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MS.

LETTY NATIVIDAD
PEZA Zone Manager, CIP2-SEZ

Dear Ms. Letty Natividad,

This is to request for:

X New Letter of Authority for the transaction marked “X”


Renewal of LOA No. date for the following transaction
Marked “X”
Indirect Export of Goods Indirect Export of Services Drop off Export
Subcontracting (farm out of raw Subcontracting (farm out of raw Permanent Transfer
materials) materials) Temporary Transfer (of __ Raw Materials
Equipment) __ Equipment
Re-Export Temporary Transfer Disposition thru Sale on “as is
__ Raw Materials where is”
__ Equipment
X General Farm-Out __ Equipment

Others, please specify

Details of subject request:


Consignee/End Client: Nicklaus Machinery Corporation Address: 1795 Malabon St. cor. A. Mendoza St.,
Sta. Cruz Manila

Client Abroad (for D/O-X): Address:


FARM OUT FARM IN (for Subcon/TT)
Item Description VOLUME US$ VALUE VOLUME US$ VALUE
Machine
Fanuc Robodrill Machine 1 unit $ 99,000.00
Takisawa CNC Lathe Machine 1 unit $ 88,000.00
Seedtec Machine 1 unit $ 9,600.00

Other details: (if with transhipment value in transit for purposes of surety bond, please specify)
Validity: 1 year

Attachments:
Certificate of Registration with Valid
Letter of Instruction Contract Agreement or equivalent
Bus. Permit (if domestic Ent)
LOA No dated
Monitoring Liquidation Ledger Monitoring Inventory Ledger

Certification (pls. specify)


Import Permit No. / ED No. Surety Bond No.
_______________ _________________
x Others (please specify) Certification of Payment of Duties and taxes, Sales Invoice and Delivery Receipt

Very Truly Yours,

Ver Joseph Farenas


General Manager

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