864 0001-22853 0 864-0001.22853 0 Air Waybill: Issued by

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ORIGINAL

864 JKT 0001-22853 0 864-0001.22853 0


Shipper's Name and Address Shipper's Account Number Not Negotiable
Air Waybill
AKBP KURNIAWAN TANDI RONGRE Issued By
JAKARTA
JAKARTA
`
Copies 1, 2 and 3 of this Air Waybill are originals and have the same validity.
Consignee's Name and Address Consignee's Account Number it 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 CONTRACTON THE REVERSE HEREOF.
AKPB IRWAN YULI ALL GOODS MAY BE CARRIED BY ANY OTHER MEANS INCLUDING ROAD OR ANY OTHER CARRIER
UNLESS SPECIFIC CONTRARY INSTRUCTIONS ARE GIVEN HAREON BY THE SHIPPER, AND SHIPPER
BALIKPAPAN 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
BALIKPAPAN CONCERNING CARRIER'S LIMITATION OF LIABILITY. Shipper's may increaase such limitation of liability
by declaring a higher value for carriage and paying asupplemental chrge if reguired.
ID

Issuing Carrier's Agent Name and City Accounting Information


FREIGHT PREPAID
GENERAL
Agent's IATA Code Account No.

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

Routing and
to By first Carrier to by to by Currency Chgs WT VAL Other Declared value for Carriage Declared Value for Costoms
Destination
Code PPD COLL PPD COLL

BPN GM IDR PP X X NVD NCV


For Carrier Use
Airport of Destination Flight/Date Flight/Date Amount of Insurance INSURANCE. - if Carrier offers insurance and such insurance is
Only
requested in accordence with conditions on reverse here of
SEPINGGAN GM 067 18-Jan XXX amount to be insured in figures in box marked "Amount of
insurance."
Handling information

SC
I
No. of Gross kg Rate Class VOL Rate Nature and Quantity of Goods
Pieces Weight Commodity Total (inci. Dimensions or Volume)
lb GROSS Charge
RCP Item No.

15 273 K N 400 As Agreed As Agreed GENCO

15 273 As Agreed 0 CM
Prepaid Weight Charge Collect Other Charges
As
As Agreed
Agree

Signature of Shipper or his Agent

CARNUIDJKTHDQ-CARGO
NUSANTARA EXPRESS
…………………………………………..…………………………………………………………………………………………………………………………
Executed on (Date) a (Place) Signature of Issuing
Charges at Destination Total Collect Charges t
For Carrier's Use Only
at Destination

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