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Air Waybill Number

NYR54008
Shipper's Name and Address Shipper's Account Number Not Negotiable
- Air Waybill
Affinia Group Issued by
2375 Pennsylvania Av. NW, 20037 Washington DC
Teléfono: 001 202-4520100

Consignee's Name and Address Consignee's Account Number

SELVA CENTRAL S.A.C. - It as agreed that the goods described herein are accepted in apparent good order and condition (except
Avenida Jorge Basadre 498, San Isidro 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
Teléfono: 01 7428690 SPECIFIC CONTRARY INSTRUCTIONS ARE GIVEN HEREON BY THE SHIPPER. AGREES THAT THE
SHIPMENT MAY BE CARRIED VIA INTERMEDIATE. 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 paying a supplemental charge if required

Issuing Carrier's Agent Name and City Accounting Information

LATAM - Perú
Freight prepaid

Agent's IATA Code Account No.


- -
Airport of Departure (Addr. Of First Carrier) and Requested Routing
Washington Dulles International Airport
To By First Carrier To By To By Currency CHGS WT/VAL Other DV for Carriage DV for Customs
Code PPD COLL PPD COLL
LIM - - CC - X - X NCV NVD
Airport of Destination Flight / Date Flight / Date Amount of Insurance INSURANCE - If carrier offers insurance, and such insurance is requested in
accordance with the conditions thereof, indicate amount to be insurred in figures
Aeropuerto internacional Jorge Chavez 6/12/2022 - xxx in box marked "Amount of Insurance"
Handling Information

Please notify consignee by phone immediately on arrival


SCI
These commodities technology or software were exported from the United States
in accordance with the Exported Administration Regulation ultimate destination Diversion contrary to USA law prohibited -
kg Rate Class
No. of Nature and Quantity of Goods
Pieces RCP
Gross Weight Commodity Chargeable Weight Rate Charge Total (incl. Dimentions or Volume)
lb Item No.

4 80.00 k Q 6 / KG. $ 480.00 Smart Watches


Q' 25
DIM:
48 X 50 X 26

Prepaid Weight Charge Collect Other Charges

-
Valuation Charge

- -
Tax

- -
Total Other Charges Due Agent 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
- 200.00 according to the applicable Dangerous Goods Regulations
Total Other Charges Due Carrier

- 150.00 LATAM - Perú


Signature of Shipper or his Agent
Total Prepaid Total Collect

- 830.00
Currency Conversion Rates CC Charges in Dest. Currency
6/12/2022 Washington
- -
Executed on (date) at (place) Signature of Issuing Carrier or its Agent
For Carrier's Use only Charges at Destination Total Collect Charges Air Waybill Number
at Destination
- - - NYR54008

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