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[[UPS Label]] Please Type. See instructions on back. [[1 in circle]] [[two columns]] Shipper's UPS account no. Shipper's employer identifications number (E.I.N.) Name of Sender Jaime Davidovich Telephone No. (Very important) 917-593-2852 [[One column]] Company Name and Address (include ZIP code) Jaime Davidovich 67 East 11 St AP 219 New York NY Postal Code 10003 Country USA [[2 in circle]] [[two columns]] Receiver's UPS account No. 4817V7 Receiver's Identification No. for customs purposes (V.A.T., Importer's No., R.F.C. No., etc.) Name of contact person E. Martinez Telephone No. (Very Important) +34945209003 [[one column]] Company Name and Address (include Postal Code) Enrique Martinez GOIKOETXEA Conservador Exposiciones Artium de Alava Francia 24, 01002 Vitoria Postal code Gasteiz Country Spain [[3 in circle]] Payment of Charges not all options available to/from all countries Bill shipping charges to: [[Empty box]] Shipper (S) Account No. in Section 1 [[Box with X in it]] Receiver (R) Account No. in Section 2 [[Empty box]] Third Party (T) Enter Account No. Below [[Empty box]] Credit Card [[Empty box]] Check Third Party Company Name: Enter third party's UPS account No. or Shipper's major credit card no. Third party country or expiration date Bill duties and taxes to (Dutiable Shipments Only): [[empty box]] Shipper(S) Account No. in section 1 [[box with X in it]] Receiver(R) Account No. in Section 2 [[empty box]] Third Party(T) Enter Account No. Below Third Party Company Name: Third Party Account No: Third Party Country: 02876501 1/07 MW UPS Worldwide Services Waybill (non-negotiable) [[UPS Logo]] [[4 in a circle]] Service Level (Please mark large "X". Select one level only. Refer to the appropriate service guide for levels available.) Express Plus 1+ Express 1 Saver 1P Expedited [[checkmark]] 2 Standard [[black box]] [[5 in circle]] Shipment Information [[four columns]] Total No. of packages in shipment No. of large packages in shipment Total actual weight of shipment Total billable weight of shipment (Dimensional/minimum billable, if applicable) [[empty box]] ENV [[empty box]] PAK [[empty box]] 10KG Box [[empty box]] 25KG Box Description of Goods Indicate if Documents Only [[handwritten]]DVDs, 2 books [[empty box]] Mark "X" if shipment only contains documents of no commercial value Declared value of shipment for carriage only (US $) Declared value of shipment for customs only (US $) Reference No. 1 Reference No. 2 Special Offer Code [[6 in circle]] Country of Origin (Manufacture) of Goods [[handwritten]] USA For international information or assistance call 1-800-782-7892 [[Barcode]] UPS Waybill Tracking No. H527 702 630 4 Special Instructions [[empty box]] Saturday Delivery (Apply orange Saturday Delivery routing label below Waybill.) [[7 in circle]] U.S. Shipper's Export Declaration (S.E.D.) An S.E.D. is required when the value of any commodity is greater than $2,500 U.S. or when an export license is required. Check here if S.E.D. is included with export documents. [[empty box]] Enter your A.E.S. ITN number if S.E.D. is electronically filed. [[empty box]] Check here and complete section below if you want UPS to prepare an S.E.D. on your behalf. [[empty box]] Harmonized Tariff Code ECCN Export Commodity Control No. License Number & Expiration Date or License Exception Country of Ultimate Destination Parties to Transaction [[empty box]] Related [[empty box]] Non-related [[empty box]] Unless a greater value for carriage is declared in writing in the space provided on this waybill, the carrier's liability is limited by the Warsaw Convention and any amendments thereto, and the other applicable provisions contained in the Terms and Conditions on the reverse side of this waybill which are incorporated herein by reference. The shipper certifies that these commodities, technology or software were exported from the United States in accordance with the Export Administration Regulations. Diversion contrary to U.S. law is prohibited. The shipper agrees to the terms and conditions of the reverse side of this waybill. The shipper authorizes UPS to act as forwarding agent for export control and customs purposes. [[8 in circle]] Date of Shipment 05/06/09 Shipper's Signature [[handwritten signature]] Received for UPS by: Date: Time: When applicable, use reverse side of Shipper's Copy to calculate charges. Record total here. [[black arrow]] Shipping Charges:
