057 CDG 7135 5583 057 7135 5583

Shipper's Name and Address Shipper's Account Number Not Negotiable

AIR FRANCE
AIR FRANCE DLPV Air Waybill 1, SQUARE MAX HYMANS
Chez CFM AFFAIRES LOGISTICS Issued by
75757 PARIS CEDEX 15
ZA du Parc - 1 Rue Antoine St Exupéry
77290 COMPANS
77290 COMPANS
Copies 1, 2 and 3 of this Air Waybill are originals and have the same validity.

Consignee's Name and Address It is agreed that the goods described herein are accepted in apparent good order and condition
(except as noted) for carriage SUBJECT TO THE CONDITIONS OF CONTRACT ON THE
AIR FRANCE C/O NEWREST REVERSE HEREOF. ALL GOODS MAY BE CARRIED BY ANY OTHER MEANS INCLUDING
Casa Proveedora Phillips, S.A, ROAD OR ANY OTHER CARRIER UNLESS SPECIFIC CONTRARY INSTRUCTIONS ARE
GIVEN HEREON BY THE SHIPPER, AND SHIPPER AGREES THAT THE SHIPMENT MAY
South to International Mall 600 BE CARRIED VIA INTERMEDIATE STOPPING PLACES WHICH THE CARRIER DEEMS
4050 Alajuela APPROPRIATE. THE SHIPPER'S ATTENTION IS DRAWN TO THE NOTICE CONCERNING
CARRIER'S LIMITATION OF LIABILITY. Shipper may increase such limitation of liability by
COSTA RICA declaring a higher value for carriage and paying a supplemental charge if required.

Issuing Carrier's Agent Name and City Accounting Information

AF DIRECTION PRODUIT VOL
41 RUE DE PARIS
95703 ROISSY FR
Agent's IATA Code Account No.
155391/0000000
Airport of Departure (Addr. of First Carrier) and Requested Routing Reference Number Optional Shipping Information
ROISSY CDG AIRPORT
CHGS
to by First Carrier Routing and Dest to by to by currency
code
WT/VAL OTHER Declared Value FOR Carriage Declared Value FOR Customs
PPD COLL PPD COLL
SJO AIR FRANCE EUR PX X _ X _ 0 N.C.V.
Airport of Destination Vol/Flight/Date For Carrier Vol/Flight/Date Amount of Insurance INSURANCE – If carrier offers insurance, and such insurance is
SAN JOSE AF 0430/07 N.I.L. requested in accordance with the conditions there of, indicate
amount to be insured in figures in box marked 'Amount of Insurance'.
Handling Information
CRK * CHARGEUR CONNU /FR/KC/03003-01 SPX
BP 80568709
SCI
T1
No. of Gross kg Rate Class Rate
Pieces Weight lb. Commodity Chargeable Total Nature and Quantity of Goods
RCP Item No. Weight Charge (incl. Dimensions or Volume)
4 83.5 K Q FSA 83.5 3.10 258.91 AIR CATERING SUPPLY

NOT RESTRICTED

4 83.5 258.91
Prepaid Weight Charge Collect OTHER Charges
258.91 CHC 29.80
Valuation Charge
MSC 8.83

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
according to the applicable Dangerous Goods Regulations.
Total Other Charges Due Carrier AF DIRECTION PRODUIT VOL REF : 24/01771/000
38.63 AS AGENT OF THE SHIPPER
......................................................................................................................................................................
Signature of Shipper or his Agent

Total Prepaid Total Collect AF DIRECTION PRODUIT VOL ACTING AS

297.54 AGENT OF THE CARRIER AIR FRANCE
currency Conversion Rates CC Charges IN Dest. currency SEP 04 2024 15:19 ROISSY SONIA MOSBAH
........................................................................................................................................................................
Executed on (date) at (place) Signature of Issuing Carrier OR its Agent
FOR Carrier's Use only
at Destination
Charges at Destination Total Collect Charges 057 7135 5583
r Malta2

ORIGINAL 3 (POUR L'EXPÉDITEUR) ORIGINAL 3 (FOR SHIPPER)