EAST AFRICAN COMMUNITY SINGLE ADMINISTRATIVE DOCUMENT(SAD)-ICMS A CUSTOMS OFFICE 1DECLARATION 1 2 Consignor/Exporter PIN/TIN 22MBATR805382512 TR8 AE 3 Page Of N-FREIGHT 1 5 Total Items 4 P.O.BOX 1520 DUBAI UAE 4 Total gr. mass PIN/TIN KE MBA CNT 24/11/2022 25,000.0000 6 Total packages 7 Reference number 8 8 Consignee C. 17C 855 9a Total freight 9b Total insurance 9c Total Other Charges 9d Total Customs Value CD ETS MUNGU NJO CHEF 4,900,808.3300 CUSTOMS OFFICE BUTEMBO DR CONGO TEL:+242991252591 14 Declarant/Representative 12 Valuation method PIN/TIN KE 1 16 Date of exit/arrival 15a Country of Last Consignment P000596439F AE 11/18/22 8:00 PM CONTINENTAL CARGO SERVICES (KENYA) LIMITED 17a Country of Destination CD 22089 - 00400 Ngara rd NAIROBI KE 17b Region of destination code (Kenya county) Declarant ref.number 18 Identity and nationality of means of transport at departure/on 19 Ctr. arrival 1 D5EJ9 LR 21 Identity and nationality of active means of transport crossing the border 20 Delivery terms CIF CONTAINER TERMINAL 22 Currency and total amount invoiced USD 1 25 Mode of transport 26 Inland mode 1 Sea at the border 29 Office of exit / entry MAL 3 Road 27 Place of loading/unloading Jebel Ali of transport 30 Location of goods 33440 28 Financial and banking data 32 Item 33 Commodity HS Code 001 Reference PK 31 Packages and structured description of goods 122.129394384 MLB Marks and numbers - Container No(s) - Number and kind Type 23 Exchange rate Quantity 1 Marks 1X40 DFSU7596507 TRUCK - KBS 440B / ZG 7846 400 Gross weight No Description of TELEVISION SETS 10000 85287290 34 Country origin Code 35 Gross mass (kg) 36 Preference a AE 37 P R O C E D U R E 10000 8280 812 40 Previous document 10000 Z Prefix of the TD Bill code 820 39 Quota 41a Supplementary units 22MBATR8053660451 41b Supplementary units 42 Item price Manifest registration number - 38 Net mass (kg) - 400 UNT 24000 Commercial description of the goods HISENSE; HISENSE 55A6100UW; TELEVISION; NEW; 55; 55 INCH; ZEC; A6100; 400; 1; 2022; 25; Tariff Other reception apparatus for television, whether or not Incorporating radiodescription of broadcast receivers or sound or video recording or reproducing apparatus, colour the goods NAME AVALUE NAME AVALUE 44 Additional information BrandorMake Document CommonName s Inches produced/ Certificat Manufacturer HISENSE TELEVISION 55 BrandorMake_85TV HISENSE 55A6100UW 45a FOB value Condition Inches_85TV 55 INCH Model NbOfPackages 400 PiecesPerPackage 1 ProductionDate 2022 UnitWeightPerPackag 25 Tax Base Rate 45c Insurance cost NEW ZEC Tax Type 45b Freight value A6100 Amount MP 2931105.47 542254.51 45d Other Charges 46 Customs value 0 3517326.56 48 Deferred payment 43966.58 49 Identification of warehouse Total Tax due for this item: 47 Calculation of taxes B ACCOUNTING DETAILS Tax Type Totals all item 0.00 Total Tax due : B.No TAX_AMOUNT MP RCTG22/10010865KE Amount 50 Principal 51 Intended offices of transit No C OFFICE OF DEPARTURE Represented Place and 52 Remarks 53 Office of destination (and country) D/J CONTROL BY OFFICE OF DEPARTURE/DESTINATION Stamp:24/11/2022 10.49 PM Result: Seals affixed: Identity: Time limit (date): Signature: 54 Place and date: Signature and name of declarant/representative: I/We CSAP000596439FB the undersigned of CONTINENTAL CARGO SERVICES (KENYA) LIMITED being the agent/principal of ETS MUNGU NJO CHEF do hereby declare that the information and particulars declared herein are true and complete. Signature and stamp Place: 22089 - 00400 Ngara rd NAIROBI KE Tel/Fax: 1 of 4 EAST AFRICAN COMMUNITY SINGLE ADMINISTRATIVE DOCUMENT(SAD)-ICMS A CUSTOMS OFFICE C.17C(Cont.) CUSTOMS 1DECLARATION TR8 3 Page Of 1 4 33 Commodity HS Code 2 Marks and numbers - Container No(s) - Number and kind 32 Item 002 No 83112000 Type Reference Quantity Marks Gross weight Description of 34 Country origin Code 35 Gross mass (kg) 36 Preference PK 1 50 AS ADD 1560 WELDING RODS a AE 37 P R O C E D U R E 1560 8280 812 40 Previous document 1560 31 Packages and description of goods Z Prefix of the TD Bill code 820 39 Quota 41a Supplementary units 22MBATR8053660452 41b Supplementary units 42 Item price Manifest registration number - 38 Net mass (kg) - 1560 KGM 900 Commercial description of the goods WELDING RODS; 25; 50; 1560; Tariff description of Cored wire of base metal, for electric arc-welding. the goods NAME AVALUE NAME 44 Additional information CommonName Document QuantityOrNbOfPacka s produced/ Certificat WELDING RODS 50 Type AVALUE PiecesPerPackage 25 TotalWeight Tax Base Rate 45a FOB value 45b Freight value 109916.45 20334.54 45d Other Charges 46 Customs value 0 131899.74 45c Insurance cost 1560 Amount 1648.75 MP Total Tax due for this item : 47 Calculation of taxes Marks and numbers - Container No(s) - Number and kind 32 Item 003 33 Commodity HS Code No 83014000 Type Reference Quantity Marks Gross weight Description of 34 Country origin Code 35 Gross mass (kg) 36 Preference PK 1 4 AS ADD 630 DOOR LOCKS a AE 37 P R O C E D U R E 630 8280 812 40 Previous document 630 31 Packages and description of goods Z Prefix of the TD Bill code 820 39 Quota 41a Supplementary units 22MBATR8053660453 41b Supplementary units 42 Item price Manifest registration number - 38 Net mass (kg) - 630 KGM 250 Commercial description of the goods LOCKS; 50; 4; 630; Tariff description of - Other locks the goods NAME 44 Additional information CommonName Document QuantityOrNbOfPacka s produced/ Certificat AVALUE LOCKS 4 Type Tax Base NAME AVALUE PiecesPerPackage 50 TotalWeight 630 Rate Amount 45a FOB value 45b Freight value 30532.35 5648.48 45d Other Charges 46 Customs value 0 36638.82 45c Insurance cost 457.99 MP Total Tax due for this item : 47 Calculation of taxes Marks and numbers - Container No(s) - Number and kind 32 Item 004 33 Commodity HS Code No 37039000 Type Reference Quantity Marks Gross weight Description of 34 Country origin Code 35 Gross mass (kg) 36 Preference PK 1 100 AS ADD 1910 CANON PAPER a AE 37 P R O C E D U R E 1910 8280 812 40 Previous document 1910 31 Packages and description of goods Z Prefix of the TD Bill code 820 39 Quota 41a Supplementary units 22MBATR8053660454 41b Supplementary units 42 Item price Manifest registration number - 38 Net mass (kg) - 1910 KGM 910 Commercial description of the goods CANON; PAPER; CANON; PK; 100; 100; 9; 6; CRAFT; 10; Tariff Other photographic paper, paperboard and textiles, sensitised, unexposed. description of the goods NAME AVALUE NAME AVALUE 44 Additional information BrandName Document Manufacturer s PiecesPerPackage produced/ Certificat SizeOfPiecesLength Treatment Type CANON CommonName PAPER CANON PackagingMode PK QuantityOrNbOfPacka 100 100 9 CRAFT Tax Base 45a FOB value 45b Freight value 111137.75 20560.48 SizeOfPiecesWidth 6 45d Other Charges 46 Customs value Volume 10 0 133365.3 Rate Amount 45c Insurance cost 1667.07 MP Total Tax due for this item : 47 Calculation of taxes 2 of 4 EAST AFRICAN COMMUNITY SINGLE ADMINISTRATIVE DOCUMENT(SAD)-ICMS A CUSTOMS OFFICE C.17C(Cont.) CUSTOMS 1DECLARATION TR8 3 Page Of 1 3 Marks and numbers - Container No(s) - Number and kind 32 Item 005 Type Reference Quantity Marks Gross weight PK 1 150 AS ADD 4500 33 Commodity HS Code No Description of GENERATOR SETS 31 Packages and description of goods 85021100 34 Country origin Code 35 Gross mass (kg) 36 Preference a AE 37 P R O C E D U R E 4500 8280 812 40 Previous document 4500 Z Prefix of the TD Bill code 820 39 Quota 41a Supplementary units 22MBATR8053660455 41b Supplementary units 42 Item price Manifest registration number - 38 Net mass (kg) - 150 UNT 3000 Commercial description of the goods KINGMAX; GENERATOR; NEW; KINGMAX; KM5500DX; 150; 1; 24KV; 15; 2022; 30; Tariff Generating sets with compression-ignition