The Kingdom of Thailand EX. APPROVAL NO.

1405-0095
EXPIRATION DATE: 04/30/2027

EXPORT DECLARATION ESTIMATED BURDEN: 10 minutes

(Exportation of Food Items)

Exporter Details: Consignee Details:

Mazcan Global Import and Export Ltd Linkwell Limited (Kevin Huang)
+66 96 762 4403 +86 136 2142 2639
info@mazcancompany.com jenny_contact@163.com
QG43+F2P, Khwaeng Wat Bowon Manlok Warehouse, No.61, Hung Kiu San Tsuen Man Kam To,
Niwet, Khet Phra Nakhon Sheung Shui , N.T.

Delivery Agency: Shipment Details:

Middle East Delivery Agency
+66 2 871 7165 Invoice Number: 2023/TH202304976
info@mideds.com Carrier Reference No.: XU. CSDS089593178989-XLP
170 51 Ratchadaphisek Rd, Khwaeng Khlong Toei, Port of Export: Bangkok International Airport, Thailand
Khlong Toei, Bangkok 10110, Thailand Port of Destination: Hong Kong International Airport
Date of Export: 2024-07-04
Transport Mode: Air
Carrier Name: Middle East Delivery Agency
Date of Export from the Export nation: 2024-07-04
Description of Product
Harmonized System Code (s) Number of Units Total Weight in Kilograms
7613287151988 200 packs of Nestle Prenan Human Milk Fortifier Sach 46KG
72x1g
Unit Price: $18 Total Value: $3800 Currency: $ (USD)
Exporter's Declaration (To be completed by a responsible Custom Officer.)
I declare that the information provided in this export declaration is true and correct to the best of my knowledge. I understand that any
false statements or misrepresentations may result in penalties under applicable laws and regulations. I also authorize the customs
authority to examine the goods if necessary to verify the accuracy of this declaration.

Packaging Details

Number of Packages: 02 9Each weighs 23KG) Type of Packaging: Cartons Total Weight: 46KG

Length: 100cm Width: 80 cm Height: 70 cm

Country of Origin: Thailand

Customs Information
Customs Office: Thai Customs Department Port of Exit: Suvarnabhumi Airport, Bangkok Signature Date 03 July 2024

Theeraj Athanavanich
Director-General
Exporter Reference (To be completed by Legal Representative of the Exporting Company)

Louis C Kenney
Exporter: Mazcan Global Import Company License Number: Legal Representative: Signature:
and Export Limited 0105566220591 Louis Kenney

SALES AND PURCHASE MANAGER

Mazcan Global Import & Export LTD

THIS FORM MUST ACCOMPANY ALL SHIPMENTS OF SHRIMP AND PRODUCTS FROM SHRIMP INTO THE UNITED STATES
Public reporting burden for this collection of information is estimated to average 24 hours per response, including time required for searching existing data sources, gathering
the necessary documentation, providing the information and/or documents required, and reviewing the final collection. You do not have to supply this information unless this
collection displays a currently valid OMB control number. Considering the fact that we have lots of inquiries every day, Please do not call, text or email us. Verify all
informations with your shipper. If you have comments on the accuracy of this burden estimate and/or recommendations for reducing it, please send them to: The Thai
Department of Customs, The Customs Department, 1, Suntorn Kosa Road, Klong Toey, Bangkok, 10110
Export Declaration Document

0167298-TH-24