End Use Statement for Purchase Order Number #:
P217
Ultimate End User is defined as who will be using the product, hardware or technical data. Full street address required, PO Box not
accepted.
UNO AVIATION
Company Name (who is purchasing from AAR):
Complete Address:
SAMI CENTER l Melouya Boulevard, Selouane Housing Estate,
Allotment n° 10-11 - Floor 5 - Office N° 57, Casablanca, Morocco
1.
End User Name:
AIR SENEGAL
2.
Address & Country:
International Airport Blaise Diagne,
Thies Senegal
3.
End Use Description is defined as the application associated with the order (e.g. the aircraft / engine type or program)
Tail
Number or
MSN:
6V-AMS
Please list any further details to help
define purchase purpose:
4.
Aircraft Type
(e.g. A320,
B747):
ATR 42
Engine Type
(e.g. CF6-80A,
PW2000):
N/A
ESN:
N/A
UNO AVIATION IS PURCHASING FOR POTENTIEL SELL TO THE END USER
Please provide Freight Forwarder(s) details including customs brokers information
Company
Name:
Phone:
Contact
Name:
COMEXAS Airfreight
+32 2 752 15 30
Address &
Country:
Email:
Diane Verschoren
d.verschoren@comexas.be Position:
Operations Manager
Bedrijvenzone Machelen, Gebouw 705 – poort 12, aanlevering poort 104
Customs Broker:
COMEXAS AIRFREIGHT
Other Information:
The undersigned certifies that products covered in this statement will not be re-exported, resold, diverted, transferred, or otherwise
disposed of in any other country, either in their original form or after being incorporated through an intermediate process into other enditems, contrary to United States or other applicable laws without prior written approval of the appropriate government agency.
Please include name, title, and signature of individual completing the form and add date.
Signature
Rev. Original Date: April 1, 2019
ZACHIE MARTINEZ - CSO
10 MAY 24
Printed Name & Title
Date
Form: ASC-WDL-0078