EUROPEAN UNION DECLARATION TYPE (1) MRN

Consignor/Exporter (2) No GB199691587000 Other SCI (S32)

EX A
THIMBLEBY AND SHORLAND LTD ---
MARKET HOUSE Forms (3) Sec. Decl. (S00)
GB RG1 7HU READING
1 2
21GB07X48378032015
Items (5) Total packages (6) Issuing date: 15/07/2021
2 10 Customs office: GB000383
EXPORT ACCOMPANYING DOCUMENT

Consignee (8) No PL772225907600000 Reference numbers (7)

1GB199691587000-350 / M
Daniel Lis (Internet)
LRN:THIMBLEBY-81619 ENO:120-B28955G-15/07/2021
Kuznica 5
Transport charges method of payment code C. disp./exp. Code (15) Country destin. Code (17)
PL 97512 Kodrab
--- a GB a PL
Countr(ies) of routing codes (S13)

Declarant/Representative (14) No GB992611304000 Representative of person lodging sum.decl. (14b) No

RS Machinery Ltd
Unit 2 Progress Way
GB LU4 9TR Luton

Identity of means of transport at departure (18) Gross mass (kg) (35)

--- 1825
Mode of transport Location of goods (30) Seal number (S28)
6 at the border GBDEU ---
Office of exit (29)

---
Packages and Marks and numbers - Container No(s) - Number and kind
description of
goods (31)

32 Item No Number and kind of packages, pieces, marks and numbers of packages (31/1) Description of goods (31/2)
Consignor/Exporter (2) Consignee (8)

Identity of means of transport at departure (18) Commodity Code (33)

Unique consignment reference number (7) Summary declaration/Previous document (40)

Produced documents / certificates (44/1) Container numbers (31/3) Seal Number (S28)

Special mentions (44/2) Procedure (37) C. Exp. (15a) C. Dest. (17a) Gross mass (35)

UNDG (44/4) Transport charges method of payment code (S29) Declaration type (1) Statistical value (46) Net Mass (kg) (38)

1 3-NF Power Tower Nano man lift

--- 84313900
--- Z-380-81619
---
1000 001 ---
--- 465.75 855

CONTROL BY OFFICE OF DISPATCH/EXIT (E) CONTROL BY OFFICE OF EXIT (K)

Result:
Date of arrival:
Seals affixed: Number
Identity: Examination of seals:
Time limit (date):
Remarks:
EUROPEAN UNION MRN

EXPORT LIST OF ITEMS

Forms (3)
2 2 21GB07X48378032015
32 Item No Number and kind of packages, pieces, marks and numbers of packages (31/1) Description of goods (31/2)

Consignor/Exporter (2) Consignee (8)

Identity of means of transport at departure (18) Commodity Code (33)

Unique consignment reference number (7) Summary declaration/Previous document (40)

Produced documents / certificates (44/1) Container numbers (31/3) Seal Number (S28)

Special mentions (44/2) Procedure (37) C. Exp. (15a) C. Dest. (17a) Gross mass (35)

UNDG (44/4) Transport charges method of payment code (S29) Declaration type (1) Statistical value (46) Net Mass (kg) (38)

2 wooden pallet-7-PX GPR TOWER PARTS 7 ITEMS PER INVOICE 81619

--- 76109090
--- Z-380-81619
---
1000 001 ---
--- 1072.5 820