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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
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