BOC SINGLE ADMINISTRATIVE DOCUMENT

BOC SINGLE ADMINISTRATIVE DOCUMENT
1 DECLARATION Office Code P02B

2 Exporter / Supplier Address Manila Intl Container Port
4 4
1 JF HILLEBRAND SPAIN SA
AVDA CATEDRAL, 6-8 2 1 3 Page 4
Customs Reference
C 25790 01-22-2020
08002 BARCELONA SPAIN 1 4 Registry Number ONX0010-20
C 5 Items
10
6 Tot Pack
1089
7 Reference Number
RAAW0012201
8 Importer / Consignee, Address TIN: 008278907000 9 CRF NUMBER :
U AWC (PHILIPPINES) INC.
GF ALEGRIA ALTA BLDG. 2294 CHINO RO T/S or W/S Entry No. :
CES AVE. EXT. MAGALLANES
MAKATI 1231
S PHILIPPINES 10 11 12 Tot. F/I/O (Php)
286,652.38
13 T. Ref.
14 Broker / Attorney-In-Fact, Address TIN: 253505886000 15 Country of Export 15 C.E. Code 17

T JOBELLE LOMBOS BALUYOT
076 STO NINO DE COASTAL BRGY DON GA
SPAIN ES PH
LO, 16 Country of Origin 17 Country of Destination

PARANAQUE CITY 1700
O PHILIPPINES SPAIN PHILIPPINES
18 Vessel / Aircraft 19 Ct 20 Terms of Delivery
MUNCHEN BRIDGE 022E ONX0010-20 FOB
M 21 Local Carrier (if any) 22 F. Cur. Total Customs Value 23 Exch Rate 24 Thru Bank
USD 31,394.90 50.76 2 X
S 25
1/20/2015
26 27 Transhipment Port
28 Financial and Banking Data - Bank Code 998
Terms of Payment 01 - Basic
29 Port of Destination 30 Location of Goods
1 P02B
Manila Int'l Container Port S03
Bank Name
Branch
PCHC
NA Bank Ref Number: 010410017-9051918
31 Packages Marks and Numbers - Container No(s) 32 Item No. 33 HS Code Tar Spec
and 1 22042111 000 1001 7%
Marks & No AS ADDRESS
Description of Packages 34 C.O. Code 35 Item Gross Weight (kg) 36 Pref
of Goods
Number and Kind 762 PK ES 6,735.19 None
PACKAGE 37 Procedure 38 Item Net Weight (kg) 39 Qouta
Container No(s) HLXU3729317 4000 000 4,717.00 NNNNN
40a AWB / BL 40b Previous Doc No.
- - - - Of an alcoholic strength by volume not exceeding 15% vol BQEGESB061956
1X20 STILL WINES WITH 15% ALCOHOL CONTENT AND BELOW
FERATON SAMORENS BLANC, FERATON LA TORNEE BL 41 Suppl. Units 42 Item Customs Value (F. Cur) 43 V.M.
3765 21,968.10 1
44 Add Infos OTHinEV : 1 INSinFRT : 0 Fine :
Doc / Product A.I. Code 45 Adjustment
Certif. & 122,538.70 + 44,588.09 + 33,453.38 + 217.85 - 704.81
Aut 1.00
A.D.
46 Dutiable Value (PHP)
1,315,680.00
Invoice No. : FC03006285, 5086, 5086, VF19-1549 Dump Bond :
47 Calculation Type Tax Base Rate Amount MP 48 Prepaid Account No. 49 Identification of Warehouse
of Taxes
/
CUD 1,315,680.00 7% 92,097.00 0
47b ACCOUNTING DETAILS
VAT 1,558,256.00 12 % 186,990.00 0
Method of Payment : CASH
Assessment Number : L 36843 Date : 01-22-2020
Reciept Number : Date :
Guarantee 0.00 Date :
Total Fees 199,189.00

