Customs Invoice / Straight Bill of Lading

5. Country of transhipment

6. Country of origin of goods

7. Custom Broker's Name

9. Conditions of sale and terms of payment (i.e. sale, consignment shipment, leased goods, etc.)

10. Currency of settlement

21. Departmental ruling (if applicable)

25(i) Are royalty payments or subsequent proceeds paid or payable by the purchaser? Select... Yes No

25(ii) Has rhe purchaser supplied goods or services for use in the production of these goods? Select... Yes No

26. Shippers No or B.O.L. No.

Purchase Order Number

Prepaid Collect

Select... Prepaid Collect

Declared Value

Received at the point of origin on the date specified, from the consignor mentioned herein, the property herein described, in apparent good order, except as noted (contents and conditions of contents of package unknown) marked, consigned and destined as indicated below, which the carrier agrees to carry and to deliver to the consignee at the said destination, if on its own authorized route, or otherwise to cause to be carried by another carrier on the route to said destination, subject to the rates and classification in effect on the date of shipment. It is mutually agreed as to each carrier of all or any of the goods over all or any portion of the route to the destination, and as to each party at any time interested in all or any of the goods, that every service to be performed hereunder shall be subject to all the conditions not prohibited by law, whether printed or written, including conditions on back hereof, which are hereby agreed to by the consignor and accepted for himself and his assigns.

Notice of Claim
a) No carrier is liable for loss, damage or delay to any goods carried under the Bill of Lading unless notice thereof setting out particulars of the origin, destination and date of shipment of the goods and the estimated amount claimed in respect of such loss, damage or delay is given in writing to the originating carrier or the delivering carrier within sixty (60) days after the delivery of the goods, or, in the case of failure to make delivery, within nine (9) months from the date of shipment.

b) The final statement of the claim must be filled within the nine (9) months from the date of shipment together with a copy of the paid freight bill.