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Ybill No: House Air Waybill No: Damage Company Name Date: Address City/Town & State & Country Claimant Reference No.: Zip / Postal Code Confirmation Number : Shipper Consignee Address Address City/Town & State & Country Zip / Postal Code City/Town & State & Country Zip / Postal Code CLAIM MUST BE SUPPORTED BY A DETAILED STATEMENT SHOWING HOW THE AMOUNT WAS DETERMINED. INCLUDE A COMPLETE DESCRIPTION OF LOST ITEMS; SIZE, COLOR, MARKINGS, ETC. (If more room is needed in this section,.

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