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[[image]] [[KLM encircled with wings topped with a crown]] [[symbol of KLM]] Member of International Air Transport Association]] [[/image]]
NOT NEGOTIABLE
AIR WAY BILL
ISSUED BY
K.L.M ROYAL DUTCH AIRLINES
1. PLESMANWEG, THE HAGUE, NETHERLANDS. 18
Nr 074 2145981
DEPARTURE (AIRPORT OF) LE BOURGET
DESTINATION (AIRPORT OF) NEW-YORK
CONSIGNED TO STREET ADDRESS CITY & COUNTRY
Monsieur JACQUES SELIGMANN & CO Inc.- 5 EAST 57 Th STREET
NEW-YORK -USA-
ALSO NOTIFY
BERNO SHIPPING & Co
25 BEAVER STREET
NEW-YORK- 4 . USA
[[7 columned table]]
| MARKS AND NUMBERS | NO. OF PACKAGES AND METHOD OF PACKING | NATURE AND QUANTITY OF GOODS COUNTRY OF ORIGIN (IF REQUIRED) | DIMENSIONS OR VOLUME | GROSS WEIGHT LBS/KILOS (Cross Out One) | SHIPPER'S DECLARED VALUE (Specify Currency) For Customs Only | SHIPPER'S DECLARED VALUE (Specify Currency) For Carriage |
| | | | | | | |
| J.S 1 | ONE (1) PARCEL | PAINTING D 6 N# 20987 FRANCE | 110x85x17 | 22,8 KGS | 2.118.700 FRS | NVD |
IF SHIPPER REQUESTS INSURANCE, IN ACCORDANCE WITH THE CONDITIONS STATED ON THE REVERSE HEREOF. INDICATE AMOUNT OF INSURANCE IN WORDS AND FIGURES IN SPACE PROVIDED TO THE RIGHT.
[[illegible]]
(Amount in Words- and Figures.)
SHIPPER'S INSTRUCTIONS IN CASE OF INABILITY TO DELIVER SHIPMENT AS CONSIGNED.
inform shipper destroy shipment
return by
deliver to
DOCUMENTS TO ACCOMPANY AIR WAYBILL
METHOD OF ROUTING AND CHARGES - Agreed stopping places are those places (other than the place of destination) shown under Routing and Weight or Volume Charges, and/or those places shown in carrier(s) timetables as scheduled stopping places for the route.
Portions Surrounded by Bold Lines Reserved For The Carrier
RATE CLASS FICATION| PREPAID CASH/CREDIT (Cross out one) | Shipper MUST INSERT ITEM NUMBER CHARGE ABLE TO SELF| CHARGEABLE TO CONSIGNEE
AIR CARRIAGE
From PARIS|Chargeable Weight 23|AMOUNTS IN CURRENCIES AS CHARGED|AMOUNTS IN CURRENCY AT DESTINATION|
Routing & Weight or Volume Charges Rates
1. To KIM WORK Carrier KIM Via US $2,57 59.11
2. To Carrier Via
3. To Carrier Via
Value Charges
4. To Carrier
5. To Carrier
6. Insurance Premium: From To
7. Carrier's Cartage Charges on Departure 0.26
Other Charges At Departure (Forwarding by Other Transp. Agencies, act.)
8a. FIXED TAX 0.44
8b. CUSTOM FORMALITIES 0.29
8c. CLEARANCE FEES 0.43
9. Transit Charges PISCAL STARPS 0.13
10. Carrier's Cartage Charges at Destination
Other Charges At Destination (Reforwarding by Other Transp. agencies, etc.)
11a. OUTLAYS 68.33 (68.33)
11b. CHARGES 0.35
11c.
12. Charges for Collection of C.O.D.
13. SHIPPER'S C.O.D. SUB-TOTAL [[right-arrow]]
Amount in Words - AND C.O.D. IN FIGURES [[right-arrow]]
APPARENT CONDITION OF THE TOTAL [[right-arrow]]
GOODS AND OF PACKING (Specify Currency) 129.34
The Shipper certifies that the particulars on the face hereof are correct and agrees to the CONDITIONS ON THE REVERSE HEREOF.
Name of Shipper A. LENARS & Co
Address 22 Bie Rue de PARADIS PARIS
Signature of Shipper
By Broker/Agent
Executed on (date) 31-8-55 at (place) PARIS
When above-described goods were received for transportation SUBJECT TO THE CONDITIONS OF THE REVERSE HEREOF, the goods then being in apparent good order and condition except as noted hereon.
Name and Address of First Carrier KLM, 20 Rue de CHABROL PARIS (X)
Signature of Issuing Carrier or its Agent PAR/ML
Name and Addrsss of Issuing Carrier's Agent
No. 5 . Copy . Customs Declartaion
9 Copies of this Air Waybill have been completed, of which Copies 1, 2, and 3 are originals and have the same Validity
