Declaration attached to the

consignment

Shipment No. (bar-code, if available). Can be opened

automatically

Name: DUBLIN CARRIER FABIENNE

Address: 25000 chemin de polytechnique
Montreal H3T 1J4
No ID/ ID No :0018-4589

Phone/fax/email number of importer (if known)

License (12) I ☑ Certificate (13) Invoice (14) Invoice No

License No. (s) Certificate No. (s)
CADMTL2313632023
RD88-20232710 1 CER7MR263RJN

For commercial shipments only

Detailed description of content (1) Q-_çuantité (2) Net weight (kg) (3) Value (5)
HS Tariff No. (7) Country of origin
GOLD BAR 3 21 1 852 601 $ CAD2304120M
Total gross weight (4) Total value (6) S22
1 852 601 $
21.8
DECLARATION Fee (9) $2500
Clearance officer; Verification Explanation: TRANSPORT OF Office of origin: PARIS
MARIO GOLF BAR BETWEEN CANADIAN STATES Verification office
VEILLEUX MONTREAL / MONCTON MONTREAL
Observations (11): (e.g. goods subject to quarantine/sanitary, phytosanitary or other restrictions)

I certify that the information given in thi

declaration is accurate and that this ship

not contain any dangerous items or pro

postal or police legislation or regulations.

We declare that the contents of these suitcases have been fully and
accurately verified by the official transport designation and that they are
properly classified, packaged, marked, labelled and in all respects well
packaged for transport in accordance with the regulations of the Vienna
Convention of 1961, and otherwise all the obligations of Article 4 of the
Decree of 1 June 2001

GENERAL SUPERVISOR