Total Item: 476,743.00 Total Assessment 716,260.00
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
JOBELLE LOMBOS BALUYOT AWC (PHILIPPINES) INC. Notary Public
52 Control Code 53 Office of Destination and Country

at Office Destination
CONTROL AT OFFICE OF DESTINATION Stamp 54 Place and date
Signature
8 Importer / Consignee, Address TIN: 008278907000
Manila Intl Container Port
AWC (PHILIPPINES) INC. 4 4 CUstoms Reference
GF ALEGRIA ALTA BLDG. 2294 CHINO RO
CES AVE. EXT. MAGALLANES 3 Page 4 C 25790 01-22-2020
MAKATI 1231 ONX0010-20
Registry Number
PHILIPPINES 2 4
31 Packages Marks and Numbers - Container No(s) - Number and Kind 32 Item No. 33 Hs Code Tar Spec
and Marks & No AS ADDRESS 2 22041000 000 1001 5%
Description of Packages
of Goods Number and Kind 5 PK 34 C.O. Code 35 Item Gross Weight 36 Pref
PACKAGE ES 56.15 KG NONE
Container No(s) HLXU3729317 37 Procedure 38 Item Net Weight 39 Quota
Goods Desc. 4000 000 30.00 KG NNNNN

- Sparkling wine
SPARKLING WINES
NICOLAS FEULATE BLANC DE BLANC BQEGESB061956
44 Add Infos OTHinEV : 1 INSinFRT : 0 Fine : 41 Suppl. Units 42 Item Customs Value (F. Cur) 43 V.M
Doc / Product 22.49976117 402.28 1
Certif &
2,244.10 + 816.73 + 612.67 + 3.99 - 12.91 48 Dutiable Value (PHP) 49 Adjustment
Aut
Invoice No. : PO-00783 24,093.23 1.00
and Marks & No AS ADDRESS 3 22041000 000 1002 5%

- Sparkling wine
SPARKLING WINES
ANNA DE CONORDIU BLANC DE BLANC BQEGESB061956
Doc / Product 40.49876895 419.95 1
Certif &
Aut
Invoice No. : 96027518 25,151.07 1.00
and Marks & No AS ADDRESS 4 22082090 000 10 %
PACKAGE ES 32.16 KG None

- - Other
SPIRITS
CHATEAU DE LAUBADE BAS ARMAGNAC BQEGESB061956
Doc / Product 176.9256368 165.31 1
Certif &
922.31 + 335.52 + 251.77 + 1.64 - 5.30 48 Dutiable Value (PHP) 49 Adjustment
Aut
Invoice No. : FEV19110606 9,900.74 1.00
47 Calculation Type Tax Base Rate Amount MP Type Tax Base Rate Amount MP
of Taxes
CUD 24,093.00 5% 1,204.00 0 CUD 25,151.00 5% 1,257.00 0
VAT 33,583.00 12 % 4,030.00 0 VAT 64,599.00 12 % 7,751.00 0
Total first item of this rider 5,234.00 Total second item of this rider 9,008.00
Type Tax Base Rate Amount MP Type Amount MP
CUD 9,900.00 10 % 990.00 0

VAT 16,070.00 12 % 1,928.00 0
Total third item of this rider 2,918.00 G.T.

MAKATI 1231 Registry NumberONX0010-20
PHILIPPINES 3 4
of Goods Number and Kind 34 C.O. Code 35 Item Gross Weight 36 Pref
121 PK

- - - Other
FOOD STUFF
JAMON DE BELLOTA IBERICO, IBERIAN HAM, IBERI BQEGESB061956
Doc / Product
0 5,347.57 1
Certif &
Aut
29,829.11 + 10,854.01 + 8,143.43 + 53.03 - 171.57 48 Dutiable Value (PHP) 49 Adjustment
Invoice No. : VP19-1692, 1158/2019 320,269.20 1.00
and Marks & No AS ADDRESS 6 15091090 000 3%
50 PK

- - Other
FOOD STUFF
ORO DEL DESIERTO ARBEQUINA, LECHIN, HOJIBLAN BQEGESB061956
Doc / Product
1,286.05 1
Certif &
Aut
Invoice No. : 1158 2019, VP19-1692 77,021.70 1.00
52 PK

- - - Other
FOOD STUFF
ESPARRAGO FRASCO, ESPARRAGOS BRASEADOS, ALCA BQEGESB061956
Doc / Product
1,176.25 1
Certif &
Aut
Invoice No. : 110 70,446.25 1.00
of Taxes
CUD 320,269.00 40 % 128,107.00 0 CUD 77,021.00 3% 2,310.00 0
VAT 449,468.00 12 % 53,936.00 0 VAT 80,253.00 12 % 9,630.00 0
CUD 70,446.00 10 % 7,044.00 0

VAT 78,407.00 12 % 9,408.00 0
Total third item of this rider 16,452.00 G.T.

