IEIRD Number: 0 - GREEN SEC.

9
Republic of the Philippines
Department of Finance
BUREAU OF CUSTOMS
ASSESSMENT NOTICE
Customs Office: Manila Intl Container Port
Identification of the declaration
Ref - REGISTRATION ASSESSMENT Nbr of
Model Year Number Date Year Number Day/Mth Items
8ZN 8 2021 T 90019 2021-12-21 2021 L 568608 2021-12-24 2

Declarant: 187672323000 DOMINADOR TEJERO BRIONES JR

RM. 206 UMC BLDG 900 UNITED NATIONS
AVE.BRGY 674 ZONE 73 ERMITA MANILA
MANILA 1000
Reference: C0RP1122101
Importer: 006643597000 MITSUBOSHI PHILIPPINES CORPORATION
L11 B12 FCIE-SEZ LANGKAAN

DASMARINAS, CAVITE 4114

Mode of Payment Account Number

CASH

Receipt number and date Statement number and date

R 566327 2021-12-24
CUD 332,912.44
VAT 1,660,857.24

Total Items taxes 1,993,769.68

D&F 40.00

CTF 710.00
CSF 501.00

CDS 250.00
IRS 30.00
Total global taxes 1,531.00
Total assessed amount for the declaration 1,531.00
Amount currently to be paid