Professional Documents
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Form Ak
Form Ak
Vessel's name/Aircraft etc. RIO GRANDE 2201N Preferential Treatment Not Given (Please
state reason's)
5. Item 6. Marks and 7. Number and type of packages, 8. Origin criterion 9. Gross weight or 10. Number
number numbers on description of goods (including (see Notes other quantity and date
packages quantity where appropriate and Overleaf) and value (FOB of invoices
HS number of the importing country) only when RVC
criterion is used)
1 N/A 150 CARTONS SAID TO CONTAIN 600 UNITS RVC 68% 600 H87 039/EXP.LBJ/012
(PCE) 901.35 KGM 2
641 DYSON BALL USD 2,424 JANUARY 27,
PO#6096 2022
HS: 950300 0000134193
FEBRUARY 1,
2022
2 N/A 925 CARTONS SAID TO CONTAIN 5550 UNITS RVC 68% 5,550 H87 039/EXP.LBJ/012
(PCE) 6,539.57 KGM 2
687 DYSON CORD-FREE VACUUM USD 19,425 JANUARY 27,
PO#6096 2022
HS: 950300 0000134193
CASDON LTD FEBRUARY 1,
UNITED KINGDOM 2022
REPUBLIC OF KOREA
..........................................................
(Importing Country) AGUS BUDIONO
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