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888 SUB 48448083 888-48448083

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

PRIANTO
, SUB Air Waybill
,0 (Air Consignment Note) CITILINK
,
Issued by: Airlines
Copies 1, 2 and 3 of this Air Waybill are originals and have the same validity.
Consignee's Name and Address Consignee's Account Number
RIKO
, UPG
,
,

Shipment Information
Issuing Carrier's Agent Name and City
GAPURA ANGKASA
SUB[IDSUB002215]

Agent's IATA Code Account Number

Shipment Type Accounting Information


Airport of Departure (Addr. of First Carrier) and Requested Routing
SUB PORT TO PORT FREIGHT Prepaid
Cur CH PP CL PP CL Declared Value for Carriage Declared Value for Customs
To By First Carrier (Routing and Destination) To By To By IDR P P P P P NVD NCV
UPG QG
Amount of Insurance INSURANCE - If the carrier offers insurance, and such insurance is requested in accordance with the
conditions thereof, indicate amount to be insured in figures in box marked "Amount of Insurance".
Airport of Destination Flight No Flight Date
UJUNG PANDANG QG-350 21 Sep 2021
Handling Information SCI
ANAK AYAM

No. of Kg Rate Class


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

60.00 As Agreed As Agreed DAY OLD CHICK


12 60.00 K Q
AVIGPL
LWH IN Cms 10.00 X 10.00 X 10.00 / 12
VOL. WT 2.00

Prepaid Weight Collect Weight


Other Charges:
As Agreed As Agreed
Prepaid Valuation Collect Valuation

As Agreed
Prepaid Tax Collect Tax

As Agreed
Total Charges Due Agent Total 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
As Agreed according to the applicable Dangerous Goods Regulations.
Total Charges Due Carrier Total Charges Due Carrier

As Agreed GAPURA ANGKASA


SUB[IDSUB002215]
SUB
Signature of Shipper or his Agent
Total Prepaid Total Collect

As Agreed 20/09/2021 SUB GAPURA ANGKASA


Currency Conversion Rates CC Charges in Dest Cur.
SUB[IDSUB002215]
Executed on (date) at (place) Signature of Issuing Carrier or its Agent

For Carriers Use only


at Destination
Charges at Destination Total Collect Charges
888-48448083

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