SHIPPER'S DECLARATION FOR DANGEROUS GOODS

Shipper Air Waybill No.

Valentina Raigozo Molina Page 1 of 1 Pages
Carrera 85A #83 - 29
Shipper's Reference No
Bogotá
(Optional)
Colombia

Consignee
Neissa Castañeda Pérez
66384 Ayana Mills Suite 971
New Orleans, Louisiana
United States
Two completed and signed copies of the Declaration must be
handed to the operator. WARNING!
TRANSPORT DETAILS
Failure to comply with the applicable Dangerous
This shipment is within the Airport of Departure: Goods Regulations may be in breach of the applicable
limitations prescribed for: El Dorado International law, subject to legal penalties.
Airport
(delete non-applicable)
PASSENG CARGO Airport of Destination: Shipment type: (delete non-applicable)
ER AND AIRCRA Louis Armstrong New
CARGO FT Orleans International NON-RADIOACTIVE RADIOACTIVE
AIRCRAFT ONLY airport

NATURE AND QUANTITY OF DANGEROUS GOODS

Dangerous Goods Identification
Class
or P
UN Divisio a Packing
or Proper Shipping Name n ck Quantity and Type of Packing Authorization
ID (Subsi -
N diary in
o. Risk) g Instr.
G
ro
u
p

UN 1072 Oxygen, compressed 2.2 (5.1) 1 wooden/metal box X 200

2 Kg

Additional Handling Information:

24 HR Emergency Contact Telephone: +57 320 658

4572
I hereby declare that the contents of this consignment are fully Name/Title of Signatory
and accurately described above by the proper shipping name, Valentina Raigozo Molina
and are classified, packaged, marked and labelled/placarded, Place and Date
and are in all respects in proper condition for transport Bogotá, 14 October 2020
according to applicable international and national governmental
regulations. I declare that all of the applicable air transport Signature
requirements have
been met.
(See warning above)