1011
ZUELLIG
PHARMA
RETURNS WAREHOUSE
CERTIFICATE OF DESTRUCTION
ZPPH-TUN-1X-FO-007; Rev. 2 Effectivty Date: May 31, 2019
10/90 10/2019 Control N 2019-08-096,
nts Name: ‘A MENARINI TotalWeight: 1,610.00 Kos.
Cons RTPOMR Wo. 0601
Total Value: Php 20,665,019.01
Matorial Document Nols GataPass Nore Dalivery Receipt Nove
00000443820 WA NA
09000643821
00000443622
= ating Foiows™
“This ft cet at tems enumerated below were uly accounted and destroyed though cme wv mates
Lisotatication
Clonishing! Punctering
[thermal Treatment Pyroysis
[Water Treatment
INTERCONTINENTAL WASTE DISPOSAL SYSTEMS INC (WDS!)
‘at 37/8 Arturo Drive, ESTA Trading Compound, Bldg, D, Sta. Maria Insta Estate, Bagumbayan Taguig City 1630
‘Quantit
bs
Material Description Batch Number ior
Expired / Damaged and spoiled items NA
==Nothing Follows
Remarks: NIA
DESTRUCTION WITNESSED BY:
NA
Z a
Position
Zuellig Pharma Representative:
NIA
Name
Position
Client's Representative:
NIA
i. Name
Position
BIR Representative:
NA
Name
Position
‘Treater's Representative:
PDEA/FDA Representative: NA NA
Name Name
Position PositionZUELLIG
PHARMA
raking hesltheare more accessible
October 9,2019
CERTIFICATE OF APPEARANCE
This is to certify that Mr. Orvile Jon Cabungcal has appeared as the BIR
Representative who witnessed the destruction of expired/damaged/obsolete stocks of
400406 - A. Menarini at Intercontinental Waste Disposal Systems, Inc., 37 Arturo Drive,
Unit D, Sta. Maria Industrial Estate, Bagumbayan, Taguig, Metro Manila 1631.
s/s
Ms. Alita D. Estabaya
Admin Ashistant- Destruction
Zuelig Pharma Corporation - Tunasan
ZUELLIG PHARMA CORPORATION
Km. 14 West Service Rd. South Superhighway cor. Edison Ave. Sun Valley ParaRaque City | T +632 908 2222/789 3448
‘ww 2uellgpharma.comIV MENARINI
August 7, 2019
Bureau of Internal Revenue
Regular LT Audit Division 1
National Office
Attn: Ms. Analynsia C. Alarde
Chief Officer - Regular LT Audit Div. 1
Dear Madame,
We would like to invite your representative to witness our destruction of expired / damage /
spoiled pharmaceutical items. Destruction will be done at Intercontinental Waste Disposal
Systems Inc., 37A Arturo Drive Esta Trading Compound Bldg, D Sta. Maria Industrial Estate
Bagumbayan Taguig City.
Should you have any concerns, please feel free to contact Ms. Alita Estabaya, our destruction
admin. assistant of Zuellig Pharma Corp. at Cellphone No. 0927-4154035 / 0998-5939313.
Thank you.
Very truly yours,
BUREAU OF INTEPNATE
REGULAR TAULIT SIUSONT
BI
Nir
sep 29 2019 ff |
IN
EMA Time: '
|A.Menatini Philippines, Inc.
{th Flor, W Building, 11th Avenue corner 2th tret, Bonifacio High Steet,
Bonifacio Global ity, Taguig Giy 1634, Philippines
Tel (632) 3333800 4(632) 3333888 | Fax ¥(632) 4786800pest Dye
Tobe iupty he OR ANNEA “AI
DUNN. —
Rept ¥
Kagaw
KAWANIHAT
APPLICATION FOR INVENTORY / ASSETS DISPOSAL | DESTRUCTION / LOSS
[A. MENARINI PHILIPPINES, INC. 23 188 711, 8 4 0,0 0
[ath Floor W Office Bldg, 11th Ave. corer 28th St, Bonifacio High Street Bonifacio Global City, T
Intercontinental Waste Disposal Systems Ine. Bagumbayan Taguig City
Inventory - Finished Goods
‘Swom Declaration of Goods/Assets as Wastes or Obsolete Inventor List of Goods Duly Received bythe BIR
List of Goods/Asses for DisposalDestructon o ist of ‘Supporting documents to prove the reasons sated inthis
achineriesEquipments fr Disposal Destruction o List of ‘pplication a the cause forthe disposaldestuctionfss
‘Assets/Goods Lost Due #6 Casualty
5 Cher document o prove the coreciness ofthe value of the
J goodslasses to be destroyeduisposed
fa, seeds fea
‘Applicant Date
(Gignoture over Printed Name)
Finance and 18SG Director
‘(Designation Postion)
wi
VERIFICATION | EVALUATION: (Mark on tho
See aeemenoee
sn ‘and Date of Receipt
5
cag ALERT
x
SEP *9 2019
ys
TIME:SWORN PECLARATION OF GOODS AS WASTES OR
OBSOLETE °
1, Jesus Porcalla Jr., Finance and IBSG Director of A. Menarini Philippines, Inc. with
business address at 4 Floor W Office, 11" Ave cor. 28 St, Bonifacio High Street, Bonifacio
Global City Taguig, do hereby depose and say:
1, That 1 or A Menarini Philippines, Inc. amv/is the absolute owner of the goods,
listed in Annex “A-1” hereof, presented with their corresponding costs/value and
that such goods have been included as part of my/its inventory/assets.
2. That, I have been duly authorized by the A. Menarini Philippines, Inc. of this
sworn statement in its behalf.
(No. 2 shall be stated in case the person executing the sworn declaration is not the
owner but only a duly authorized representative of the owner of the business).
3. That, the goods valued at Php 20,665,919.01 as listed in Annex “A-1” hereof
have been considered as wastes or obsolete due to obsolete/damaged/expired, and
therefore can no longer be commercially sold or traded or used;
4, That, said goods are intended to be destroyed/disposed by way of Thermal
Treatment/Pyrolysis on at
5. That, the loss in the value of these goods arising from the eventual destruction of
the same is not subject to subsequent replacement/payment by supplier thereof
nor reimbursement from any insurance company.
6. That, the method of inventory management employed was that of First-Expiry-
First-Out.
J /LYPOrcalla Jr.
Name of Tz ryer/Duly Auth -d Representative
Subseribed and Swom to this day SUC_06 2019, the city of
MAKATI __, taxpayer exhibiting his passport No. P2461940A dated 25 March 2017
issued in DFA NCR South.
Notary Public
Doc. No. 2
Page No. z
Book No.
Series 227Vaor
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