Авиационная накладная

628│ │ 628

┌───┴───┴──────────────────┬──────────────────┬───────────────────────────────────────────────────┐

│Shippor's │Shippor's Account │Not Negoilnbie │

│Name and Address │Number │Air Waybill BELAVIA │

│ └──────────────────┤Issuod by 22004 Мiнск, Намiга 14, Беларусь │

│ │ 220004 Minsk, Nemiga 14, Belarus │

├─────────────────────────────────────────────┼───────────────────────────────────────────────────┤

│ │Copies 1,2 and 3 of this Air Weybai are │

│ │originals and have the tame validity. │

├─────────────────────────┬───────────────────┼───────────────────────────────────────────────────┤

│Consignee's Name and │Consignee's Account│ │

│Address │Number │ │

│ └───────────────────┤ │

│ │ │

├─────────────────────────────────────────────┼───────────────────────────────────────────────────┤

│issuing Carrier's Agent Name and City │Accounting information │

├──────────────────────┬──────────────────────┤ │

│Agent's IATA Code │Account No │ │

├──────────────────────┴──────────────────────┤ │

│Airport of Departure(Addr. of First Carnor) │ │

│and Reguested Rouling │ │

├────┬────────────────────────┬───┬───┬───┬───┼────────┬────┬────────┬────────┬─────────┬─────────┤

│To │By First \Reguested and/│to │by │to │by │Currency│CHGG│ Wr/VAL │ Other │ Declared│Declared │

│ │Carnor \Departure / │ │ │ │ │ │Code├───┬────┼───┬────┤Value for│Value for│

│ │ ---------- │ │ │ │ │ │ │PPO│COLL│PPO│COLL│ Carriage│Customs │

├────┴───────────┬────────────┴───┴───┴───┴───┼────────┴┬───┴───┴────┴───┴────┴─────────┴─────────┤

│Airport of │Flight/ \For Caster/ Flight/│Amount of│INSURANCE - If Carrier offers │

│destination │Date \Use Only/ Date │Insurance│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" │

├────────────────┴─────────────┴──────────────┴─────────┴─────────────────────────────────────────┤

│Handling Information ┌─────────────────┤

│ │ SCt │

│(For USA only) These commodities ilcensed Diversion contrary to USA law│ │

│by USA for ultimate deatination ................ is prohibited │ │

├──────┬──────┬──┬─┬───────────┬─┬──────────┬───────────┬─┬────────┬─┬──────────┴─────────────────┤

│No of │Gross │kg│х│Rate │х│Chargeable│Rate/ │х│ Total │х│Nature and Quantity of Goods│

│Pieces│Weight│lb│х│Class │х│ Weight │ / Charge│х│ │х│(incl. Dimensions or Volume)│

│ RCP │ │ │х│ ┌─────────┤х│ │ │х│ │х│ │

│ │ │ │х│ │Commodity│х│ │ │х│ │х│ │

│ │ │ │х│ │Item No. │х│ │ │х│ │х│ │

├──────┼──────┼──┤х│ ├─────────┤х├──────────┼───────────┤х│ │х├────────────────────────────┤

│ │ │ │х│ │ │х│ │ │х│ │х│ │

│ │ │ │х│ │ │х│ │ │х│ │х│ │

├──────┼──────┤ │х│ │ │х│ │ │х├────────┤х│ │

│ │ │ │х│ │ │х│ │ │х│ │х│ │

├──────┴──────┴──┴─┴─┴─────────┴─┴───┬──────┴───────────┴─┴────────┴─┴────────────────────────────┤

│ \Prepaid/\Weight Charge/\Collect/ │Olhor 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 │

│ \Total Other Charges Duo Carrter/ │according to the applicable Dangerous Goods Regulations. │

│ ------------------------------- │ │

│ │ │ │

├────────────────┴───────────────────┤............................................................│

│хххххххххххххххххххххххххххххххххххх│ Signature of Shipper or his Agent │

│хххххххххххххххххххххххххххххххххххх│ │

├────────────────┬───────────────────┤ │

│ \Total Prepai/ │ \Total Collect/ ├────────────────────────────────────────────────────────────┤

│ ------------ │ ------------- │ │

├────────────────┼───────────────────┤ │

│ \ Currency /│\ CC Chardgos in / │ │

│ \Conversion / │ \Dest. Currency/ │............................................................│

│ \ Ratea / │ -------------- │Executed on (date) at (place) Signature of issuing Carier │

│ --------- │ │ or its Agent │

├────────────────┼───────────────────┼─────────────────────┬──────────────────────────────────────┘

│For Carriers Use│ \ Charges at / │\ Total / │

│ only al │ \Destination/ │ \Collect Charges/ │ 628 -

│ Destination │ ----------- │ --------------- │

└────────────────┴───────────────────┴─────────────────────┘

COPY 9 (FOR AGENT)