FEDERAL GOVERNMENT OF NIGERIA CUSTOMS AUTHORITY DECLARATION FORM Assessment Notice Customs Office: 01MC MUHAMMED MURTALA CARGO Identification of the declaration Model Customs reference IM 4 C 15057 05/04/2024 Declarant reference 2024 / 7133 Assessment reference Nbr of Items A 17020 05/04/2023 1 Declarant: Company: Bank: C4335RC1304562 05095293-0001 033 GEOS WEEP SURVEY LIMITED NO 24 BALARABE MUSA CRESCENT VICTORIA ISLAND - LAGOS ANYI-TEX PHARMACEUTICALS LIMITED BZUONU STREET,ONITSHA, ONITSHA NORTH, ANAMBRA UBA Group Receipt number & date Statement number & date Mode of payment Account Number CASH Item Taxes Global Taxes CIS Comprehensive insp. superv. scheme 91,946.00 ETL ETLS 54,105.00 Total Item taxes 146,051.00 Total Global taxes 0.0 Total assessed amount of declaration 146,051.00 Amount TO BE PAID 146,051.00