iGo
Shipment Receipt
Shipment From
£65 Mocanbique
Osvaldo Manuel doe $ Seifane
av.Uniao Africana, 7666
Matola
Maputo
Matola
ozaMBrQUE
Shipment To
SGS Prance-Nultilab
Clement olive
7 Rue Jean Grandjean
32100-Toulouse
‘Toulouse 32100
FRANCE
433561442323
Shipment Details
Date of Shipment
Aix Waybill Number : 7437073990
Service Type + EXPRESS WORLDWIDE (WPX)
Number of Pieces: 1
2020-08-26
Total Weight 0.5 kg
Insured Amount
Volumetric Weight : 5.8 kg
Eotimated Charges
RAS
Fuel Surcharge
Billing Information
Payment Type
Billed Account
shipper
pper Account
+ 378003572
378003571
fount
Reference Information
Reference Paint sample
Description of Contents
Paint samples for laboratory analysis
Piece ID (ISO_LP)
‘WOOL 4600 00a) 5236 ATL,
aes
International Information
Declared Value
Duties and Taxce
usp 5
Paid by Receiver
Special Services
Delivery Notification serv:
Piece Weightojdwes weg ou
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ueslpuesg wear any LCommercial Invoice n. FHS/026/08/2020
Senders
Details
Receivers
Detail
Company name
SGS Mozambique
Company name
SGS FRANCE,
vito At 7 rue Jean Grandjean
Street Av. Uniao Africana n.7666 Street ate
Td Matola pares 31 100 Toutouse
code | M* - code a
State country Mozambique State country Franga
Contact name
Osvaldo Seifane
Contact name
Clément OLIVE
Contact tel no. +285843320775 Contact tel no. +3356 1442323
‘Airway bill ;
y 7437073980 Total pieces ol
number
Total Weight 03KG Carrier DHL
E Details of goods Yea
Quanti Description Unit cost USD oe cost
This parcel contains 10 plasics with paint samples for Laboratory
1 analysis. Those samples are completely harmless and therefore | 5.0 30
don’thave tobe labelled as dangerous ood
Total | 50 USD
bee) for Mozambique does not have environmental lab to perform
Origin Country |_| the analysis
Thereby declare that the above goods to be non-hazardous for air transport according
to IATA regulations.
Declaration I declare that the above information is true and correct to the best of my knowledge. |
also specifically confirm that the above stated value of the goods is correct for
Exchange Control and Customs Purposes.
Name Osvaldo Seifane Signature
Position in the company Technician Date= Commercial Invoice
Watels wozawaraue
Receiver:
6 arcoanaiad
Clement One Date: zozn.00.26
"Rue Jean Grancjean
S100 Tedouse Ievoice Number
Tououte 21100 FRANCE
Shipment Reference:
Phone: +33561442829, "
VATIOST No
tl To Thied Pay [Comments
Airway BI Nomber:
7437073980
Frat Description of Goods GIY [OO] Commosiy| Unt] Sublets | UntNet | Subiotar Crain
Gogo |vatie | “Vaive | Woignt | Wergnt
1 Jasbecs same + [wa 5 5 oso | asco |uezareique
Froaoecara aves ——_USD_| Tom Net wen: os 0
ota Paes + “Tosi Grese wieght 05 6
Payer of GSTIVAT: Recover Currency Code: USO
Type ofExport;——RepaifReun Incoter: DAP -Datvered ALPace
Terms of Payment:
)
Signature:
Shioring Conautant, [Company Stare:
AREi and Chain
‘Date Registered: y9.08.2000 SLIM Wo: ~
Time Registered: 45:00, BOSS No: oT
‘Company Name: SGS Environmental Services Mozambique Phone No: +25821 726080,
CCllent Name: HEB. Fax No: 425824725 499
Postal Address: Av ds Unido Atcana, Nr 7685 E-mail gone
Copy To: Project No:
Cost Contre:
antonio dasionvado sitane
‘Sample idntior
Pon 1 Taner
Ponto.02 7707020
Ponto 03 708620
nko OF Acesso 2 iso “a020
Ponto 08 wa2020
onto: O7 ero82000|
Penta 08 vaaraazo | 1
Ponto: 02 "aoer.020 | 1
Pento-10 "aianoz0 [1
Relguished by
Received by:
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Document Number: PF-ZAENV(LAB)}{GEN|QU-001 ‘ssue Date: September 2010ES
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Document Number: PF-ZAYENV(LAB)}{GENIQU-00% lasue Date: September 2010,