ETHIOPIAN CUSTOMS

COMMISSION
DECLARATION FORM - List of Attached Documents

1 DECLARATION A. CLEARANCE OFFICE

14 Declarant No 0043402730 Office Manifest Number
GPS LOGISTICS IM 4
AAA00 ET727 2021-01-13
RG: ADDIS ABABA ZN :BOLE
WR: NO WOREDA-144 KB :WOREDA 14 3 Forms 5 Items Registration number & date Assessment number & date

1 1 4-001885 25/01/2021 A-003772 25/01/2021

7 Declarant Reference number
2021 / IM0160

Item No 1

# Code Description Reference Date

1 004 INVOICES 259344 01/12/2020

2 006 BILL OF LADING / AIRWAY BILL 071-39633565 08/01/2021

3 001 IMPORT LICENCE 0990 08/05/2019

4 005 PACKING LIST 223912 01/12/2020

5 510 Other attachments DONATION 08/01/2021

6 402 Franco valuta letter 95/CCAACBO-GC/2020 11/01/2021

7 510 Other attachments B8/005844/1/2012 11/04/2019

8 510 Other attachments ../2/45/91 22/02/2011

9 320 MINISTRY OF HEALTH REF 31/12/2020