BOC SINGLE ADMINISTRATIVE DOCUMENT

OFFICE OF DECLARATION
1 DECLARATION P02B
2 Exporter / Supplier Address TIN: 004544299000 Manila Intl Container Port
EX2 1
1 MARKENBURG INTERNATIONAL FOODS CORP
CORPORATION ELDAN INDUSTRIAL PARK, 3 Page 4
Customs Refrecence
E 1032878 10/02/2020
BO. PATUBIG 1 1 Registry Number
MARILAO, BULACAN 3019
C PHILIPPINES 5 Items
1
6 Tot Pack
868
7 Export Declaration Number
2020 RKGB100203
8 Importer / Consignee, Address 9 CRF : Number :
U KV DISTRIBUTORS SDN BHD
OSEDC - One-Stop Export Documentation Center
SARAWAK MALAYSIA

S 10 11 12 Tot. F/I/O 13 T. Ref.

14 Declarant address TIN: 101056012000 15 Country of Export 15 C.E. Code 17 C.D. Code
T DYESEBEL L DINO-LCB PHILIPPINES PH MY
26 SAN PEDRO STREET, KAPITOLYO
16 Country of Origin 17 Country of Destination
PASIG CITY
O PHILIPPINES MALAYSIA
18 Vessel / Aircraft 19 Ct 20 Terms of Delivery
SEASPAN NEW YORK 006S FOB | Free on board
M 21 Local Carrier (if any) 22 F. Cur. Total Customs Value 23 Exch Rate 24 Thu Bank Trans
USD 9,548.00 48.545 0
S 25 26 Province of Origin
031400000
27 Port of Loading
PHMN2 28 Financial and Banking Data - Bank Code 998

BULACAN MANILA INTL. CONTAINER PORT Terms of Payment A5 - Direct Remittance

29 Port of Departure 30 Location of Goods
1 P02B Manila Intl Container Port
S03 - INTERNATIONAL CONTAINER
TERMINAL INC (ICTSI)
Bank Name

Branch
PCHC
NA Bank Ref Number: 010533457-0004597

31 Packages Marks and Numbers - Container No(s) 32 Item No. 33 HS Code Spec Code
and 1 17049099 000
Marks & No NM
Description of Packages 34 C.O. Code 35 Item Gross Weight 36 Pref
of Goods
Number and Kind 868 CT CARTON PH 5,034.00 Kg. NONE
Container No(s) GCXU2296770 37 Procedure 38 Item Net Weight 39 Quota
- - - Other
1000 000 4,340.00 Kg.
MARSHMALLOWS/STRAWBERRY/TWISTED/VANILLA 40a AWB / BL

41 Suppl. Units

44 Add Infos OTHinEV : 1 INSinFRT : 1 Fine : 0

Doc / Product A.I. Code
Certif. & 0+0+0+0-0
Aut

46 Dutiable Value
A.D.
463,507.66
Invoice No. : PIMF 1687/20 Dump Bound :

47 Calculation Type Tax Base Rate Amount MP 48 Prepaid Account Number 49 Identification of Warehouse
of Taxes
/
ACCOUNTING DETAILS

Method of Payment : CASH

Assessment Number : Date :
Receipt Number : Date :
Guarantee 0.00 Date :
Total Fees 130.00
Total Total Assessment 130.00

50 We hereby certify that the information contained in all pages Subscribed and sworn bofore me
of this Declaration and the documents submitted are to the best
of our knowledge and belief true and correct

51 AUTHO- Broker : Date : Importer / Attorney-in-Fact :

RIZATION Administering Officer
DYESEBEL L DINO-LCB MARKENBURG INTERNATIONAL FOODS CORP Notary Public

52 Bureau of Customs (BOC) Control Code 53 Office of Destination and Country

BUREAU OF CUSTOMS (BOC) CONTROL Stamp 54 Place and date

Signature
53 INTERNAL REVENUE (TAX PER BOX #45 & #47)

TAXABLE VALUE PH 463,507.66 WHARFAGE OTHERS

BANK CHARGES TOTAL

ARRASTRE CHARGE
CUSTOMS DUTY LANDED COST PH x 12%

BROKERAGE FEE DOCUMENTARY STAMP TOTAL VAT PH

DESCRIPTION IN TARIFF TERMS SHOULD BE

54 SECTION 55 NO. OF PACKAGES EXAMINED 56 DATE RECIEVED 57 DATE RELEASED

EXAMINATION RETURN

58
ITEM TARIFF
NO DESCRIPTION IN TARIFF TERMS SHOULD BE QTY UNIT UNIT VALUE HEADING RATE

PLEASE REFER TO RIDERS FOR FINDINGS ON OTHER ITEMS

REVISED CHARGES LIQUIDATION

59 CHARGES 60 DECLARATION 61 FINDINGS 62 DIFFERENCES 65 LIQUIDATED Amount

Duty
BIR Taxes 66 SHORT/EXCESS
VAT
Excise Tax/Ad Valorem 67 REMARKS
Others
Surcharges
TOTAL
63 ACTION DIRECTED/RECOMMENDED 64 68

DATE COO III DATE

69

DATE COO V DATE

CONTINUATION FROM BOX # 31 FREE DISPOSAL

Container Numbers continuation: