The document is an application from Alejandro Amezquita Marin of Alejeandro Pc SAS to insure an ocean marine shipment of 500 laptops worth $129,200 from Shanghai, China to Cali, Colombia on the Maersk Line CSCL LE HAVRE. The freight charges are $145,750 and the total insured value including 110% of the invoice value and freight is requested. Details provided include the packing reference, bill of lading number and date, ports of loading and arrival.

1. J.S. Hickey Co., Inc.
Donmar Brokerage Corp.
71 S. Central Avenue
Valley Stream, NY 11580
(516)872-6112 / (718)917-6211
Email: info@jshickeydonmar.com
Application to Insure Ocean Marine Shipment
Request From: Alejeandro Amezquita Marin
Name of insured party: Alejead Pc SAS
Invoice Value: USD$ 129.200,00
Freight charges: USD$ 145.750,00
(*Insurance calculation: Invoice Value + Freight x 110% = Full Insured Value)
Description of Merchandise: 15.6 inch laptop with core i7 8GB
RAM, pc laptop notebook, 500 units.
Containerized: __X__ yes _____ no
Packing: RFC GHE092502HK5
Vessel or Airline: Maersk Line CSCL LE HAVRE / 0029W
B/L or AWB #: SSOF090406718
B/L or AWB Date: 15th August 2010
From (place of origin): Shenzhen - China
Port of Loading: Shangai - China
Port of Arrival: Buenaventura - Colombia
To (final destination): Cali - Colombia
Attach the following:
Commercial Invoice for Entire Shipment
Bill of Lading or Airwaybill
** Please FAX to: (516)568-1420 **