AIRFREIGHT
WAYBILL
P.O. BOX 1058, GREENEVILLE, TN 37744
P
I
K
LAX
NAME
ON POWER
E
VENTURA COUNTY MEDICAL CENTER
ADDRESS
CITY
LONGUEUIL
CONTACT
P
YUL
D
1120 LA FAYETTE
U
55108675
ORIGIN AIRPORT DESTINATION AIRPORT
NAME
STREET
C
ICC-MC249708
NUMBER:
JOEL
FROM TIME
10:00
PQ J4K3B3
VENTURA
NO.
R
NO.
T
2017552
O
ADDRESS
CA 93003
TELEPHONE
JOSH CORTEZ
TO TIME
08:00
16:00
FREIGHT
CLASS
25 KVA UPS, Cabinet, UTS Switch
NO.
2137039590
FROM TIME
ACCOUNT
STATE/ZI P
HOWARD
DESCRIPTION
STATE/ZI P
CONTACT
CITY
PO BOX 548
NO.
PCS.
3
CITY
17:00
STREET
3291 LOMA VISTA ROAD
E
ACCOUNT
ASSOCIATED SHIPP
ADDRESS
V
4504420000
BILL TO
STREET
I
STATE/ZI P
TELEPHONE
TO TIME
L
KS 67389
FORWARD AIR
ACTUAL
GROSS WEIGHT DIM WEIGHT
NO.
2017552
FORWARD AIR DIMS
2452.0 L
SHIPMENT INFORMATION PROVIDED BY SHIPPER
REF NBRS: PO4509999129; OA6302884701;
CUSTOMER BOOKED WEIGHT: 2452.0 L
ACCESSORIALS: ❐Debris Removal 2 , ❐Extra Man Delivery , ❐Hospital Delivery, ❐Inside Delivery , ❐Liftgate Delivery, ❐Pallet
Jack For Delivery, ❐Unpack Delivery
INSTRUCTIONS: Deliver ASAP, Josh Cortez @ 213-703-9590 is onsite contact, driver MUST call him at arrival and he will manage delivery. **STRAP
AT ALL TIMES DURING TRANSIT** shipper packed, contents condition unknown..
Documents Required: Commercial Invoice
THE GOODS DESCRIBED HAVE BEEN RECEIVED IN APPARENT GOOD ORDER AND ALL SERVICES WERE PERFORMED EXCEPT AS FOLLOWS:
PRINTED
VALUATION STATEMENT
NOTICE: UNLESS A HIGHTER VALUE IS DECLARED, THE SHIPPER HEREBY
RELEASES THE PROPERTY TO A VALUE OF $0.50 PER POUND, SUBJECT TO A
$50 MINIMUM. SEE THE TRANSPORTATION CONTRACT AND SERVICE
CONDITIONS AT WWW.FORWARDAIR.COM FOR LIMITATIONS AND DECLARED
SURCHARES.
DECLARED
X
VALUE $
0.00
RECEIVED BY:
WAYBILL ONLY
BY: INFORMATIONAL
SHIPMENT NOT YET TENDERED
AT:
SHIPPER'S ADDRESS
FORWARD AIR TERMINAL
DATE:
TIME:
HAZMAT
INBOND
X
DATE:
LAST NAME
CONSIGNEE
TIME:
SHIPPER
SERVICE SUBJECT TO BROKER'S RATE CIRCULARS AND RULES IN EFFECT ON DATE OF SHIPMENT AND TO CONDITIONS OF APPLICABLE CONTRACT
FA-AB0404a
55108675