internal combustion piston engines (diesel description of or semi- diesel engines) of an output not exceeding 75 kVA. the goods NAME AVALUE NAME AVALUE 44 Additional information BrandorMake Document Condition s Model produced/ Certificat PiecesPerPackage KINGMAX NEW KM5500DX 1 ProductionDate GENERATOR Manufacturer 45a FOB value 45b Freight value 366388.18 67781.81 45d Other Charges 46 Customs value 0 439665.81 45c Insurance cost KINGMAX NbOfPackages 150 PowerRatingPerThrus 2022 UnitWeightPerPackag CommonName 24KV ProductNumber 15 5495.82 30 Type Tax Base Rate Amount MP Total Tax due for this item : 47 Calculation of taxes Marks and numbers - Container No(s) - Number and kind 32 Item 006 33 Commodity HS Code No 95066200 Type Reference Quantity Marks Gross weight Description of 34 Country origin Code 35 Gross mass (kg) 36 Preference PK 1 30 AS ADD 1500 FOOTBALLS a AE 37 P R O C E D U R E 1500 8280 812 40 Previous document 1500 31 Packages and description of goods Z Prefix of the TD Bill code 820 39 Quota 41a Supplementary units 22MBATR8053660456 41b Supplementary units 42 Item price Manifest registration number - 38 Net mass (kg) - 900 UNT 650 Commercial description of the goods RIDDEL; FOOTBALL; 30; 30; Tariff description of Inflatable balls, other than golf balls and table-tennis balls. the goods NAME AVALUE NAME 44 Additional information Brand Document PiecesPerPackage s produced/ Certificat RIDDEL 30 Type Tax Base CommonName AVALUE FOOTBALL QuantityOrNbOfPacka Rate 45a FOB value 45b Freight value 79384.11 14686.06 45d Other Charges 46 Customs value 0 95260.93 45c Insurance cost 30 Amount 1190.76 MP Total Tax due for this item : 47 Calculation of taxes Marks and numbers - Container No(s) - Number and kind 32 Item 007 33 Commodity HS Code No 73170000 Type Reference Quantity Marks Gross weight Description of 34 Country origin Code 35 Gross mass (kg) 36 Preference PK 1 45 AS ADD 4380 NAILS a AE 37 P R O C E D U R E 4380 8280 812 40 Previous document 4380 31 Packages and description of goods Z Prefix of the TD Bill code 820 39 Quota 41a Supplementary units 22MBATR8053660457 41b Supplementary units 42 Item price Manifest registration number - 38 Net mass (kg) - 4380 KGM 2210 Commercial description of the goods NAILS; 4380; Tariff Nails, tacks, drawing pins, corrugated nails, stapples(other than those of heading description of 83.05) and similar articles , of iron or steel. the goods NAME AVALUE NAME AVALUE 44 Additional information CommonName Document s produced/ Certificat Type NAILS Tax Base TotalWeight Rate 4380 Amount 45a FOB value 45b Freight value 269905.96 49932.6 45d Other Charges 46 Customs value 0 323887.15 45c Insurance cost 4048.59 MP Total Tax due for this item : 47 Calculation of taxes 3 of 4 EAST AFRICAN COMMUNITY SINGLE ADMINISTRATIVE DOCUMENT(SAD)-ICMS A CUSTOMS OFFICE C.17C(Cont.) CUSTOMS 1DECLARATION TR8 3 Page Of 1 4 Marks and numbers - Container No(s) - Number and kind 32 Item 008 33 Commodity HS Code No 82121000 Type Reference Quantity Marks Gross weight Description of 34 Country origin Code 35 Gross mass (kg) 36 Preference PK 1 76 AS ADD 520 RAZORS a AE 37 P R O C E D U R E 520 8280 812 40 Previous document 520 31 Packages and description of goods Z Prefix of the TD Bill code 820 39 Quota 41a Supplementary units 22MBATR8053660458 41b Supplementary units 42 Item price Manifest registration number - 38 Net mass (kg) - 3800 UNT 1520 Commercial description of the goods RAZORS; 25; 76; 520; Tariff description of Razors. the goods NAME 44 Additional information CommonName Document QuantityOrNbOfPacka s produced/ Certificat Type AVALUE RAZORS 76 Tax Base NAME AVALUE PiecesPerPackage 25 TotalWeight 520 Rate Amount 45a FOB value 45b Freight value 185636.68 34342.79 45d Other Charges 46 Customs value 0 222764.02 45c Insurance cost 2784.55 MP Total Tax due for this item : 47 Calculation of taxes 4 of 4