DHL KEELLS (PVT) LTD

148, Vauxhall Street

Colombo 2
Sri Lanka *3104731162*
Tel: +94-11-4798600
VAT Regd No: 1140271467000
INBOUND CHARGES
CHAMARA CHATHURANGA KULAWARDHANA
Account Number : DUTYLKCSH
36-6A, SWARNA PLACE, HONNANTHARA, K
10300 KESBEWA Document Number : D03026911
HWB Number : 3104731162
Date : 14/02/2022
Attn: NA
Contact Number: +94773344007 Payment Due Date : 14/02/2022

Please Reimburse the Total Charges Shown Below To: DHL KEELLS (PVT) LTD

Shipment Details
Origin: RIX Pieces: 1 Contents: RUBBER SEAL KIT
Destination: CMB Weight: 2.36 Assessed Value: 72,103.00 Arrival Date: 13/02/2022

Billing Details
Cusdec Number: I 2733 CUSTOMS DUTY 4,973.00
PORT AND AIRPORT DEVELOPMENT LEVY 4,973.00
VALUE ADDED TAX 5,769.00
IMPORT CESS 7,459.00
ADVANCE PAYMENT 463.00

Payment Terms
Cash on delivery unless
stated otherwise on the invoice
The Commissioner General of Inland Revenue
Dear sir, Please Pay This Amount: LKR 23,637.00
We confirm that DHL KEELLS (PVT) LTD cleared the above mentioned shipment on behalf of the customer
mentioned above. In this process, we paid VAT and other government levies to the Sri Lanka Customs on their
behalf. Also, confirm that we would not be claiming the said amount as our VAT input credits
THIS IS A COMPUTER GENERATED INVOICE. NO SIGNATURE IS REQUIRED.

Remittance Advice

Company Signature / Stamp: Account Number : DUTYLKCSH

We enclose cash for LKR 23,637.00
Invoice Number : D03026911
We enclose cheque No. ________________ for LKR 23,637.00
HWB Number : 3104731162
Please debit our Credit / Charge Card No. ____________________________
Date : 14/02/2022
Cardholder name: _______________________________
Total Amount LKR : 23,637.00
Expiry date: ____________________________________

Not all payment options are available to all countries

* 2 3 6 3 7 . 0 0 * * D U T Y L K C S H * * D 0 3 0 2 6 9 1 1 *

1. Detach this payment advice and return it together with your payment
2. Cheque should be crossed and made payable to DHL KEELLS (PVT) LTD

Customer Endorsement
CUSTOM ASSESSMENT IMPORT CONTROL
DECLARATION FORM NOTICE LICENCE
We acknowledge receipt of the above documentation Account Number : DUTYLKCSH

CHAMARA CHATHURANGA KULAWARDHANA Invoice Number : D03026911

Company Signature / Stamp: HWB Number : 3104731162

Printed Name / Title: Date : 14/02/2022

Total Amount LKR : 23,637.00

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