UNCTAD/ASYCUDAWorld A OFFICE OF DESTINATION

1 DECLARATION
3POLA
2 Exporter No. IM 4 Del. Ad. do Porto de Luanda
BOTEX B.V Customs Reference
ROTTERDAM - HOLLAND 3 Forms 4 Load List R 39438 05/06/2023
MAIILING ANDRESS TORENLAAN 5
1 1 Manifest 2023 859
ZIP: 3284KZ ZUID-BEIJERLAND
5 Items 6 Nbr packages 7 Reference number

1 249 2023 592-23

8 Consignee No. 5417654736 9 Financial No.

AGROKO-AVIARIO (SU), S.A.

RUA CIRILO DA CONCEIÇÃO E SILVA, Nº32/2, APT 24
INGOMBOTAS
10 Cty f. dest 11 Trading 12 Value details 13 C.A.P.

IN of IN cty. 7.418.542
14 Declarant No. 01048 15 Country of export 15 C.E. Code 17 C.D. Code

JOSE MANUEL PACHECO India a IN b a AO b

RUA JOÃO DE BARROS 1º ANDAR PORTA 50 16 Country of origin 17 Country of destination

India Angola
18 Identity and nationality of means of transport at arrival / at 19 Ctr. 20 Delivery terms

APL CHARLESTON SG yes CIF 342.750 00 EUR

21 Identity and nationality of active means of transport crossing the border 22 Currency & total amount invoiced 23 Exch. rate 24 Nature of

APL CHARLESTON EUR 331.170 640,634 1 1 transac.

25 Mode transport 26 Inland mode 27 Place of loading/unloading 28 Financial and banking data BAI
Bank Code
1 at border 1 Transport AOLAD Luanda Terms of payment CD Cobrança Documentária
29 Office of entry/exit 30 Location of goods Banco Angolano de Investimentos, S.
3POL Del. Ad. do Porto de 3DT303 536
31 Packages Marks and numbers - Containers No(s) - Number and kind 32 Item 33 Commodity code
and
Marks & no 1 X 40" CTNRS C.CHEIO 1 No. 84371000 00
description
of goods of 34 Cty. orig. Code 35 Gross mass (kg) 36 Prefer.

Number and 249 PK a IN b 64.856,000

Kind Volumes n.e. 37 PROCEDURE 38 Net mass (kg) 39 Quota

Containers No(s)
4000 000 55.242,000
40 Summary declaration / Previous document S/L
-Máquinas para limpeza, selecção ou peneiração de grãos ou de produtos EID0711192
OUTRAS 41 Supplementary units 42 Item Price 43 V.M.

44 Add. info Licence No F202305000004467103 D.Val D.Qty U 249,00 331.170 cod

Documents
Produced
7.303.228+0+115.314+0-0 A.I. Code 45 Adjustment

Certificates A.D. 403 1,000

and autho- 46 Statistical value
rization
219.577.304
47 Calcul- Type Tax base Rate Amount MP 48 Deferred payment 49 Identification of warehouse
ation of
taxes 05M 219.577.304 2,000 4.391.546 1
02I 223.968.849 7,000 15.677.819 1 B ACCOUNTING DETAILS

Mode of payment PRONTO PAGAMENTO

Assessment number L 40217 / Date 05/06/2023
Receipt number Date

Guarantee 0 AOA Date

Total fees 0 AOA

Total 20.069.365 1 Total declaration 20.069.365 AOA
50 Principal No. Signature C OFFICE OF DEPARTURE

51 Intended Represented by
offices of Place and date
transit and
country

52 Guarantee Code 53 Office of destination and country

not valid for

D CONTROL BY OFFICE OF DESTINATION Stamp: 54 Place and date

Declarant name/representative
Signature Milton Domingos Da Costa