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Commodity Description <br />Harmonized Code <br />Camay of <br />Manufacture <br />Value for Customs <br />Total Declared Value <br />for Carriage <br />Total Value <br />ms <br />(Spo rCusto Currency) <br />- <br />Has EEI been filed in ASST = No EEI required, value SUM alms per Sat B Number, <br />r WIFI MAR. <br />.. :. ....', ...,, ., . no Oconee required (NM, netsubieclto <br />4 No EEI required, enterexompion number dmherman NM, enter License Escapism <br />Q Yes-Eater AES proof oflRmg chatiom <br />1 ROM Plea a grint had l S <br />Account ders Number R.r q. C 3. 1. 'Tt ! 7 <br />Name N 4- <br />Company <br />Leve.A Address (-4 I <br />Address <br />International Air Waybill <br />Far FedEx services worldwide. <br />Express <br />Address JUl 1 / r CO V p v, \/ <br />Address o 1 k) j V c 1 De ar <br />City / y� <br />Country - <br />Recipient's Tax ID Numberfor Customs Purposes <br />mg, GST/RFCNATil NIB NiABN, or as locally required. <br />Total Packagges <br />SNppw s Imd er�d <br />CounVS1AC <br />S A, <br />P at ince <br />ZIP Code it a <br />3 Shipment Information ❑ For Epaulet Tick here if goods are notin free circulation and provide C.I. <br />T r lbs. kg_ in. cm <br />We ❑ Arinm L / / ❑ ❑ <br />4 Express Package Service <br />1ede Intl. Priority <br />❑ FedEx Intl. First <br />Available to selectlocatm¢ <br />❑ <br />FedEx Intl. Economy <br />FedEx Envelope and FedEx Pak <br />rem not ovabbbe. <br />5 Packaging 'These unique brown boxes with special pricing are <br />provided by FedEa for Fred& Intl. Priority only. <br />Ex Envelope ❑ FedEx Pak ❑ FedEx Box ❑ FedExTube <br />❑ Other ❑FedExlokgBoxe ❑FedEx25kgBox* <br />6 Special Handling <br />HOLD at FedEx Location ❑SATURDAYDelivery <br />Avat edamsolect locetions for FedFxlm4 Priadn atJy. <br />Packagesupto 1501bs./68kg <br />For packages aver 15OIbs. OOOkgL use the <br />fed& Exporded Service rnd Air wayta <br />State 7 Payment completepa forbos. <br />Province em nsportadon eher and dudes entl taxer <br />Bit transportation charges to: <br />EnterFedExAcct Na er Cradu Curd Na below <br />Coum - 11 Postal Code t .Y LrS acat ❑ Reciient Recipient ❑Cdit Cash <br />secaonlva0 bebrel Party Card ❑Check/Cheque <br />2 To FedEx Acct. No. Fed&Use Only <br />Recipient's A� r <br />Name Phone ! V Credit Card Na. <br />(/ �,,f /��� Credit Card Exp. Data <br />^T^ ` 's �y � a s 11 E �F� Bill Exp. D aes and faxes to: ALL shipments may be subjectm Customs charges, <br />— e rFedExAcct Na below. which FedEx does not [mama odor to clearance. <br />❑ Recipient ❑ Third <br />Parry <br />Fed Ex <br />Tracidng <br />Number <br />Sen Acct. No. in <br />nl will be billed. <br />FedEx Acct No. <br />8 Your Internal Billing Reference <br />shipment and limit our liability for damage, loss, or d <br />WARNING:These commodities,technr. . , or <br />with Biped Administration Regulatio • 1iversion <br />Senders <br />Signature: <br />This is not authorization to deliver this shipment withouta recipient signature. <br />8724 8775 3084 <br />First 24 characters will appear on invoice. <br />9 Required Signature <br />Use of this Air Waybill constitutes your agreementto the Conditions of Contract on the back otthis Air <br />Waybill, and you representthatthis shipment does net require a US. State Department License or contain <br />dangerous goods. Certain international treaties, inclu ing the Warsaw Convert ion, may apply= this <br />y, as described in the Conditions of Contract <br />xported from the United States in accordance <br />S. law prohibited. <br />For Completion Instructions, see back of fifth page. <br />The terms and conddons of service mayvaryfrwn counbyto country. Consult our local office for specific information. <br />Non - Negotiable Intonational Air Waybill •012008 FedEx <br />Questions? Go to our Web site atfedex.com. <br />Or in the U.S., call 1.800.GoFedEx 1.800.483.3339. Outside the U.S., call your local FedEx office. <br />Not all services and <br />options are available <br />to all destinations. <br />Dangerous goods cannot <br />be shipped using this <br />Air Waybill. <br />568 <br />PARr15a4a9•Rov. Dam 11109 <br />021994 -2008 FedEx <br />PRINTED IN Japan <br />Rm‘ ID N 042 <br />0 <br />1- <br />