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SMNL0524926
SMNL0524926
1 DECLARATION
Office code: P02B
2 Exporter/ Address TIN: Manila Intl Container Port
MITSUMI PHILS.INC. 000230682 EX1 1 Manifest :
Luzon Ave.,Phase 1, The Freeport 3 Page Export Declaration
Area of Bataan, Mariveles Bataan
Number: E 7876 Date: Sep 30, 2020
Philippines
2106 5 Items 6 Ttl Pckg. 7 Declarant Reference No.
xxxxxx 2020 UT5000193.
8 Importer/Consignee/ Address 9 Registry Office
CANON INC. TAIWAN AFAB
CHIAYI FACTORY NO. 46 YUANQU xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
1ST RD. DAMEI VIL DALIN TOWNSHIP
SHIAYI COUNTRY 622 TAIWAN R.O.C 10 11 12 13
xx xxxxx
14 Declarant/Address TIN: 15 Country of export 15 17 C.D. Code
Code
001221869 C.E.
YUSEN LOGISTICS PHILIPPINES INC. PHILIPPINES a PH b xx TW
NO 4 P. MAYUGA ST., MIA ROAD
16 17 Country of destination
PHILIPPINES TAIWAN, PROVINCE OF CHINA
|2020P02BXE0007876e~
Printed Name and Signature of Declarant
Bank Charges:
Arrastre Charges: Total Landed Cost Php
Customs Duty:
Brokerage Fee: Documentary Stamp: Total VAT Php
ITEM TARIFF
58. DESCRIPTION IN TARIFF TERMS SHOULD BE QTY UNIT UNIT VALUE RATE
NO HEADING
Decl
Fdgs
%Diff
Duty PHP
VAT PHP
Others
Surcharges
TOTAL
64 68
63 Action Directed/Recommended
Date COO III COO III Date
69
Date COO V COO V Date
Shipper/Exporter ORDER NO
MITSUMI PHILIPPINES, INC.
LUZON AVENUE, PHASE 1, FAB MARIVELES BATAAN TEL: (047) 935-4011 S/C NO
Pkg Nos. Description Customer's Quantity Unit Price ( USD ) Amount ( USD )
Order No.
Model R Number Part No Material Processing Material Processing
AC ADAPTOR F.O.B.
SPS SPS
1 30 R 68-8240 H LC-E10E 682M312439 1,800PCS 2.15398 0.42254 3,877.16 760.57
31 35 CH-241JA/UC R 68-8241 F C51-0571-000 682M300012 300PCS 4.44613 0.55171 1,333.84 165.51
36 117 R 68-8247 C LC-E10 682M312496 4,920PCS 2.47954 0.44110 12,199.34 2,170.21
118 197 CH-242WW R 68-8242 P C51-0581-000 682M312348 4,800PCS 2.47954 0.45171 11,901.79 2,168.21
AUTHORIZED SIGNATURE
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