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ofuses to pay the transportattot charge andor duty & lax, the chargss w:ll be otlcd ic the shipoer. Shipment Information LDoccnt itX {Deciate Value for Cariace Cuironcy Custcmer Coke Delated Weue tor stums Cuioncy Shipper Cumpany Name Sactior Contact Name Address City Courtry Area Prsial Coce Non Document Payment Traroortion Charce ILX ACO Dutcs Tarcs Shipper Custoner Code i3AN ANI Shipper Customer Code Shipper's Reference Optional Service Anourt TK NSLUTIN61 FIRM LTT Amount Importer ComnorCal Other Tax ID 1f check "Other". please state Customer Code. importer |Section Code Other 2ANTATEH OCS ANA GROUP Section Code Air Waybill DHSKA Shinper's Signatu Non Negotiable Notiied Broker Receiver Custorner Gode Section Comnany Name a 4 4 0 07 8 6 2 5 8 1 a Address 44-007-862-581 Contact Name |City Region Country/Area Postal Code Phone No./Ext No. Importer Customer Code Company Name Piece(s) Dimensions |Date of Receipt oD MM YYYY) 0CS cannot deliver to a POBG KENZo MS. MIkA YANhE EWeight F:0NICCM NINyhtDh CHUC-KUs Tk/l-ier Tax iD Please state if Receiver and Importer are different. Charges Transportation Chace cmDuties & Taxes Other Charge ORIGIN |Other Charge kalTOTAL DESTINATIO: Receivers Signatue