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FOR OFFICIAL USE ttem [item | Nem 411 (@) Netprice in CURRENCY OF INVOICE (Price A Basis actually paid or price payable for settlement at the of material ime for valuation for customs purposes) 6.00 eon (b) Indirect payments - see box 8(b) (rate of exchange ) 42 TolalA in NATIONAL CURRENCY 6.000] 43 Costs incurred by the buyer: (@) commissions, except buying commissions (0) brokerage (6) containers and packing +14 Goods and services supplied by the buyer free of charge or at B. Additions | reduced cost fr use in connection wth the production and sale or expor of the imported goods: Costs in The values shown represent an apportionment where appropriate NATIONAL, | (@) mater, components, parts and smi temsicoporated CURRENCY in the imported goods NOT (©) ‘tools, dies, moulds and similar tems used in the production INCLUDED naar ‘ofthe imported goods (©) materials consumed in the production ofthe imported goods (4) engineering, development, artwork, dasign work and plans and quote sketches undertaken elsewhere than in the Community and BELOW necessary for the production ofthe imported goods previous relevant 15 Royalties and licence fees - see box 9(a) customs Gees. | 46 Proceeds of any subsequent resale, disposal or use accruing tothe seler- see box 9(0) 17 Costs of delivery to. (place of introduction) (2) transport (0) loading and handling charges (c) insurance 48 Total 8 0 ‘Agustment main wainsport + insurance] 7.600 49 Coats of transport ater rival at pave of nrodueton nen franeport at .peoUC- | 20 charges for construction, erection, assembly, maintondH eS UPBEIATEal TIONS assistance undertaken after importation Costs in NATIONAL | 21 Other charges (specify) THCd CURRENCY 200 INCLUDED ,. | 22 Customs duties and taxes payable inthe Community by reason of InAabove (") the importance or sale of the goods 23 Total C 2.000 24 VALUE DECLARED (A+B-C) 4.000 (*) Where amounts are payable in FOREIGN CURRENCY, indicate in this section the amount in foreign currency and the rate of ‘exchange by reference to each element and item, Reference Amount Rate of Exchange

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