformationFALSE Remarks:FALSEName & Date:Shipper s Declaration for Section II Lithium Cells / BatteriesAddress:Name: Lithium METAL Batteries in compliance with Section II of PI Net (Kg) per Package( Lithium Cell / Battery)Battery Type [IMP Code] UN3480 PI965 [ELI] Lithium Ion Cells / Batteries ONLY Lithium Ion Cells / Batteries Contained in Equipment Lithium ION Batteries in compliance with Section II of PI 10-Mar-2016(CAPITAL LETTERS)Special Procedures:(Country Code) + Area Code + Phone number Origin: ONLY UN3090 PI968 [ELM] Lithium Metal Cells / BatteriesContact Number:Contact Number:Pieces FedEx Express - Updated March 1, 2016


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