![Transcription Center logo](/themes/custom/tc_theme/assets/image/logo.png)
This transcription has been completed. Contact us with corrections.
1) Shipper's UPS Account No. | Shipper's Employer Identification Number (E.I.N) UPS Worldwide Services Waybill (non-negotiable) UPS UPS Waybill Tracking No. H527 702 621 5 [[circled]] Name of Sender|Telephone No. Jaime Davidovich|917-593-2852 Company Name and Address Jaime Davidovich 67 East 11st Ap 219 New York Postal code 10003 Country USA 2) Receiver's UPS Account No.|Receiver's Identificaion No. for Customs Purposes (V.A.T., Importer's No., R.F.C. No., etc.) 4817V7| Name of Contact Person |Telephone No. E Martinez | 1-34945209003 Company Name And Address Enrique Martinez Artium of Alava Francia 24, 01002 Vitoria Gasteiz | Spain Postal code | Country 3) Payment of charges not all options available to/from all countries Bill shipping charges to: Shipper (S) account no. in section 1 [[check mark]] Receiver (R) Account no. in section 2 Third party (T) Enter Account No. Below Credit card | 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): Shipper (S) account no. in section 1 [[check mark]] Receiver (R) Account no. in section 2 Third party (T) Enter Account No. Below Third party company name: Third party account no.: Third party country: 02876501 1/07 MW 4) Service Level Express Plus 1+ Express 1 Saver 1P Expedited [[check mark]] 2 Standard [[black box]] 5) Shipment information 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) [[check box]]ENV [[check box]]PAK [[check box]]10KG BOX [[check box]]25KG BOX [[check box]] Description of goods 16 DVDS, 30 POST CARDS, 4 eos Indicate if documents only [[check 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 U [[good guess?]] 6)Country of Origin (Manufacture) of Goods USA For international information or assistance call 1-800-782-7892 Special Instructions [[Check box]] Saturday Delivery (Apply orange Saturday Delivery routing label below Waybill.) 7) 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. [[check box]] Enter your A.E.S. ITN number if S.E.D. is electronically filed. Check here and complete section below if you want UPS to prepare an S.E.D. on your behalf. [[check box]] HARMONIZED TARIFF CODE | ECCN Export Commodity Control No. LICENSE NUMBER & EXPIRATION DATE OR LICENCE EXCEPTION COUNTRY OF ULTIMATE DESTINATION PARTIES TO TRANSACTION | [[check box]] RELATED | [[check box]] NON-RELATED 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 on the reverse side of this waybill. The shipper authorizes UPS to act as forwarding agent for export control and customs purposes. 8) DATE OF SHIPMENT | SHIPPER'S SIGNATURE 6/[[strikethrough]]17[[/strikethrough]]16/09 | [[signature]] Jamie Davidovich [[good guess?]] RECIEVED FOR UPS BY: | DATE: | TIME: SHIPPING CHARGES: [[on right of page vertically]] SHIPPER'S COPY