Viewing page 41 of 79

This transcription has been completed. Contact us with corrections.

UPS WORLDWIDE SERVICES WAYBILL (non-negotiable)

[[logo]]
UPS tm
[[/logo]]

1 SHIPPER

SHIPPER'S UPS ACCOUNT NO.
SHIPPER'S EMPLOYER IDENTIFICATION NUMBER (E.I.N.)

NAME OF SENDER 
JAIME DAVIDOVICH

TELEPHONE NO. 
917-593-2852

COMPANY NAME AND ADDRESS
JAIME DAVIDOVICH
67 EAST 11ST AP219 [[April-2-19]]
NEW YORK NY

POSTAL CODE 10003 
COUNTRY USA

2 RECEIVER

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.
1-34945209003

COMPANY NAME AND ADDRESS
ENRIQUE MARTINEZ 
ARTIUM DE ALAVA
FRANCIA 24, 01002 VITORIA
GASTEIZ

POSTAL CODE
COUNTRY SPAIN

3 PAYMENT OF CHARGES not all options available to/from all countries
☐SHIPPER (S) Account No. in Section 1
☒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
☒RECEIVER (R) Account No. in Section 2
☐THIRD PARTY (T) Enter Account No. Below

THIRD PARTY COMPANY NAME: ________
THIRD PARTY ACCOUNT NO: _______
THIIRD PARTY COUNTRY: _________

02876501 1/07 MW

4 SERVICE LEVEL

[[three column table]]
[[|____|____|____|]]
|EXPRESS PLUS| |1+|
|EXPRESS| |1|
|SAVER| |1P|
|EXPEDITED|[[checked]]|2|
|STANDARD| |[[blacked out]]| 
[[/three column table]]

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)

☐ENV
☐PAK
☐10KG BOX
☐25 KG BOX
☐__________

DESCRIPTION OF GOODS
7 DVD'S

INDICATE IF DOCUMENTS ONLY
☐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 COUNTRY OF ORIGIN (MANUFACTURE) OF GOODS
USA

FOR INTERNATIONAL INFORMATION OR ASSISTANCE CALL 1-800-782-7892

UPS Waybill Tracing No. 

[[circled]]H527 702 620 6 [[/circled]]

SPECIAL INSTRUCTIONS
☐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.
•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.

HARMONIZED TARIFF CODE

ECCN Export Commodity Control No.

LICENSE NUMBER & EXPIRATION DATE OR LICENSE EXCEPTION

COUNTRY OF ULTIMATE DESTINATION

PARTIES TO TRANSACTION
☐RELATED
☐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
6/18/09

SHIPPER'S SIGNATURE
[[SIGNATURE]]

RECEIVED FOR UPS BY:
DATE:
TIME:
SHIPPING CHARGES:

SHIPPER'S COPY