MAKATI 1231 Registry NumberONX0010-20
PHILIPPINES 4 4
65 PK

Vinegar and substitutes for vinegar obtained from acetic acid.
FOOD STUFF
VINAGRE MERLOT ECO, VINAGRE CAB. SAUVIGNON, BQEGESB061956
Doc / Product
1 383.78 1
Certif &
Aut
Invoice No. : 19.248 22,984.64 1.00
15 PK

- - - Dried, salted or in brine
FOOD STUFF
BQEGESB061956
Doc / Product
234.53 1
Certif &
Aut
Invoice No. : VF19A30117 14,046.31 1.00
6 PK

- - Other
POSM (PROMOTIONAL MATERIALS)
WINES GLASS AND WINE OPENER BQEGESB061956
Doc / Product
1 11.08 1
Certif &
Aut
61.93 + 22.33 + 16.75 + 0.11 - 0.36 48 Dutiable Value (PHP) 49 Adjustment
Invoice No. : PO-00786 663.43 1.00
of Taxes
CUD 22,984.00 15 % 3,447.00 0 CUD 14,046.00 10 % 1,404.00 0
VAT 27,374.00 12 % 3,284.00 0 VAT 16,330.00 12 % 1,959.00 0
CUD 663.00 15 % 99.00 0

VAT 1,636.00 12 % 196.00 0
Total third item of this rider 295.00 G.T.

53 INTERNAL REVENUE (TAX PER BOX #45 & #47)
TAXABLE VALUE PH 1,880,253.00 WHARFAGE 311.33 OTHERS 1,000.00
BANK CHARGES 0.00 TOTAL 2,128,210.90

ARRASTRE CHARGE 1,007.25
CUSTOMS DUTY 237,959.00 LANDED COST PH x 12%
BROKERAGE FEE 7,400.32 DOCUMENTARY STAMP 280.00 TOTAL VAT PH 279,112.00
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 CUD 237,959.00

Container Numbers continuation: VAT 279,112.00
EXC 197,656.00
Total Item Tax 714,727.00

IPF 1,000.00
CSF 253.00
CDS 250.00
IRS 30.00
Total Global Tax 1,533.00
716,260.00

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BOC SINGLE ADMINISTRATIVE DOCUMENT

1 DECLARATION Office Code P02B

14 Broker / Attorney-In-Fact, Address TIN: 253505886000 15 Country of Export 15 C.E. Code 17

LO, 16 Country of Origin 17 Country of Destination

46 Dutiable Value (PHP)

Guarantee 0.00 Date :

Total Fees 199,189.00

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

52 Control Code 53 Office of Destination and Country

Goods Desc. 4000 000 30.00 KG NNNNN

Goods Desc. 4000 000 40.50 KG NNNNN

Goods Desc. 4000 000 20.00 KG NNNNN

CUD 9,900.00 10 % 990.00 0

Total third item of this rider 2,918.00 G.T.

Goods Desc. 4000 000 859.43 KG NNNNN

Goods Desc. 4000 000 195.11 KG NNNNN

Goods Desc. 4000 000 173.40 KG NNNNN

CUD 70,446.00 10 % 7,044.00 0

Total third item of this rider 16,452.00 G.T.

Goods Desc. 4000 000 247.50 KG NNNNN

Goods Desc. 4000 000 40.78 KG NNNNN

Goods Desc. 4000 000 42.50 KG NNNNN

CUD 663.00 15 % 99.00 0

Total third item of this rider 295.00 G.T.

TAXABLE VALUE PH 1,880,253.00 WHARFAGE 311.33 OTHERS 1,000.00

BANK CHARGES 0.00 TOTAL 2,128,210.90

BROKERAGE FEE 7,400.32 DOCUMENTARY STAMP 280.00 TOTAL VAT PH 279,112.00

DESCRIPTION IN TARIFF TERMS SHOULD BE

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

PLEASE REFER TO RIDERS FOR FINDINGS ON OTHER ITEMS

REVISED CHARGES LIQUIDATION

59 CHARGES 60 DECLARATION 61 FINDINGS 62 DIFFERENCES 65 LIQUIDATED Amount

DATE COO III DATE

DATE COO V DATE

CONTINUATION FROM BOX # 31 FREE DISPOSAL CUD 237,959.00

Total Item Tax 714,727.00

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