AIR WAYBILL NUMBER 
1 / 
2 / 
AIRLINE PREFIX 
SERIAL NO 
026-3341 745 
AIRPORT OF 
DEPARTURE 
m 
EXECUTION DATE? 
DAY/iyiTH/YR 
AIRPORT OF DEPARTURE (ADDRESS OF FIRST CARRIER) AND REQUESTED ROUTING 
II# C* 
WSm Wmmm* 
rURCY 
CODE 
AIRPORT OF DESTINATION 
mm&m 
ROUTING AND DESTINATION 
T ? ? -, 
BY Fll 
IRRIER 
jq m B m j wm 
B1 
TO 
BY 
CONSIGNEE S ACCOUNT NUMBER 
CONSIGNEE'S NAME AND ADDRESS 
lit in* it* wmem 
c/« mmm-mjm 
mmmmm im 
mi mm mrmm 
FOR CARRI 
ER USE ONLY 
FLIGHT/DAY 
FLIGhT/DAY 
FLIGHT/DAY 
FLIGHT/DAY 
BOOKED 
026-3341 745 
NOT NEGOTIABLE 
CLIPPER CARGO - 
ISSUED BY: 
PAN AMERICAN WORLD AIRWAYS, INC. 
NEW YORK. N.Y., U S A. 
AIR WAYBILL 
(AIR CONSIGNMENT NOTE) 
MEMBER OF INTERNATIONAL 
AIRTRANSPORT ASSOCIATION 
If the carriage involves an ultimate destination or stop in a country other than the 
country of departure, the Warsaw Convention may be applicable and the Convention 
governs and in most cases limits the liability of carriers in respect of loss of or damage 
to cargo. Agreed stopping places are those places (other than the places of departure and 
destination) shown under requested routing and/or those places shown in carriers' timetables 
as scheduled stopping places for the route. Address of first carrier is the airport of departure. 
SEE CONDITIONS ON REVERSE HEREOF. 
3 / 
SHIPPER'S ACCOUNT NUMBER 
SHIPPER'S NAME AND ADDRESS 
WMMM mrmmm* 
%wm * mi? m*, w«tf* 
The shipper certifies that the particulars on the face hereof are correct and agrees to the 
CONDITIONS ON REVERSE HEREOF. 
SIGNATURE OF SHIPPER 
BY BROKER/AGENT 
4 / 
ISSUING CARRIER'S AGENT, ACCOUNT NO. 
Carrier certifies goods described below were received for carriage subject to the CONDI¬ 
TIONS ON REVERSE HEREOF, the goods then being in apparent good order and condition 
except as noted hereon. 
ISSUING CARRIER'S AGENT. NAME AND CITY 
EXECUTED ON 
AT 
(Date) 
(Place) 
a j. 
AGENT'S IATA CODE 
5 / 
CHARGES 
PREPAID COL 
NO. OF 
PACKAGES 
RCP 
ACTUAL 
GROSS 
WEIGHT 
6 / 
INSURANCE—If shipper requests insurance in 
accordance with conditions on reverse hereof, 
indicate amount of insurance in figures in box 
marked 'amount of insurance' below. 
SIGNATURE OF ISSUING CARRIER OR ITS AGENT 
Copies 1, 2 and 3 of this Air Waybill are originals and have the same validity. 
RATE 
CLASS 
COMMODITY 
ITEM NO. 
CHARGEABLE 
WEIGHT 
RATE 
* 
m* 
CURRENCY 
DECLARED VALUE 
AMOUNT OF 
COD AMOUNT 
SPECIAL ACCOUNTING INFORMATION 
m 
FOR CAp^GE 
INSURANCE 
I 
m 
NATURE AND QUANTITY OF GOODS (INCL. DIMENSIONS OR VOLUME) 
4) 
These commodities licensed by the United States for ultimate destination . I 
lion contrary to United States law prohibited. 
7/ 
SPECIAL HANDLING INFORMATION (INCLUDING MARKS, NUMBERS AND METHOD OF PACKING)/ 
d o 
mtemMmw *«. 
&Cos/*7b/ 
ry 
8 / 
WEIGHT CHARGE 
V 
VALUATION CHARGE 
TOTAL OF AIRLINE 
CHARGES BELOW 
F 
AWB FEE 
CODE 
‘TOTAL OF NON-AIRLINE CHARGES BELOW 
0 
ORIGIN 
D 
DESTINATION 
COLLECT CHARGES 
IN DESTINATION 
CURRENCY 
AIRLINE AND NON-AIRLINE CHARGES. OTHER THAN WEIGHT CHARGE. VALUATION CHARGE AND AWB FEE 
INSURANCE CHARGE : 
WEIGHT CHARGE 
0 
TOTAL PREPAID 
9/ 
WEIGHT CHARGE 
v 
AIRLINE AND NON-AIRLINE CHARGES. CONTINUED 
VALUATION CHARGE 
VALUATION CHARGE 
TOTAL OF AIRLINE 
CHARGES BELOW 
AGENT'S DISBURSEMENTS 
TOTAL OF NON-AIRL! 
NE CHARGES BELOW 
0 
ORIGIN 
0 
DESTINATION 
OTHER CHARGES INCL COD FEE 
AIRLINE AND NON-AIRLINE CHARGES, OTHER THAN WEIGHT CHARGE, VALUATION CHARGE AND AGENT'S DISBURSEMENTS 
INSURANCE CHARGE 
COD 
COD AMOUNT 
f. 
COD FEE 
M 
z 
AIRLINE AND NON-AIRLINE CHARGES, CONTINUED 
TOTAL COLLECT 
9253 - 3157 PRINTED IN U S A 5/68 
Copy 8 (for First Carrier) 
FOR CARRIER'S USE ONLY AT DESTINATION 
