SHIPPER
PLEASE NOTE
`
FREIGHT CHARGES ARE PREPAID ON
THIS BILL OF LADING UNLESS MARKED
COLLECT
CARRIER
PLEASE NOTE
PLACE PRO LABEL HERE
STRAIGHT BILL OF LADING
DATE
CONSIGNEE (TO)
SHIPPER (FROM)
STREET
STREET
CITY, STATE, ZIP
CITY, STATE, ZIP
PHONE NO.
QTY
HM
`
P.O. NO.
SHIPPER NO.
ROUTE
VEHICLE NO.
KIND OF PACKAGING, DESCRIPTION OF ARTICLES, SPECIAL MARKS & EXCEPTIONS
e TOTAL
* Subject to Correction
NMFC No.
CLASS WEIGHT (LBS)*
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.
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, www.shipmate.com
SHIPPER'S DECLARATION FOR DANGEROUS GOODS
Shipper
Air Waybill No.
Page ___ of ___ Pages
PAGE 1 OF 1
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:
SNA
(delete non-applicable)
PASSENGER
AND CARGO
AIRCRAFT
Airport of Departure:
CARGO
AIRCRAFT
ONLY
Airport of Destination:
WARNING!
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)
NON-RADIOACTIVE
RADIOACTIVE
NATURE AND QUANTITY OF DANGEROUS GOODS
Dangerous Goods Identification
UN or ID
No.
Proper Shipping Name
Class or
Division
(Subsidiary
Risk)
Packing
Group
Quantity and Type of Packing
Packing
Instr.
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.
ShipMate, Inc., 1-310-370-3600, www.shipmate.com
Name/Title of Signatory
Place and Date
Signature
(See warning above)
Authorization
Shipper's Account Number
Shipper's Name and Address
Not negotiable
Air Waybill
Issued by
Copies 1, 2 and 3 of this Air Waybill are originals and have the same validity
Consignee's Name and Address
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 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. 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.
Consignee's Account Number
Accounting Information
Issuing Carrier's Agent Name and City
Agent's IATA Code
Account No.
Airport of Departure (Addr. of First Carrier) and Requested Routing
to
By first Carrier Routing and Destination
Airport of Destination
Flight/Date
to
by
to
by
Currency
For Carrier Use only Flight/Date
Other
CHGS WT/VAL
Declared Value for Carriage Declared Value for Customs
Code PPD COLL PPD COLL
INSURANCE: 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 Insurance
Handling Information
These commodities licensed by the U.S. for ultimate destination
No. of
Pieces
RCP
Gross
Weight
Prepaid
0.00
kg
lb
Rate Class
Commodity
Item No.
Chargeable
Weight
Collect
0.00
Weight Charge
Diversion contrary to U.S.law prohibited.
Nature and Quantity of Goods (incl.
Dimensions or Volume)
Total
Rate
Charge
Other Charges
0.00
0.00
Tax
0.00
0.00
Total Other Charges Due Agent
0.00
0.00
Shipper 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 Regulations.
Total Other Charges Due Carrier
0.00
0.00
Signature of Shipper or his Agent
Total Prepaid
0.00
Total Collect
0.00
Currency Conversion Rates
CC Charges in Dest. Currency
For Carriers Use only
at Destination
Charges at Destination
Executed on
(Date)
Total Collect Charges
at
(Place)
Signature of Issuing Carrier or its Agent
1 Shipper / Consignor / Sender
2 Transport Document Number
Total Other Charges Due Agent
3 Page X of Y Pages
4 Shipper’s Reference
Total Other Charges Due Carrier
6 Consignee
5 Freight Forwarder’s Reference
Tax
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.
8
This shipment is within the limitations prescribed 9 Additional handling information
for: (delete non-applicable)
XXXXXXXXXXXXXXX XXXXXXXXXXXXXXX
XXXXXXXXXXXXXXX XXXXXXXXXXXXXXX
10 Vessel / Flight & Date
11 Port / Place handling
12 Port / Place discharge
13 Destination
14 Shipping Marks
* Number & Kind of Packages; Description of Goods
GW (kg)
NW (kg)
3
VOL (m )
20.0
15
Container ID No./
Vehicle Reg. No.
16 Seal Numbers
16
Container / Vehicle
Size / Type
CONTAINER PACKING CERTIFICATE
18 Tare Mass (kg)
19 Total Gross Mass
(including Tare) (kg)
21 Receiving Organization Receipt
Received the above number of packages/containers/trailers in apparent
I hereby declare that the goods described above have good order and condition, unless stated hereon:
been packed/loaded into the container identified above in
accordance with the applicable provisions of section 5.4.2 RECEIVING ORGANIZATION REMARKS:
of the IMDG Code.
20 Name of Company
Hauler’s Name
Steven Charles Hunt
BMW Carriers, Inc.
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.
22 Name of Company Preparing Note
ShipMate, Inc., 1-310-370-3600, www.shipmate.com