9/13/2018 Proxy Form

I HECTOR CUAUHTLI FLORES RAMIREZ authorize Airport Travel Agency

(full legal name) (full legal name)

to receive items on my behalf from Covenant Aviation Security at San Francisco International Airport.

I understand this form is only valid 30 days from signing.

I understand the following disclaimer will be on the receipt given to my proxy at the time of pickup:

Lost and Found Disclaimer

In handling Lost and Found, Covenant Aviation Security, LLC(CAS) must comply with processes and procedures required by the
federal government under its contract with CAS and is subject to the nature of aviation operations outside of CAS's control,
influence or responsibility. CAS disclaims all liability for the condition in which lost items are found or any other damages or
losses with respect to lost and found items that arise from (1) actions CAS takes or does not take in compliance with such federal
requirements or from (2) such aviation operations. By signing this receipt, you release CAS from any and all such liability.

Date Lost: 9/12/2018

Item Being Picked Up: Computer/Tablet

Barcode #: 8149620

Bin Location of Item: SCC

Estimated $ Value of Item:____________________________________________________________

Item Owner Signature:_________________________________________________________________

Date:_________________________________________________________________________________

Proxy Signature:______________________________________________________________________

Date:_________________________________________________________________________________

Proxy Form for Receiving Good, Rev 2, 112508 LD

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