273 | CGK | 0014-9086 273-0014-9086

Shipper's Name and Address Shipper's Account Number Not negotiable

Air Waybill
(Air Consignment Note)
PT DCS / LSM Rimbun Air
Issued by

Copies 1,2, and 3 of this Air Waybill are original and the same validity

Consignee's Name and Address Consignee's Account Number It is agreed that goods described herein are accepted in apparent good order and
condition (exept as nodted) for carriage SUBJECT TO THE CONDITIONS OF
CONTRACT ON THE REVERSE HERE OF ALL GOODS MAY BE CARRIED
PAK ZUL 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 CARRIER'S THE SHIPPER'S ATTENTION IS DRAWN
TO THE NOTICE CONCERNING CARRIER'S LIMITATION OF LIABILITY,
Shipper may increase such limitation of liability by declaring a higher value for
carriage and playing a supplement charge if required.

Arya Mandiri Trans Logistik Accounting Information

Issuing Carrier's Agent Name and City BANTEN

Agent's IATA Code Account No. 273-0014-9086

Airport of Departure (Addr. of First CGK | Soekarno-Hatta International

Refence Number Optional Shipping Information
Carrier) and Requested Routing Airport

To By First Carrier To By To By Currency Deciared Deciared

Routing and Destination CHGS
BPN RA WT/VAL Other Value for Value for
Code
Carriage Customs

PPD COLL PPD COLL

For Carrier Use Only

Airport of Destination INSURANCE - If Carrier offersinsurance, and such insurance is requested in accordance with
Sultan Aji Muhammad Sulaiman Flight/Date Amount of Insurance the conditions thereof, indicate amount to be insured in figures in box marked
Flight/Date *Amount of insicure*
Sepinggan International Airport
RI304

Handling Information

(For U.S.A use only) There commodities, technology or software were exported from the United States in accordance with the Export Administration Regulation, Diversion
contrary to USA law prohibited SCI

No of Gross Weight Rate Class

kb Chargeable Weight Rate Charge Total Nature and Quality of
Pieces lb Goods
RCP Commodity Item No.
(incl. Dimensions or
Volume)

3 222 222 As Agreed As Agreed Stackable

20x20x20
3 pcs
SPAREPART
Prepaid Weight Charge Collect
Other Charges
As Agreed
Valuation Charge
As Agreed
As Agreed
Tax
As Agreed
Total Other Charges Due Agent
Shipper certifies that the particulars on the face here are correct and that insofar as any part of the
consignment contains dangerous goods, such part is property described by name and is in proper
Total Other Charges Due Carrier condition for carriage by according to the applicable Dangerous Goods Regulations.

As Agreed
Arya Mandiri Trans Logistik CGK-BPN

Total Prepaid Total Collect Signature of Shipper or his Agent

As Agreed
Currency Convertion Rates CC Charge in Dest. Currency 05 Sep 2023 Banten Arya Mandiri Trans Logistik
Executed on (date) at (place) Signature of issuing Carier of its Agent
Charge at Destination
For Carrier's Use Only at Total Collect Charges
Destination

273-0014-9086 273 | CGK | 0014-9086