QQO 1 5CL I 0000:5124

Shipper's ame andAddress Shlpper's Account Number

MAEX CHILE LTDA.
78383334-2
HOLANDA 099 OFICINA 1101
PROVIDENCIA CHILE
Not negotiabte
AirWaybill
CARGO NET CENTER S.A.
issued by
Copies 1, 2 and3 of Ihis Air Waybill are originis andhave the same validity.
Consignee's ame andAddress
ERNESTO GONZALEZ
CALAMARES MS 23
5 PRIMERA ETAPA
CARTAGENA BOLVAR ,
COLOMBIA
Consignee's Account Number
R ecei ved rt Good O rder an Condi l i on
P lace Date/Time
Place Signature of Consignee or his Agent
^tS^&t&mtf&R S.A
A. VESPUCIO ORIENTE 1309 OF 202
PH:8011 857 CP 9020000
9" .
Agenl's IATA Code
75-1-0041/0011
t K N t a I U Ui M A L t
CALAMARES MS 23 5 PRIMERA ETAPA
CARTAGENA BOLIVAR , COLOMBIA
Airport of Departure (Addr. of first Carher) andrequeste Routing
SANTIAGO A. MERINO INTERNATIONAL
To RyFir-t Cj r r i fr ^ H o u t l n a a n d Pestlnatlon X | j 0
C O L L AN C AP.GO S.A.
by To by Currency
U S D
Ffight/Date V F f f , 9 ^ W, W S Flj ght/P ate
U-A-3572/1
Gtioa
wr VAL OTHEH
CO 3B P P D CO L L P P D C O L L
f pp P P
Declarad Valu for Garra ge
NVD
eclared Valu for Customs
NVC
Airport of Destmation
CARTAGENA -CLOM3IA
Amount of Insurance
Ht L
INSURANCE - IfCarrier offers insurance. andsuch insurance s requesledin
sccordance witti the condHons thereof. indcate amount to be InsuredInfigures
ir boxrnarked"Amount af Insurance".
Handling Information
These commodities licensed bythe U.S. for ultmate destination
Diversin contrary to U.S. law prohibited.
No. Df
Pieces
RCP
1
Gross
Weight
22,30
22,30
i :
Commodity
IternNo.
GE N
Cl wgeabl e
Weight
22,30
X. Prepaid / X, Weight Charqe / X Gollect /
6.50
Total
144.95
144,95
Nature andQuantity of Goods
(ind. Dimensions or Volunte)
01 KIT CONTAJ NING:
WOOD SAMPLES
144,95
X. Valuation Ctiarge
X Ta* y
Other Ctiarges
HD /SUA 65,00
I NL AKD 62,16
HAWB
H C K UP
30,00
38.00
F SC 10,03
Tolal Other Charges Due Agent
215,16
TQiajOther Charges Due Carrier
X, Total Prepaid y
370,14
X Currency Corwereton Rafes X.CC
Shipper certifies That iha particulars on the face here of are correct andt hat i n s o f ar as any p ar t o f t he c o n s i g n men t
c o n t ai n s r es t r i ct ed ar t i c l es , s u c h p ar t Is p r op er i y des cr i bad by ama an d i e I n p r o p er eo n dl t i o n f o r c ar r i ag e by air
ac c o r di n g t o t he ap p l l c abl e Dan g er o u s G o o ds R e g u l at l o n s .
MAE X CHILE L I D A
X Total Collect /
X^"'CTiafgWa!^tmaiori S
Signature of Shipper or his Agent
71
10-07-201- SCL CARGO NET CENTER S J SAEZ
Executed on
V,"fofa*
(dale)
Charges
nnrf-Tinnn f f l W
ilute of Issuing Car r i e/ * its Agent
P orCarriera Use only
ORIGINAL 3 (FOR SHIPPER)