此單一式三份,第一聯交財務,第二聯交受益人,第三聯查詢留存。
13.4.2 賠償責任解除書(樣本)
賠償責任解除書
10作3-39 存檔編號:
本人/公司同意并愿意接受祥鵬航空有限公司對貨運單______________項下貨物丟失/破損/延誤的賠償。賠償金額為______________元人民幣。
在收到上述賠款的同時放棄對云南祥鵬航空有限公司及其相關的航空承運人、代理人、工作人員和其他相關利益方的追索權。
同時,同意不再就以上貨物相關的事項對祥鵬航空有限公司提起法律訴訟。
索賠人簽名:________________ 地點:_____________ 日期:____________
(簽名后請按拇指印)
作證人簽名: 地點:_____________ 日期:____________
(簽名后請按拇指印)
RECEIPT AND RELEASE
10作3-043 File No.
Received from Hainan Airlines Co. Ltd the sum of ________________ (which is equivalent to us $ __________________ ).
In consideration of the receipt of the above named amount, we hereby release and discharge Hainan Airlines Co. Ltd. Its connecting carriers, agents, officers, employee and others in interest, of and from any all claims, demands, actions, or suits at law which we now have or may hereafter have on account of or in connection with shipment under Air Waybill No. ______________, issued on __________________________.
(month) (day) (year)
The undersigned herewith agrees to hold Hainan Airlines Co. Ltd free from any and all claims that may be made in the future in reference to or in connection with the said shipment.
Date at ______________________ this ___________ day of __________________
(place) (month)
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