发票号码                            保险单号次
Invoice No.                         Policy No.
中保财产保险有限公司（以下简称本公司）根据＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿
（以下简称为被保险人）的要求由被保险人向本公司缴付约定的保险费，按照本保险单承
保险别和背后所载条款与下列特款承保下述货物运输保险，特立本保险单。
This policy of Insurance withesses that the Peoples Insurance (Property) Company of China (here-
inafter called \"The Company\"), at the Request of_________________________________________________
_________________________________________________________________________________
(hereinafter called the \"Insured\") and in consideration of the agreed premium being paid to the
company by the Insured, undertakes to insure the undermentioned goods in transportation subject to
the conditions of this policy as per the Clauses printed overleaf and other special Clauses attached
hereon.

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｜  标    记  ｜包装及量｜    保险货物项目    ｜  保险金额    ｜
｜Marks & Nos.｜Quantity｜Description of Goods｜Amount Insured｜
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｜            ｜        ｜                    ｜              ｜
｜            ｜        ｜                    ｜              ｜
｜            ｜        ｜                    ｜              ｜
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总保险金额：
Total Amount Insured_________________________________
保    费                费率              航  班  号

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